E0670 — Segmental pneumatic appliance for use with pneumatic compressor, integrated, 2 full legs and trunk
HCPCS Level II E-code · short descriptor: “Seg pneum int legs/trunk”
- Code system
- HCPCS Level II
- Family
- E — Durable medical equipment
- Medicare coverage status
- Special coverage instructions apply
- DMEPOS payment category
- Inexpensive or routinely purchased
- Prior authorization
- Not on Medicare required-PA list
- Face-to-face & WOPD
- Not on the required list
- MUE unit limit
- 1
- Status
- Active (HCPCS Level II October 2026)
Prior authorization
Not on the Medicare required-PA list (CMS Required Prior Authorization List — 74 items in force on 2026-10-25; 8 more from 2026-10-28; sources: CMS list updated 2026-01-13, CMS-6109-N (91 FR 47972)). Medicare Advantage and commercial plans set their own prior-authorization rules for this code — verify per plan before delivery.
Order readiness — what the written order must contain
Every Medicare DMEPOS claim needs a Standard Written Order with all six elements (42 CFR 410.38(d)):
- Beneficiary name or Medicare Beneficiary Identifier (MBI) (42 CFR 410.38(d)(1)(i)(A))
- General description of the item (42 CFR 410.38(d)(1)(i)(B))
- Quantity to be dispensed, if applicable (42 CFR 410.38(d)(1)(i)(C))
- Order date (42 CFR 410.38(d)(1)(i)(D))
- Treating practitioner name or NPI (42 CFR 410.38(d)(1)(i)(E))
- Treating practitioner signature (42 CFR 410.38(d)(1)(i)(F))
Not on the F2F/WOPD list (CMS Required F2F & WOPD List — 83 items in force on 2026-10-25; 22 more from 2026-10-28; sources: CMS list effective 2026-04-13 (91 FR 1250), CMS-6109-N (91 FR 47972)). The standard written order must reach the supplier before claim submission.
Blank requirements checklist only — MyMedi-AI never collects or stores completed orders.
E0670 Medicare fee schedule (October 2026)
NU — New purchase Inexpensive or routinely purchased
Medicare allowable ranges from $1522.75 to $2931.85 depending on state and rural status.
Former-CBA payment limits: ceiling $1791.47 · floor $1522.75
| State | Non-rural | Rural |
|---|---|---|
| AK | $2795.20 | — |
| AL | $1791.47 | — |
| AR | $1791.47 | — |
| AZ | $1791.47 | — |
| CA | $1791.47 | — |
| CO | $1522.75 | — |
| CT | $1791.47 | — |
| DC | $1791.47 | — |
| DE | $1746.12 | — |
| FL | $1791.47 | — |
| GA | $1791.47 | — |
| HI | $2931.85 | — |
| IA | $1522.75 | — |
| ID | $1791.47 | — |
| IL | $1791.47 | — |
| IN | $1522.75 | — |
| KS | $1522.75 | — |
| KY | $1791.47 | — |
| LA | $1791.47 | — |
| MA | $1522.75 | — |
| MD | $1746.12 | — |
| ME | $1522.75 | — |
| MI | $1791.47 | — |
| MN | $1522.75 | — |
| MO | $1522.75 | — |
| MS | $1579.41 | — |
| MT | $1522.75 | — |
| NC | $1791.47 | — |
| ND | $1522.75 | — |
| NE | $1522.75 | — |
| NH | $1522.75 | — |
| NJ | $1746.12 | — |
| NM | $1791.47 | — |
| NV | $1791.47 | — |
| NY | $1791.47 | — |
| OH | $1791.47 | — |
| OK | $1748.70 | — |
| OR | $1791.47 | — |
| PA | $1746.12 | — |
| PR | $2231.09 | — |
| RI | $1791.47 | — |
| SC | $1791.47 | — |
| SD | $1522.75 | — |
| TN | $1791.47 | — |
| TX | $1791.47 | — |
| UT | $1759.09 | — |
| VA | $1522.75 | — |
| VI | $1791.47 | — |
| VT | $1522.75 | — |
| WA | $1791.47 | — |
| WI | $1791.47 | — |
| WV | $1746.10 | — |
| WY | $1522.75 | — |
RR — Monthly rental Inexpensive or routinely purchased
Medicare allowable ranges from $163.00 to $293.08 depending on state and rural status.
Former-CBA payment limits: ceiling $191.77 · floor $163.00
| State | Non-rural | Rural |
|---|---|---|
| AK | $279.40 | — |
| AL | $191.77 | — |
| AR | $191.77 | — |
| AZ | $191.77 | — |
| CA | $191.77 | — |
| CO | $163.00 | — |
| CT | $191.77 | — |
| DC | $179.51 | — |
| DE | $174.50 | — |
| FL | $191.77 | — |
| GA | $191.77 | — |
| HI | $293.08 | — |
| IA | $163.00 | — |
| ID | $186.38 | — |
| IL | $191.77 | — |
| IN | $163.00 | — |
| KS | $163.00 | — |
| KY | $191.77 | — |
| LA | $191.77 | — |
| MA | $191.77 | — |
| MD | $174.50 | — |
| ME | $191.77 | — |
| MI | $191.77 | — |
| MN | $163.00 | — |
| MO | $163.00 | — |
| MS | $163.00 | — |
| MT | $163.00 | — |
| NC | $191.77 | — |
| ND | $163.00 | — |
| NE | $163.00 | — |
| NH | $191.77 | — |
| NJ | $174.50 | — |
| NM | $183.51 | — |
| NV | $191.77 | — |
| NY | $191.77 | — |
| OH | $179.14 | — |
| OK | $174.90 | — |
| OR | $191.77 | — |
| PA | $174.50 | — |
| PR | $254.03 | — |
| RI | $191.77 | — |
| SC | $191.77 | — |
| SD | $163.00 | — |
| TN | $191.77 | — |
| TX | $191.77 | — |
| UT | $175.90 | — |
| VA | $163.00 | — |
| VI | $191.77 | — |
| VT | $191.77 | — |
| WA | $191.77 | — |
| WI | $191.77 | — |
| WV | $174.50 | — |
| WY | $163.00 | — |
UE — Used purchase Inexpensive or routinely purchased
Medicare allowable ranges from $1142.00 to $2199.01 depending on state and rural status.
Former-CBA payment limits: ceiling $1343.53 · floor $1142.00
| State | Non-rural | Rural |
|---|---|---|
| AK | $2096.47 | — |
| AL | $1343.53 | — |
| AR | $1343.53 | — |
| AZ | $1343.53 | — |
| CA | $1343.53 | — |
| CO | $1142.00 | — |
| CT | $1343.53 | — |
| DC | $1343.53 | — |
| DE | $1309.70 | — |
| FL | $1343.53 | — |
| GA | $1343.53 | — |
| HI | $2199.01 | — |
| IA | $1142.00 | — |
| ID | $1343.53 | — |
| IL | $1343.53 | — |
| IN | $1142.00 | — |
| KS | $1142.00 | — |
| KY | $1343.53 | — |
| LA | $1343.53 | — |
| MA | $1142.00 | — |
| MD | $1309.72 | — |
| ME | $1142.00 | — |
| MI | $1343.53 | — |
| MN | $1142.00 | — |
| MO | $1142.00 | — |
| MS | $1184.58 | — |
| MT | $1142.00 | — |
| NC | $1343.53 | — |
| ND | $1142.00 | — |
| NE | $1142.00 | — |
| NH | $1142.00 | — |
| NJ | $1309.70 | — |
| NM | $1343.53 | — |
| NV | $1343.53 | — |
| NY | $1343.53 | — |
| OH | $1343.53 | — |
| OK | $1311.51 | — |
| OR | $1343.53 | — |
| PA | $1309.72 | — |
| PR | $1673.35 | — |
| RI | $1343.53 | — |
| SC | $1343.53 | — |
| SD | $1142.00 | — |
| TN | $1343.53 | — |
| TX | $1343.53 | — |
| UT | $1319.21 | — |
| VA | $1142.00 | — |
| VI | $1343.53 | — |
| VT | $1142.00 | — |
| WA | $1343.53 | — |
| WI | $1343.53 | — |
| WV | $1309.70 | — |
| WY | $1142.00 | — |
Unit limit (MUE)
Medicare's Medically Unlikely Edit caps E0670 at 1 unit per date of service (absolute). Units above the MUE deny — typically as CO-151. Rationale: Anatomic Consideration.
Common denial codes to watch
Related E-codes
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