E0671 — Segmental gradient pressure pneumatic appliance, full leg
HCPCS Level II E-code · short descriptor: “Pressure pneum appl full leg”
- 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
- Status
- Active (April 2026 HCPCS)
Prior authorization
Not on the Medicare required-PA list as of the January 13, 2026 update (74 items). Medicare Advantage and commercial plans set their own prior-authorization rules for this code — verify per plan before delivery.
E0671 Medicare fee schedule (April 2026)
NU — New purchase Inexpensive or routinely purchased
Medicare allowable ranges from $591.94 to $710.19 depending on state and rural status.
Former-CBA payment limits: ceiling $591.94 · floor $503.15
| State | Non-rural | Rural |
|---|---|---|
| AK | $597.88 | — |
| AL | $591.94 | — |
| AR | $591.94 | — |
| AZ | $591.94 | — |
| CA | $591.94 | — |
| CO | $591.94 | — |
| CT | $591.94 | — |
| DC | $591.94 | — |
| DE | $591.94 | — |
| FL | $591.94 | — |
| GA | $591.94 | — |
| HI | $639.26 | — |
| IA | $591.94 | — |
| ID | $591.94 | — |
| IL | $591.94 | — |
| IN | $591.94 | — |
| KS | $591.94 | — |
| KY | $591.94 | — |
| LA | $591.94 | — |
| MA | $591.94 | — |
| MD | $591.94 | — |
| ME | $591.94 | — |
| MI | $591.94 | — |
| MN | $591.94 | — |
| MO | $591.94 | — |
| MS | $591.94 | — |
| MT | $591.94 | — |
| NC | $591.94 | — |
| ND | $591.94 | — |
| NE | $591.94 | — |
| NH | $591.94 | — |
| NJ | $591.94 | — |
| NM | $591.94 | — |
| NV | $591.94 | — |
| NY | $591.94 | — |
| OH | $591.94 | — |
| OK | $591.94 | — |
| OR | $591.94 | — |
| PA | $591.94 | — |
| PR | $710.19 | — |
| RI | $591.94 | — |
| SC | $591.94 | — |
| SD | $591.94 | — |
| TN | $591.94 | — |
| TX | $591.94 | — |
| UT | $591.94 | — |
| VA | $591.94 | — |
| VI | $591.94 | — |
| VT | $591.94 | — |
| WA | $591.94 | — |
| WI | $591.94 | — |
| WV | $591.94 | — |
| WY | $591.94 | — |
RR — Monthly rental Inexpensive or routinely purchased
Medicare allowable ranges from $59.23 to $71.07 depending on state and rural status.
Former-CBA payment limits: ceiling $59.23 · floor $50.35
| State | Non-rural | Rural |
|---|---|---|
| AK | $59.77 | — |
| AL | $59.23 | — |
| AR | $59.23 | — |
| AZ | $59.23 | — |
| CA | $59.23 | — |
| CO | $59.23 | — |
| CT | $59.23 | — |
| DC | $59.23 | — |
| DE | $59.23 | — |
| FL | $59.23 | — |
| GA | $59.23 | — |
| HI | $63.95 | — |
| IA | $59.23 | — |
| ID | $59.23 | — |
| IL | $59.23 | — |
| IN | $59.23 | — |
| KS | $59.23 | — |
| KY | $59.23 | — |
| LA | $59.23 | — |
| MA | $59.23 | — |
| MD | $59.23 | — |
| ME | $59.23 | — |
| MI | $59.23 | — |
| MN | $59.23 | — |
| MO | $59.23 | — |
| MS | $59.23 | — |
| MT | $59.23 | — |
| NC | $59.23 | — |
| ND | $59.23 | — |
| NE | $59.23 | — |
| NH | $59.23 | — |
| NJ | $59.23 | — |
| NM | $59.23 | — |
| NV | $59.23 | — |
| NY | $59.23 | — |
| OH | $59.23 | — |
| OK | $59.23 | — |
| OR | $59.23 | — |
| PA | $59.23 | — |
| PR | $71.07 | — |
| RI | $59.23 | — |
| SC | $59.23 | — |
| SD | $59.23 | — |
| TN | $59.23 | — |
| TX | $59.23 | — |
| UT | $59.23 | — |
| VA | $59.23 | — |
| VI | $59.23 | — |
| VT | $59.23 | — |
| WA | $59.23 | — |
| WI | $59.23 | — |
| WV | $59.23 | — |
| WY | $59.23 | — |
UE — Used purchase Inexpensive or routinely purchased
Medicare allowable ranges from $443.91 to $532.74 depending on state and rural status.
Former-CBA payment limits: ceiling $443.91 · floor $377.32
| State | Non-rural | Rural |
|---|---|---|
| AK | $448.35 | — |
| AL | $443.91 | — |
| AR | $443.91 | — |
| AZ | $443.91 | — |
| CA | $443.91 | — |
| CO | $443.91 | — |
| CT | $443.91 | — |
| DC | $443.91 | — |
| DE | $443.91 | — |
| FL | $443.91 | — |
| GA | $443.91 | — |
| HI | $479.45 | — |
| IA | $443.91 | — |
| ID | $443.91 | — |
| IL | $443.91 | — |
| IN | $443.91 | — |
| KS | $443.91 | — |
| KY | $443.91 | — |
| LA | $443.91 | — |
| MA | $443.91 | — |
| MD | $443.91 | — |
| ME | $443.91 | — |
| MI | $443.91 | — |
| MN | $443.91 | — |
| MO | $443.91 | — |
| MS | $443.91 | — |
| MT | $443.91 | — |
| NC | $443.91 | — |
| ND | $443.91 | — |
| NE | $443.91 | — |
| NH | $443.91 | — |
| NJ | $443.91 | — |
| NM | $443.91 | — |
| NV | $443.91 | — |
| NY | $443.91 | — |
| OH | $443.91 | — |
| OK | $443.91 | — |
| OR | $443.91 | — |
| PA | $443.91 | — |
| PR | $532.74 | — |
| RI | $443.91 | — |
| SC | $443.91 | — |
| SD | $443.91 | — |
| TN | $443.91 | — |
| TX | $443.91 | — |
| UT | $443.91 | — |
| VA | $443.91 | — |
| VI | $443.91 | — |
| VT | $443.91 | — |
| WA | $443.91 | — |
| WI | $443.91 | — |
| WV | $443.91 | — |
| WY | $443.91 | — |
Common denial codes to watch
Related E-codes
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