MyMedi-AI

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
Face-to-face & WOPD
Not on the required list
MUE unit limit
2
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 2026-10-26; 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 2026-10-26; 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.

E0671 Medicare fee schedule (October 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

StateNon-ruralRural
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

StateNon-ruralRural
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

StateNon-ruralRural
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—
Amounts are the Medicare DMEPOS fee-schedule allowables effective October 2026 (CMS DMEPOS Fee Schedule October 2026 (DME26-D)). Medicare typically pays 80% of the allowable after the Part B deductible; the patient owes 20%. A 2% sequestration reduction applies to the Medicare share. Former competitive-bidding-area adjustments and non-continental rates can differ — verify with your DME MAC.

Unit limit (MUE)

Medicare's Medically Unlikely Edit caps E0671 at 2 units per date of service (absolute). Units above the MUE deny — typically as CO-151. Rationale: Anatomic Consideration.

Common denial codes to watch

CO-50 medical necessityCO-151 frequency/units

Related E-codes

E0600E0601E0602E0603E0604E0605E0606E0607E0610E0615E0616E0617

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