E0672 — Segmental gradient pressure pneumatic appliance, full arm
HCPCS Level II E-code · short descriptor: “Pressure pneum appl full arm”
- 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 2026-10-25; 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.
E0672 Medicare fee schedule (October 2026)
NU — New purchase Inexpensive or routinely purchased
Medicare allowable ranges from $459.92 to $551.94 depending on state and rural status.
Former-CBA payment limits: ceiling $459.92 · floor $390.93
| State | Non-rural | Rural |
|---|---|---|
| AK | $464.55 | — |
| AL | $459.92 | — |
| AR | $459.92 | — |
| AZ | $459.92 | — |
| CA | $459.92 | — |
| CO | $459.92 | — |
| CT | $459.92 | — |
| DC | $459.92 | — |
| DE | $459.92 | — |
| FL | $459.92 | — |
| GA | $459.92 | — |
| HI | $496.73 | — |
| IA | $459.92 | — |
| ID | $459.92 | — |
| IL | $459.92 | — |
| IN | $459.92 | — |
| KS | $459.92 | — |
| KY | $459.92 | — |
| LA | $459.92 | — |
| MA | $459.92 | — |
| MD | $459.92 | — |
| ME | $459.92 | — |
| MI | $459.92 | — |
| MN | $459.92 | — |
| MO | $459.92 | — |
| MS | $459.92 | — |
| MT | $459.92 | — |
| NC | $459.92 | — |
| ND | $459.92 | — |
| NE | $459.92 | — |
| NH | $459.92 | — |
| NJ | $459.92 | — |
| NM | $459.92 | — |
| NV | $459.92 | — |
| NY | $459.92 | — |
| OH | $459.92 | — |
| OK | $459.92 | — |
| OR | $459.92 | — |
| PA | $459.92 | — |
| PR | $551.94 | — |
| RI | $459.92 | — |
| SC | $459.92 | — |
| SD | $459.92 | — |
| TN | $459.92 | — |
| TX | $459.92 | — |
| UT | $459.92 | — |
| VA | $459.92 | — |
| VI | $459.92 | — |
| VT | $459.92 | — |
| WA | $459.92 | — |
| WI | $459.92 | — |
| WV | $459.92 | — |
| WY | $459.92 | — |
RR — Monthly rental Inexpensive or routinely purchased
Medicare allowable ranges from $46.03 to $55.20 depending on state and rural status.
Former-CBA payment limits: ceiling $46.03 · floor $39.13
| State | Non-rural | Rural |
|---|---|---|
| AK | $46.47 | — |
| AL | $46.03 | — |
| AR | $46.03 | — |
| AZ | $46.03 | — |
| CA | $46.03 | — |
| CO | $46.03 | — |
| CT | $46.03 | — |
| DC | $46.03 | — |
| DE | $46.03 | — |
| FL | $46.03 | — |
| GA | $46.03 | — |
| HI | $49.68 | — |
| IA | $46.03 | — |
| ID | $46.03 | — |
| IL | $46.03 | — |
| IN | $46.03 | — |
| KS | $46.03 | — |
| KY | $46.03 | — |
| LA | $46.03 | — |
| MA | $46.03 | — |
| MD | $46.03 | — |
| ME | $46.03 | — |
| MI | $46.03 | — |
| MN | $46.03 | — |
| MO | $46.03 | — |
| MS | $46.03 | — |
| MT | $46.03 | — |
| NC | $46.03 | — |
| ND | $46.03 | — |
| NE | $46.03 | — |
| NH | $46.03 | — |
| NJ | $46.03 | — |
| NM | $46.03 | — |
| NV | $46.03 | — |
| NY | $46.03 | — |
| OH | $46.03 | — |
| OK | $46.03 | — |
| OR | $46.03 | — |
| PA | $46.03 | — |
| PR | $55.20 | — |
| RI | $46.03 | — |
| SC | $46.03 | — |
| SD | $46.03 | — |
| TN | $46.03 | — |
| TX | $46.03 | — |
| UT | $46.03 | — |
| VA | $46.03 | — |
| VI | $46.03 | — |
| VT | $46.03 | — |
| WA | $46.03 | — |
| WI | $46.03 | — |
| WV | $46.03 | — |
| WY | $46.03 | — |
UE — Used purchase Inexpensive or routinely purchased
Medicare allowable ranges from $344.96 to $413.96 depending on state and rural status.
Former-CBA payment limits: ceiling $344.96 · floor $293.22
| State | Non-rural | Rural |
|---|---|---|
| AK | $348.39 | — |
| AL | $344.96 | — |
| AR | $344.96 | — |
| AZ | $344.96 | — |
| CA | $344.96 | — |
| CO | $344.96 | — |
| CT | $344.96 | — |
| DC | $344.96 | — |
| DE | $344.96 | — |
| FL | $344.96 | — |
| GA | $344.96 | — |
| HI | $372.57 | — |
| IA | $344.96 | — |
| ID | $344.96 | — |
| IL | $344.96 | — |
| IN | $344.96 | — |
| KS | $344.96 | — |
| KY | $344.96 | — |
| LA | $344.96 | — |
| MA | $344.96 | — |
| MD | $344.96 | — |
| ME | $344.96 | — |
| MI | $344.96 | — |
| MN | $344.96 | — |
| MO | $344.96 | — |
| MS | $344.96 | — |
| MT | $344.96 | — |
| NC | $344.96 | — |
| ND | $344.96 | — |
| NE | $344.96 | — |
| NH | $344.96 | — |
| NJ | $344.96 | — |
| NM | $344.96 | — |
| NV | $344.96 | — |
| NY | $344.96 | — |
| OH | $344.96 | — |
| OK | $344.96 | — |
| OR | $344.96 | — |
| PA | $344.96 | — |
| PR | $413.96 | — |
| RI | $344.96 | — |
| SC | $344.96 | — |
| SD | $344.96 | — |
| TN | $344.96 | — |
| TX | $344.96 | — |
| UT | $344.96 | — |
| VA | $344.96 | — |
| VI | $344.96 | — |
| VT | $344.96 | — |
| WA | $344.96 | — |
| WI | $344.96 | — |
| WV | $344.96 | — |
| WY | $344.96 | — |
Unit limit (MUE)
Medicare's Medically Unlikely Edit caps E0672 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
Related E-codes
Bill E0672 with confidence
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