E0673 — Segmental gradient pressure pneumatic appliance, half leg
HCPCS Level II E-code · short descriptor: “Pressure pneum appl half 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 2026-10-25; 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.
E0673 Medicare fee schedule (October 2026)
NU — New purchase Inexpensive or routinely purchased
Medicare allowable ranges from $382.16 to $458.61 depending on state and rural status.
Former-CBA payment limits: ceiling $382.16 · floor $324.84
| State | Non-rural | Rural |
|---|---|---|
| AK | $386.02 | — |
| AL | $382.16 | — |
| AR | $382.16 | — |
| AZ | $382.16 | — |
| CA | $382.16 | — |
| CO | $382.16 | — |
| CT | $382.16 | — |
| DC | $382.16 | — |
| DE | $382.16 | — |
| FL | $382.16 | — |
| GA | $382.16 | — |
| HI | $412.73 | — |
| IA | $382.16 | — |
| ID | $382.16 | — |
| IL | $382.16 | — |
| IN | $382.16 | — |
| KS | $382.16 | — |
| KY | $382.16 | — |
| LA | $382.16 | — |
| MA | $382.16 | — |
| MD | $382.16 | — |
| ME | $382.16 | — |
| MI | $382.16 | — |
| MN | $382.16 | — |
| MO | $382.16 | — |
| MS | $382.16 | — |
| MT | $382.16 | — |
| NC | $382.16 | — |
| ND | $382.16 | — |
| NE | $382.16 | — |
| NH | $382.16 | — |
| NJ | $382.16 | — |
| NM | $382.16 | — |
| NV | $382.16 | — |
| NY | $382.16 | — |
| OH | $382.16 | — |
| OK | $382.16 | — |
| OR | $382.16 | — |
| PA | $382.16 | — |
| PR | $458.61 | — |
| RI | $382.16 | — |
| SC | $382.16 | — |
| SD | $382.16 | — |
| TN | $382.16 | — |
| TX | $382.16 | — |
| UT | $382.16 | — |
| VA | $382.16 | — |
| VI | $382.16 | — |
| VT | $382.16 | — |
| WA | $382.16 | — |
| WI | $382.16 | — |
| WV | $382.16 | — |
| WY | $382.16 | — |
RR — Monthly rental Inexpensive or routinely purchased
Medicare allowable ranges from $38.22 to $45.88 depending on state and rural status.
Former-CBA payment limits: ceiling $38.22 · floor $32.49
| State | Non-rural | Rural |
|---|---|---|
| AK | $38.59 | — |
| AL | $38.22 | — |
| AR | $38.22 | — |
| AZ | $38.22 | — |
| CA | $38.22 | — |
| CO | $38.22 | — |
| CT | $38.22 | — |
| DC | $38.22 | — |
| DE | $38.22 | — |
| FL | $38.22 | — |
| GA | $38.22 | — |
| HI | $41.27 | — |
| IA | $38.22 | — |
| ID | $38.22 | — |
| IL | $38.22 | — |
| IN | $38.22 | — |
| KS | $38.22 | — |
| KY | $38.22 | — |
| LA | $38.22 | — |
| MA | $38.22 | — |
| MD | $38.22 | — |
| ME | $38.22 | — |
| MI | $38.22 | — |
| MN | $38.22 | — |
| MO | $38.22 | — |
| MS | $38.22 | — |
| MT | $38.22 | — |
| NC | $38.22 | — |
| ND | $38.22 | — |
| NE | $38.22 | — |
| NH | $38.22 | — |
| NJ | $38.22 | — |
| NM | $38.22 | — |
| NV | $38.22 | — |
| NY | $38.22 | — |
| OH | $38.22 | — |
| OK | $38.22 | — |
| OR | $38.22 | — |
| PA | $38.22 | — |
| PR | $45.88 | — |
| RI | $38.22 | — |
| SC | $38.22 | — |
| SD | $38.22 | — |
| TN | $38.22 | — |
| TX | $38.22 | — |
| UT | $38.22 | — |
| VA | $38.22 | — |
| VI | $38.22 | — |
| VT | $38.22 | — |
| WA | $38.22 | — |
| WI | $38.22 | — |
| WV | $38.22 | — |
| WY | $38.22 | — |
UE — Used purchase Inexpensive or routinely purchased
Medicare allowable ranges from $286.68 to $343.97 depending on state and rural status.
Former-CBA payment limits: ceiling $286.68 · floor $243.68
| State | Non-rural | Rural |
|---|---|---|
| AK | $289.51 | — |
| AL | $286.68 | — |
| AR | $286.68 | — |
| AZ | $286.68 | — |
| CA | $286.68 | — |
| CO | $286.68 | — |
| CT | $286.68 | — |
| DC | $286.68 | — |
| DE | $286.68 | — |
| FL | $286.68 | — |
| GA | $286.68 | — |
| HI | $309.54 | — |
| IA | $286.68 | — |
| ID | $286.68 | — |
| IL | $286.68 | — |
| IN | $286.68 | — |
| KS | $286.68 | — |
| KY | $286.68 | — |
| LA | $286.68 | — |
| MA | $286.68 | — |
| MD | $286.68 | — |
| ME | $286.68 | — |
| MI | $286.68 | — |
| MN | $286.68 | — |
| MO | $286.68 | — |
| MS | $286.68 | — |
| MT | $286.68 | — |
| NC | $286.68 | — |
| ND | $286.68 | — |
| NE | $286.68 | — |
| NH | $286.68 | — |
| NJ | $286.68 | — |
| NM | $286.68 | — |
| NV | $286.68 | — |
| NY | $286.68 | — |
| OH | $286.68 | — |
| OK | $286.68 | — |
| OR | $286.68 | — |
| PA | $286.68 | — |
| PR | $343.97 | — |
| RI | $286.68 | — |
| SC | $286.68 | — |
| SD | $286.68 | — |
| TN | $286.68 | — |
| TX | $286.68 | — |
| UT | $286.68 | — |
| VA | $286.68 | — |
| VI | $286.68 | — |
| VT | $286.68 | — |
| WA | $286.68 | — |
| WI | $286.68 | — |
| WV | $286.68 | — |
| WY | $286.68 | — |
Unit limit (MUE)
Medicare's Medically Unlikely Edit caps E0673 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
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