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E0677 — Non-pneumatic sequential compression garment, trunk

HCPCS Level II E-code · short descriptor: “Non pneum seq comp trunk”

Code system
HCPCS Level II
Family
E — Durable medical equipment
Medicare coverage status
Carrier judgment — coverage decided by the DME MAC
DMEPOS payment category
Capped rental
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.

E0677 Medicare fee schedule (April 2026)

RR — Monthly rental Capped rental

Medicare allowable ranges from $82.35 to $98.82 depending on state and rural status.

StateNon-ruralRural
AK$82.35
AL$82.35
AR$82.35
AZ$82.35
CA$82.35
CO$82.35
CT$82.35
DC$82.35
DE$82.35
FL$82.35
GA$82.35
HI$82.35
IA$82.35
ID$82.35
IL$82.35
IN$82.35
KS$82.35
KY$82.35
LA$82.35
MA$82.35
MD$82.35
ME$82.35
MI$82.35
MN$82.35
MO$82.35
MS$82.35
MT$82.35
NC$82.35
ND$82.35
NE$82.35
NH$82.35
NJ$82.35
NM$82.35
NV$82.35
NY$82.35
OH$82.35
OK$82.35
OR$82.35
PA$82.35
PR$98.82
RI$82.35
SC$82.35
SD$82.35
TN$82.35
TX$82.35
UT$82.35
VA$82.35
VI$82.35
VT$82.35
WA$82.35
WI$82.35
WV$82.35
WY$82.35
Amounts are the Medicare DMEPOS fee-schedule allowables effective April 2026. 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.

Common denial codes to watch

Related E-codes

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