MyMedi-AI

E0678 — Non-pneumatic sequential compression garment, full leg

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

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
Face-to-face & WOPD
Not on the required list
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.

E0678 Medicare fee schedule (October 2026)

RR — Monthly rental Capped rental

Medicare allowable ranges from $39.22 to $105.43 depending on state and rural status.

StateNon-ruralRural
AK$98.60—
AL$46.14—
AR$46.14—
AZ$46.14—
CA$46.14—
CO$39.22—
CT$46.14—
DC$46.14—
DE$46.14—
FL$46.14—
GA$46.14—
HI$105.43—
IA$39.22—
ID$46.14—
IL$46.14—
IN$39.22—
KS$39.22—
KY$46.14—
LA$46.14—
MA$39.22—
MD$46.14—
ME$39.22—
MI$46.14—
MN$39.22—
MO$39.22—
MS$39.22—
MT$39.22—
NC$46.14—
ND$39.22—
NE$39.22—
NH$39.22—
NJ$46.14—
NM$46.14—
NV$46.14—
NY$46.14—
OH$46.14—
OK$44.10—
OR$46.14—
PA$46.14—
PR$62.15—
RI$46.14—
SC$46.14—
SD$39.22—
TN$46.14—
TX$46.14—
UT$44.42—
VA$39.22—
VI$46.14—
VT$39.22—
WA$46.14—
WI$46.14—
WV$46.14—
WY$39.22—
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.

Common denial codes to watch

Related E-codes

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