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HCPCS Procedure & Supply Codes

Durable Medical Equipment (DME)

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Pneumatic (Non-Pneumatic) Compressor and Appliances

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E0650   Pneumatic compressor, non-segmental home model
E0651   Pneumatic compressor, segmental home model without calibrated gradient pressure
E0652   Pneumatic compressor, segmental home model with calibrated gradient pressure
E0655   Non-segmental pneumatic appliance for use with pneumatic compressor, half arm
E0656   Segmental pneumatic appliance for use with pneumatic compressor, trunk
E0657   Segmental pneumatic appliance for use with pneumatic compressor, chest
E0660   Non-segmental pneumatic appliance for use with pneumatic compressor, full leg
E0665   Non-segmental pneumatic appliance for use with pneumatic compressor, full arm
E0666   Non-segmental pneumatic appliance for use with pneumatic compressor, half leg
E0667   Segmental pneumatic appliance for use with pneumatic compressor, full leg
E0668   Segmental pneumatic appliance for use with pneumatic compressor, full arm
E0669   Segmental pneumatic appliance for use with pneumatic compressor, half leg
E0670   Segmental pneumatic appliance for use with pneumatic compressor, integrated, 2 f...
E0671   Segmental gradient pressure pneumatic appliance, full leg
E0672   Segmental gradient pressure pneumatic appliance, full arm
E0673   Segmental gradient pressure pneumatic appliance, half leg
E0675   Pneumatic compression device, high pressure, rapid inflation/deflation cycle, fo...
E0676   Intermittent limb compression device (includes all accessories), not otherwise s...
E0677‑E0682   Non-pneumatic compression devices and supplies
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