HCPCS Range Pneumatic Compressors and Appliances

• 1 Pneumatic compressor, non-segmental home model ( E0650 )

• 2 Pneumatic compressor, segmental home model without calibrated gradient pressure ( E0651 )

• 3 Pneumatic compressor, segmental home model with calibrated gradient pressure ( E0652 )

• 4 Non-segmental pneumatic appliance for use with pneumatic compressor, half arm ( E0655 )

• 5 Segmental pneumatic appliance for use with pneumatic compressor, trunk ( E0656 )

• 6 Segmental pneumatic appliance for use with pneumatic compressor, chest ( E0657 )

• 7 Non-segmental pneumatic appliance for use with pneumatic compressor, full leg ( E0660 )

• 8 Non-segmental pneumatic appliance for use with pneumatic compressor, full arm ( E0665 )

• 9 Non-segmental pneumatic appliance for use with pneumatic compressor, half leg ( E0666 )

• 10 Segmental pneumatic appliance for use with pneumatic compressor, full leg ( E0667 )

• 11 Segmental pneumatic appliance for use with pneumatic compressor, full arm ( E0668 )

• 12 Segmental pneumatic appliance for use with pneumatic compressor, half leg ( E0669 )

• 13 Segmental pneumatic appliance for use with pneumatic compressor, integrated, 2 full legs and trunk ( E0670 )

• 14 Segmental gradient pressure pneumatic appliance, full leg ( E0671 )

• 15 Segmental gradient pressure pneumatic appliance, full arm ( E0672 )

• 16 Segmental gradient pressure pneumatic appliance, half leg ( E0673 )

• 17 Pneumatic compression device, high pressure, rapid inflation/deflation cycle, for arterial insufficiency (unilateral or bilateral system) ( E0675 )

• 18 Intermittent limb compression device (includes all accessories), not otherwise specified ( E0676 )

• 19 Non-pneumatic sequential compression garment, trunk ( E0677 )