Skip to main content
HCPCS E0659 · Level II · DME code

E0659: Segmental pneumatic appliance for use with pneumatic compressor, integrated, head, HCPCS Level II DME code

Compiled from CMS files by the QuickIntell RCM Editorial Team · Data effective · Method: reference methodology · Report a data correction

Data currency: HCPCS Level II file: October 2026 (effective October 1, 2026); DMEPOS fee schedule: DME26-D (October 2026) (effective October 1, 2026); NCCI MUE tables: 2026 Q4 (effective October 1, 2026); NCCI PTP edits: v323r0 (2026 Q4) (effective October 1, 2026); OPPS Addendum B: October 2026 (effective October 1, 2026). Next CMS release: January 1, 2027 (quarterly update).

Key facts for E0659

Medicare payment
$152.28 to $179.15
DMEPOS non-rural state fees (RR)
Coverage code
D
special coverage instructions apply
DME supplier MUE
1
MAI 2
OPPS status
SI Y
Non-implantable DME
NCCI PTP pairs
0
practitioner file
LCDs and articles
0 / 0

TL;DR

E0659 is a Level II code from the E section (durable medical equipment), in use since 2025: "Segmental pneumatic appliance for use with pneumatic compressor, integrated, head, neck and chest". The October 2026 DMEPOS fee schedule (category CR, capped rental items) sets E0659 at RR (rental) $152.28 in CO, IA, IN and 13 more to $179.15 in AL, AR, AZ and 22 more. CMS caps E0659 at DME supplier 1 (MAI 2, Code Descriptor / CPT Instruction) units per day in the 2026 Q4 MUE tables. E0659 appears in no active LCD or billing and coding article, so coverage follows HCPCS coverage code D (special coverage instructions apply) and any NCD. OPPS status indicator Y: Non-implantable DME. HCPCS record: BETOS D1E (other DME); pricing indicator 36; type of service R (rental of DME). 7 other active codes open with "Segmental pneumatic appliance for use with pneumatic compressor"; related codes: E0656, E0667, E0668, E0658.

E0659 descriptor and code status

The October 2026 HCPCS Level II file describes E0659 as “Segmental pneumatic appliance for use with pneumatic compressor, integrated, head, neck and chest”. It sits in the E section (durable medical equipment), listed with the other E codes.

HCPCS file attributes of E0659
FieldValue
Short descriptorSeg pneum comp head neck che
Added to HCPCS2025-10-01
Last actionN (no maintenance), effective 2025-10-01
Coverage codeD: special coverage instructions apply
Pricing indicator36: DMEPOS capped rental DME (floors and ceilings)
BETOS categoryD1E: other DME
Type of serviceR: rental of DME

Medicare payment for E0659

The October 2026 DMEPOS fee schedule (category CR, capped rental items) sets E0659 at RR (rental) $152.28 in CO, IA, IN and 13 more to $179.15 in AL, AR, AZ and 22 more. The amounts below are national figures from the October 2026 CMS files; the contractor applies the locality, rural or state adjustment and the beneficiary's cost sharing.

DMEPOS fee schedule (DME26-D)

Jurisdiction D (DME MAC), payment category CR (capped rental items). Fees are set per state; AK, HI, PR and VI are not subject to the national ceiling and floor and are listed separately. A rural fee applies only in ZIP codes on the CMS rural ZIP list.

DMEPOS fees for E0659 by modifier
ModifierFloor / ceilingNon-rural state rangeRural rangeAK / HI / PR / VI
RR (rental)—$152.28 (CO, IA, IN…) to $179.15 (AL, AR, AZ…)—AK $279.52, HI $293.19, PR $223.11, VI $179.15

Hospital outpatient (OPPS Addendum B)

Status indicator Y (Non-implantable DME), with no separate OPPS payment rate.

Medically Unlikely Edits for E0659

CMS caps E0659 at DME supplier 1 (MAI 2, Code Descriptor / CPT Instruction) units per day in the 2026 Q4 MUE tables. The DME supplier MUE is a date-of-service policy edit: units above the limit deny even when split across lines, and appeals rarely succeed.

MUE values for E0659 by setting
SettingMUE (units/DOS)MAICMS rationale
DME supplier12 Date of Service Edit: PolicyCode Descriptor / CPT Instruction

The MUE lookup for E0659 shows every setting next to any other code on the same claim.

NCCI edits and add-on rules

No active practitioner PTP pair lists E0659 in v323r0.

E0659 is neither an add-on code nor a designated primary code in the 2026 Q4 NCCI add-on edit file.

Pair counts show exposure, not the answer for one claim. Check E0659 against a second code to see whether the pair bundles and whether a modifier can separate the services.

Medicare coverage policies for E0659

No current LCD or billing and coding article lists E0659. The HCPCS coverage code D means special coverage instructions apply, and any National Coverage Determination for the service still applies.

Denials to expect on E0659

CARC 50 · N115

the service is not reasonable and necessary for the diagnosis on the claim

CARC 151 · N362

units of E0659 exceed the DME supplier MUE of 1 per date of service

CARC 4

the RR payment modifier is missing or does not match the item

CARC 16

the claim lacks information needed to adjudicate the line, such as an order, NPI or required modifier

Where QuickIntell fits for E0659 claims

QuickAuth coordinates the requirement checks and documentation that DME claims for E0659 depend on, with human review of each case, and QuickRCM carries claim readiness and the CARC 50, 151 and modifier denials these items draw.

See QuickAuth for requirement checksSee QuickRCM for denial follow-upBook a meeting

Frequently asked questions: HCPCS E0659

What does HCPCS code E0659 describe?

"Segmental pneumatic appliance for use with pneumatic compressor, integrated, head, neck and chest" (short descriptor "Seg pneum comp head neck che"), in the E section (durable medical equipment). Added 2025-10-01.

Is E0659 a CPT code?

It is not. E0659 belongs to the E section (durable medical equipment) of HCPCS Level II, the CMS code set, not to AMA CPT.

What does Medicare pay for E0659?

The October 2026 DMEPOS fee schedule (category CR, capped rental items) sets E0659 at RR (rental) $152.28 in CO, IA, IN and 13 more to $179.15 in AL, AR, AZ and 22 more.

How many units of E0659 can be billed per day?

CMS caps E0659 at DME supplier 1 (MAI 2, Code Descriptor / CPT Instruction) units per day in the 2026 Q4 MUE tables. For the DME supplier MUE (MAI 2), units above 1 deny for the whole day as a policy limit; denials arrive as CARC 151.

Does Medicare cover E0659?

E0659 appears in no active LCD or billing and coding article, so coverage follows HCPCS coverage code D (special coverage instructions apply) and any NCD.

Sources

Every figure on this page is taken from the CMS publications below, as released by the Centers for Medicare & Medicaid Services. Projection built 2026-10-10. Verify against the primary file before billing or contracting decisions. The reference methodology explains how each figure is computed from these files.

Disclaimer

This page is an operational reference compiled from CMS publications: the HCPCS Level II file, the physician, DMEPOS and clinical laboratory fee schedules, OPPS and ASC addenda, NCCI MUE, PTP and add-on edit tables and the Medicare Coverage Database. Amounts are Medicare national figures before locality and state adjustment; Medicaid and commercial payers set their own. CPT codes are shown as numbers only; CPT descriptors are copyright AMA. Nothing here is legal, clinical or billing advice.

Found a figure that does not match the CMS file? Report a data correction with the CMS file and the value you expected; the request reaches the editorial team through the contact form.