E0651 HCPCS code: Pneumatic compressor, segmental home model without calibrated gradient pressure
E0651 is the HCPCS Level II code for pneumatic compressor, segmental home model without calibrated gradient pressure. The 2026 Medicare DMEPOS fee schedule pays $888.41 to $1,344.68 (NU, new equipment, purchased) depending on the state. Its Medicare coverage code is D (Special coverage instructions apply): Medicare covers it when its national or local coverage criteria are met. The NCCI unit limit is 1 per day on DME suppliers. Medicare volume fell 5% from 2022 to 2024 (36,630 to 34,915 services). In 2024, 171 suppliers billed Medicare for E0651 (purchases), serving 34,504 beneficiaries; Texas, Florida, New York accounted for 24% of services. Its average fee ranks 20 of 26 E06 codes billed NU (family range $38.67–$7,347.82).
Code details
| Field | Value |
|---|---|
| Section | E codes — Durable medical equipment |
| Coverage code | D — Special coverage instructions apply |
| Pricing indicator | 32 — DMEPOS: inexpensive or routinely purchased item |
| BETOS category | D1E — Other durable medical equipment |
| Added | 1988-01-01 |
| Last action effective | 1996-01-01 |
2026 Medicare DMEPOS fee schedule for E0651
| Modifier | Meaning | Lowest state fee | Highest state fee | Ceiling | Floor |
|---|---|---|---|---|---|
| NU | new equipment, purchased | $888.41 | $1,344.68 | $1,308.85 | $1,112.52 |
| RR | rental (monthly) | $88.86 | $168.07 | $133.71 | $113.65 |
| UE | used equipment, purchased | $666.30 | $1,008.49 | $981.68 | $834.43 |
| State | Modifier | Fee | Rural fee |
|---|---|---|---|
| AK | NU | $888.41 | — |
| AL | NU | $1,308.85 | — |
| AR | NU | $1,308.85 | — |
| AZ | NU | $1,292.82 | — |
| CA | NU | $1,112.52 | — |
| CO | NU | $1,308.85 | — |
| CT | NU | $1,308.85 | — |
| DC | NU | $1,308.85 | — |
| DE | NU | $1,308.85 | — |
| FL | NU | $1,308.85 | — |
| GA | NU | $1,308.85 | — |
| HI | NU | $949.97 | — |
| IA | NU | $1,308.85 | — |
| ID | NU | $1,308.85 | — |
| IL | NU | $1,308.85 | — |
| IN | NU | $1,146.81 | — |
| KS | NU | $1,112.52 | — |
| KY | NU | $1,308.85 | — |
| LA | NU | $1,308.85 | — |
| MA | NU | $1,112.52 | — |
| MD | NU | $1,308.85 | — |
| ME | NU | $1,112.52 | — |
| MI | NU | $1,308.85 | — |
| MN | NU | $1,181.86 | — |
| MO | NU | $1,112.52 | — |
| MS | NU | $1,308.85 | — |
| MT | NU | $1,308.85 | — |
| NC | NU | $1,308.85 | — |
| ND | NU | $1,308.85 | — |
| NE | NU | $1,112.52 | — |
| NH | NU | $1,112.52 | — |
| NJ | NU | $1,308.85 | — |
| NM | NU | $1,308.85 | — |
| NV | NU | $1,292.82 | — |
| NY | NU | $1,112.52 | — |
| OH | NU | $1,112.52 | — |
| OK | NU | $1,198.73 | — |
| OR | NU | $1,308.85 | — |
| PA | NU | $1,308.85 | — |
| PR | NU | $1,344.68 | — |
| RI | NU | $1,308.85 | — |
| SC | NU | $1,308.85 | — |
| SD | NU | $1,308.85 | — |
| TN | NU | $1,308.85 | — |
| TX | NU | $1,308.85 | — |
| UT | NU | $1,308.85 | — |
| VA | NU | $1,112.52 | — |
| VI | NU | $1,112.52 | — |
| VT | NU | $1,112.52 | — |
| WA | NU | $1,308.85 | — |
| WI | NU | $1,308.85 | — |
| WV | NU | $1,112.52 | — |
| WY | NU | $1,308.85 | — |
| AK | RR | $88.86 | — |
| AL | RR | $133.71 | — |
| AR | RR | $133.71 | — |
| AZ | RR | $133.71 | — |
| CA | RR | $113.65 | — |
| CO | RR | $133.71 | — |
| CT | RR | $133.71 | — |
| DC | RR | $130.88 | — |
| DE | RR | $130.88 | — |
| FL | RR | $133.71 | — |
| GA | RR | $133.71 | — |
| HI | RR | $94.98 | — |
| IA | RR | $133.71 | — |
| ID | RR | $133.71 | — |
| IL | RR | $133.71 | — |
| IN | RR | $133.71 | — |
| KS | RR | $113.65 | — |
| KY | RR | $133.71 | — |
| LA | RR | $133.71 | — |
| MA | RR | $131.79 | — |
| MD | RR | $130.88 | — |
| ME | RR | $131.79 | — |
| MI | RR | $133.71 | — |
| MN | RR | $119.01 | — |
| MO | RR | $113.65 | — |
| MS | RR | $133.71 | — |
| MT | RR | $133.71 | — |
| NC | RR | $133.71 | — |
| ND | RR | $133.71 | — |
| NE | RR | $113.65 | — |
| NH | RR | $131.79 | — |
| NJ | RR | $130.88 | — |
| NM | RR | $131.34 | — |
| NV | RR | $129.29 | — |
| NY | RR | $125.01 | — |
| OH | RR | $113.65 | — |
| OK | RR | $119.88 | — |
| OR | RR | $130.88 | — |
| PA | RR | $130.88 | — |
| PR | RR | $168.07 | — |
| RI | RR | $133.71 | — |
| SC | RR | $133.71 | — |
| SD | RR | $133.71 | — |
| TN | RR | $133.71 | — |
| TX | RR | $130.88 | — |
| UT | RR | $133.71 | — |
| VA | RR | $123.95 | — |
| VI | RR | $125.01 | — |
| VT | RR | $131.79 | — |
| WA | RR | $130.88 | — |
| WI | RR | $133.71 | — |
| WV | RR | $113.65 | — |
| WY | RR | $133.71 | — |
| AK | UE | $666.30 | — |
| AL | UE | $981.68 | — |
| AR | UE | $981.68 | — |
| AZ | UE | $969.63 | — |
| CA | UE | $834.43 | — |
| CO | UE | $981.68 | — |
| CT | UE | $981.68 | — |
| DC | UE | $981.68 | — |
| DE | UE | $981.68 | — |
| FL | UE | $981.68 | — |
| GA | UE | $981.68 | — |
| HI | UE | $712.49 | — |
| IA | UE | $981.68 | — |
| ID | UE | $981.68 | — |
| IL | UE | $981.68 | — |
| IN | UE | $860.10 | — |
| KS | UE | $834.43 | — |
| KY | UE | $981.68 | — |
| LA | UE | $981.68 | — |
| MA | UE | $834.43 | — |
| MD | UE | $981.68 | — |
| ME | UE | $834.43 | — |
| MI | UE | $981.68 | — |
| MN | UE | $886.43 | — |
| MO | UE | $834.43 | — |
| MS | UE | $981.68 | — |
| MT | UE | $981.68 | — |
| NC | UE | $981.68 | — |
| ND | UE | $981.68 | — |
| NE | UE | $834.43 | — |
| NH | UE | $834.43 | — |
| NJ | UE | $981.68 | — |
| NM | UE | $981.68 | — |
| NV | UE | $969.63 | — |
| NY | UE | $834.43 | — |
| OH | UE | $834.43 | — |
| OK | UE | $899.05 | — |
| OR | UE | $981.68 | — |
| PA | UE | $981.68 | — |
| PR | UE | $1,008.49 | — |
| RI | UE | $981.68 | — |
| SC | UE | $981.68 | — |
| SD | UE | $981.68 | — |
| TN | UE | $981.68 | — |
| TX | UE | $981.68 | — |
| UT | UE | $981.68 | — |
| VA | UE | $834.43 | — |
| VI | UE | $834.43 | — |
| VT | UE | $834.43 | — |
| WA | UE | $981.68 | — |
| WI | UE | $981.68 | — |
| WV | UE | $834.43 | — |
| WY | UE | $981.68 | — |
How the E0651 fee compares
| Measure | Value |
|---|---|
| Rank among 26 E06 codes billed NU (lowest = 1) | 20 |
| Family fee range (average of state fees) | $38.67–$7,347.82 |
| Rural fee uplift | — |
Who bills E0651 (2024)
| Measure | Value |
|---|---|
| Suppliers billing rentals | 64 |
| Suppliers billing purchases | 171 |
| Referring clinicians | 17,121 |
| Medicare beneficiaries | 34,504 |
| States with claims | 51 |
| Share of services in top 3 states (Texas, Florida, New York) | 24% |
| Year | Suppliers | Beneficiaries |
|---|---|---|
| 2022 | 143 | 36,383 |
| 2023 | 151 | 33,372 |
| 2024 | 171 | 34,504 |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for E0651, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 36,630 | 36,383 | $1,058.40 | $829.23 |
| 2023 | 33,686 | 33,372 | $1,149.99 | $896.05 |
| 2024 | 34,915 | 34,504 | $1,174.85 | $914.54 |
States with the most E0651 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| Texas | 3,218 | $972.79 |
| Florida | 3,044 | $961.67 |
| New York | 2,112 | $823.76 |
| California | 2,110 | $828.91 |
| Pennsylvania | 1,794 | $941.31 |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| DME suppliers | 1 | Nature of Equipment |
What changed for E0651
- 2026-01-01: Average state fee (NU) rose 2.0%: $1,214.25 to $1,238.53
- 2026-01-01: Average state fee (RR) rose 2.0%: $126.24 to $128.76
- 2026-01-01: Average state fee (UE) rose 2.0%: $910.72 to $928.93
- 1988-01-01: E0651 added to HCPCS Level II
- Next scheduled CMS quarterly update (HCPCS and DMEPOS fee schedule): 2027-01-01
Frequently asked questions
What is HCPCS code E0651?
E0651 is the HCPCS Level II code for pneumatic compressor, segmental home model without calibrated gradient pressure. Short descriptor: "Pneum compressor segmental".
How much does Medicare pay for E0651?
Under the 2026 DMEPOS fee schedule, non-rural state fees are NU (new equipment, purchased): $888.41–$1,344.68; RR (rental (monthly)): $88.86–$168.07; UE (used equipment, purchased): $666.30–$1,008.49. Rural fees can be higher.
Does Medicare cover E0651?
Coverage code D — Special coverage instructions apply. Medicare covers it when its national or local coverage criteria are met.
Did the Medicare fee for E0651 change in 2026?
The average non-rural state fee for NU moved from $1,214.25 in 2025 to $1,238.53 in 2026 (+2.0%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.
How many units of E0651 can be billed per day?
1 on DME suppliers (NCCI medically unlikely edits).
Related E06 codes
- E0600 — Respiratory suction pump, home model, portable or stationary, electric ($55.46–$96.87)
- E0601 — Continuous positive airway pressure (CPAP) device ($50.04–$100.22)
- E0602 — Breast pump, manual, any type ($4.24–$50.46)
- E0603 — Breast pump, electric (ac and/or dc), any type
- E0604 — Breast pump, hospital grade, electric (ac and / or dc), any type
- E0605 — Vaporizer, room type ($2.79–$107.68)
- E0606 — Postural drainage board ($27.80–$33.43)
- E0607 — Home blood glucose monitor ($9.52–$108.55)
- E0610 — Pacemaker monitor, self-contained, (checks battery depletion, includes audible and visible check systems) ($30.39–$720.87)
- E0615 — Pacemaker monitor, self contained, checks battery depletion and other pacemaker components, includes digital/visible check systems ($54.03–$720.87)
- E0616 — Implantable cardiac event recorder with memory, activator and programmer
- E0617 — External defibrillator with integrated electrocardiogram analysis ($433.30–$577.30)
Building a device that would bill under a code like this? Caduvo matches a device description to HCPCS/CPT codes, Medicare coverage and payment, and the FDA pathway in one report.
Next steps
- Run a reimbursement report for a device billed under E0651
- Watch E0651 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for E0651
Sources: CMS HCPCS Level II release October 2025; CMS DMEPOS fee schedule 2026; CMS NCCI MUE tables; CMS Medicare utilization (physician and DME supplier files); CMS Medicare Coverage Database articles. Fees are Medicare allowables, not commercial rates. Not billing or legal advice.