E0657 HCPCS code: Segmental pneumatic appliance for use with pneumatic compressor, chest
E0657 is the HCPCS Level II code for segmental pneumatic appliance for use with pneumatic compressor, chest. The 2026 Medicare DMEPOS fee schedule pays $77.37 to $92.81 (RR, rental (monthly)) 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 rose 8074% from 2022 to 2024 (205 to 16,756 services). In 2024, 22 suppliers billed Medicare for E0657 (rentals), serving 2,625 beneficiaries; Texas, Virginia, Illinois accounted for 28% of services. Its average fee ranks 25 of 49 E06 codes billed RR (family range $4.26–$1,250.50).
Code details
| Field | Value |
|---|---|
| Section | E codes — Durable medical equipment |
| Coverage code | D — Special coverage instructions apply |
| Pricing indicator | 36 — DMEPOS: capped rental item |
| BETOS category | D1E — Other durable medical equipment |
| Added | 2009-01-01 |
| Last action effective | 2014-04-01 |
2026 Medicare DMEPOS fee schedule for E0657
| Modifier | Meaning | Lowest state fee | Highest state fee | Ceiling | Floor |
|---|---|---|---|---|---|
| RR | rental (monthly) | $77.37 | $92.81 | $77.37 | $65.76 |
| State | Modifier | Fee | Rural fee |
|---|---|---|---|
| AK | RR | $77.37 | — |
| AL | RR | $77.37 | — |
| AR | RR | $77.37 | — |
| AZ | RR | $77.37 | — |
| CA | RR | $77.37 | — |
| CO | RR | $77.37 | — |
| CT | RR | $77.37 | — |
| DC | RR | $77.37 | — |
| DE | RR | $77.37 | — |
| FL | RR | $77.37 | — |
| GA | RR | $77.37 | — |
| HI | RR | $77.37 | — |
| IA | RR | $77.37 | — |
| ID | RR | $77.37 | — |
| IL | RR | $77.37 | — |
| IN | RR | $77.37 | — |
| KS | RR | $77.37 | — |
| KY | RR | $77.37 | — |
| LA | RR | $77.37 | — |
| MA | RR | $77.37 | — |
| MD | RR | $77.37 | — |
| ME | RR | $77.37 | — |
| MI | RR | $77.37 | — |
| MN | RR | $77.37 | — |
| MO | RR | $77.37 | — |
| MS | RR | $77.37 | — |
| MT | RR | $77.37 | — |
| NC | RR | $77.37 | — |
| ND | RR | $77.37 | — |
| NE | RR | $77.37 | — |
| NH | RR | $77.37 | — |
| NJ | RR | $77.37 | — |
| NM | RR | $77.37 | — |
| NV | RR | $77.37 | — |
| NY | RR | $77.37 | — |
| OH | RR | $77.37 | — |
| OK | RR | $77.37 | — |
| OR | RR | $77.37 | — |
| PA | RR | $77.37 | — |
| PR | RR | $92.81 | — |
| RI | RR | $77.37 | — |
| SC | RR | $77.37 | — |
| SD | RR | $77.37 | — |
| TN | RR | $77.37 | — |
| TX | RR | $77.37 | — |
| UT | RR | $77.37 | — |
| VA | RR | $77.37 | — |
| VI | RR | $77.37 | — |
| VT | RR | $77.37 | — |
| WA | RR | $77.37 | — |
| WI | RR | $77.37 | — |
| WV | RR | $77.37 | — |
| WY | RR | $77.37 | — |
How the E0657 fee compares
| Measure | Value |
|---|---|
| Rank among 49 E06 codes billed RR (lowest = 1) | 25 |
| Family fee range (average of state fees) | $4.26–$1,250.50 |
| Rural fee uplift | — |
Who bills E0657 (2024)
| Measure | Value |
|---|---|
| Suppliers billing rentals | 22 |
| Suppliers billing purchases | — |
| Referring clinicians | 2,142 |
| Medicare beneficiaries | 2,625 |
| States with claims | 50 |
| Share of services in top 3 states (Texas, Virginia, Illinois) | 28% |
| Year | Suppliers | Beneficiaries |
|---|---|---|
| 2022 | 5 | 89 |
| 2023 | 13 | 1,000 |
| 2024 | 22 | 2,625 |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for E0657, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 205 | 89 | $55.64 | $43.34 |
| 2023 | 3,567 | 1,000 | $65.96 | $51.70 |
| 2024 | 16,756 | 2,625 | $59.94 | $45.22 |
States with the most E0657 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| Texas | 2,504 | $45.20 |
| Virginia | 1,149 | $45.54 |
| Illinois | 1,054 | $45.30 |
| California | 936 | $45.95 |
| North Carolina | 911 | $44.62 |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| DME suppliers | 1 | Anatomic Consideration |
What changed for E0657
- 2026-01-01: Average state fee (RR) rose 2.0%: $76.14 to $77.66
- 2009-01-01: E0657 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 E0657?
E0657 is the HCPCS Level II code for segmental pneumatic appliance for use with pneumatic compressor, chest. Short descriptor: "Segmental pneumatic chest".
How much does Medicare pay for E0657?
Under the 2026 DMEPOS fee schedule, non-rural state fees are RR (rental (monthly)): $77.37–$92.81. Rural fees can be higher.
Does Medicare cover E0657?
Coverage code D — Special coverage instructions apply. Medicare covers it when its national or local coverage criteria are met.
Did the Medicare fee for E0657 change in 2026?
The average non-rural state fee for RR moved from $76.14 in 2025 to $77.66 in 2026 (+2.0%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.
How many units of E0657 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 E0657
- Watch E0657 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for E0657
Sources: CMS HCPCS Level II release October 2026; 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.