E0658 HCPCS code: Segmental pneumatic appliance for use with pneumatic compressor, integrated, 2 full arms and chest
E0658 is the HCPCS Level II code for segmental pneumatic appliance for use with pneumatic compressor, integrated, 2 full arms and chest. The 2026 Medicare DMEPOS fee schedule pays $152.28 to $293.19 (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. Its average fee ranks 39 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 | 2025-10-01 |
| Last action effective | 2025-10-01 |
2026 Medicare DMEPOS fee schedule for E0658
| Modifier | Meaning | Lowest state fee | Highest state fee | Ceiling | Floor |
|---|---|---|---|---|---|
| RR | rental (monthly) | $152.28 | $293.19 | — | — |
| State | Modifier | Fee | Rural fee |
|---|---|---|---|
| AK | RR | $279.52 | — |
| AL | RR | $179.15 | — |
| AR | RR | $179.15 | — |
| AZ | RR | $179.15 | — |
| CA | RR | $179.15 | — |
| CO | RR | $152.28 | — |
| CT | RR | $179.15 | — |
| DC | RR | $179.15 | — |
| DE | RR | $174.61 | — |
| FL | RR | $179.15 | — |
| GA | RR | $179.15 | — |
| HI | RR | $293.19 | — |
| IA | RR | $152.28 | — |
| ID | RR | $179.15 | — |
| IL | RR | $179.15 | — |
| IN | RR | $152.28 | — |
| KS | RR | $152.28 | — |
| KY | RR | $179.15 | — |
| LA | RR | $179.15 | — |
| MA | RR | $152.28 | — |
| MD | RR | $174.61 | — |
| ME | RR | $152.28 | — |
| MI | RR | $179.15 | — |
| MN | RR | $152.28 | — |
| MO | RR | $152.28 | — |
| MS | RR | $157.94 | — |
| MT | RR | $152.28 | — |
| NC | RR | $179.15 | — |
| ND | RR | $152.28 | — |
| NE | RR | $152.28 | — |
| NH | RR | $152.28 | — |
| NJ | RR | $174.61 | — |
| NM | RR | $179.15 | — |
| NV | RR | $179.15 | — |
| NY | RR | $179.15 | — |
| OH | RR | $179.15 | — |
| OK | RR | $174.87 | — |
| OR | RR | $179.15 | — |
| PA | RR | $174.61 | — |
| PR | RR | $223.11 | — |
| RI | RR | $179.15 | — |
| SC | RR | $179.15 | — |
| SD | RR | $152.28 | — |
| TN | RR | $179.15 | — |
| TX | RR | $179.15 | — |
| UT | RR | $175.91 | — |
| VA | RR | $152.28 | — |
| VI | RR | $179.15 | — |
| VT | RR | $152.28 | — |
| WA | RR | $179.15 | — |
| WI | RR | $179.15 | — |
| WV | RR | $174.61 | — |
| WY | RR | $152.28 | — |
How the E0658 fee compares
| Measure | Value |
|---|---|
| Rank among 49 E06 codes billed RR (lowest = 1) | 39 |
| Family fee range (average of state fees) | $4.26–$1,250.50 |
| Rural fee uplift | — |
What changed for E0658
- October 2025: Code appears in this HCPCS release
- 2025-10-01: E0658 added to HCPCS Level II
- 2025-10-01: Last CMS action: code added
- Next scheduled CMS quarterly update (HCPCS and DMEPOS fee schedule): 2027-01-01
Frequently asked questions
What is HCPCS code E0658?
E0658 is the HCPCS Level II code for segmental pneumatic appliance for use with pneumatic compressor, integrated, 2 full arms and chest. Short descriptor: "Seg pneum comp 2 arm chest".
How much does Medicare pay for E0658?
Under the 2026 DMEPOS fee schedule, non-rural state fees are RR (rental (monthly)): $152.28–$293.19. Rural fees can be higher.
Does Medicare cover E0658?
Coverage code D — Special coverage instructions apply. Medicare covers it when its national or local coverage criteria are met.
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)
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Next steps
- Run a reimbursement report for a device billed under E0658
- Watch E0658 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for E0658
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.