E0659 HCPCS code: Segmental pneumatic appliance for use with pneumatic compressor, integrated, head, neck and chest
E0659 is the HCPCS Level II code for segmental pneumatic appliance for use with pneumatic compressor, integrated, head, neck 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 E0659
| 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 E0659 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 E0659
- October 2025: Code appears in this HCPCS release
- 2025-10-01: E0659 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 E0659?
E0659 is the HCPCS Level II code for segmental pneumatic appliance for use with pneumatic compressor, integrated, head, neck and chest. Short descriptor: "Seg pneum comp head neck che".
How much does Medicare pay for E0659?
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 E0659?
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 E0659
- Watch E0659 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for E0659
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.