E0678 HCPCS code: Non-pneumatic sequential compression garment, full leg
E0678 is the HCPCS Level II code for non-pneumatic sequential compression garment, full leg. The 2026 Medicare DMEPOS fee schedule pays $39.22 to $105.43 (RR, rental (monthly)) depending on the state. Its Medicare coverage code is C (Carrier judgment): Coverage is decided by the Medicare contractor (MAC) case by case. In 2024, 1 suppliers billed Medicare for E0678 (rentals), serving 468 beneficiaries; California, New York, Missouri accounted for 63% of services. Its average fee ranks 16 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 | C — Carrier judgment |
| Pricing indicator | 36 — DMEPOS: capped rental item |
| BETOS category | D1E — Other durable medical equipment |
| Added | 2024-01-01 |
| Last action effective | 2024-01-01 |
2026 Medicare DMEPOS fee schedule for E0678
| Modifier | Meaning | Lowest state fee | Highest state fee | Ceiling | Floor |
|---|---|---|---|---|---|
| RR | rental (monthly) | $39.22 | $105.43 | — | — |
| State | Modifier | Fee | Rural fee |
|---|---|---|---|
| AK | RR | $98.60 | — |
| AL | RR | $46.14 | — |
| AR | RR | $46.14 | — |
| AZ | RR | $46.14 | — |
| CA | RR | $46.14 | — |
| CO | RR | $39.22 | — |
| CT | RR | $46.14 | — |
| DC | RR | $46.14 | — |
| DE | RR | $46.14 | — |
| FL | RR | $46.14 | — |
| GA | RR | $46.14 | — |
| HI | RR | $105.43 | — |
| IA | RR | $39.22 | — |
| ID | RR | $46.14 | — |
| IL | RR | $46.14 | — |
| IN | RR | $39.22 | — |
| KS | RR | $39.22 | — |
| KY | RR | $46.14 | — |
| LA | RR | $46.14 | — |
| MA | RR | $39.22 | — |
| MD | RR | $46.14 | — |
| ME | RR | $39.22 | — |
| MI | RR | $46.14 | — |
| MN | RR | $39.22 | — |
| MO | RR | $39.22 | — |
| MS | RR | $39.22 | — |
| MT | RR | $39.22 | — |
| NC | RR | $46.14 | — |
| ND | RR | $39.22 | — |
| NE | RR | $39.22 | — |
| NH | RR | $39.22 | — |
| NJ | RR | $46.14 | — |
| NM | RR | $46.14 | — |
| NV | RR | $46.14 | — |
| NY | RR | $46.14 | — |
| OH | RR | $46.14 | — |
| OK | RR | $44.10 | — |
| OR | RR | $46.14 | — |
| PA | RR | $46.14 | — |
| PR | RR | $62.15 | — |
| RI | RR | $46.14 | — |
| SC | RR | $46.14 | — |
| SD | RR | $39.22 | — |
| TN | RR | $46.14 | — |
| TX | RR | $46.14 | — |
| UT | RR | $44.42 | — |
| VA | RR | $39.22 | — |
| VI | RR | $46.14 | — |
| VT | RR | $39.22 | — |
| WA | RR | $46.14 | — |
| WI | RR | $46.14 | — |
| WV | RR | $46.14 | — |
| WY | RR | $39.22 | — |
How the E0678 fee compares
| Measure | Value |
|---|---|
| Rank among 49 E06 codes billed RR (lowest = 1) | 16 |
| Family fee range (average of state fees) | $4.26–$1,250.50 |
| Rural fee uplift | — |
Who bills E0678 (2024)
| Measure | Value |
|---|---|
| Suppliers billing rentals | 1 |
| Suppliers billing purchases | — |
| Referring clinicians | 295 |
| Medicare beneficiaries | 468 |
| States with claims | 24 |
| Share of services in top 3 states (California, New York, Missouri) | 63% |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for E0678, 2024–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2024 | 2,892 | 468 | $35.60 | $27.87 |
States with the most E0678 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| California | 1,224 | $28.58 |
| New York | 460 | $28.69 |
| Missouri | 127 | $23.74 |
| Ohio | 120 | $27.05 |
| Washington | 100 | $27.54 |
What changed for E0678
- 2026-01-01: Average state fee (RR) rose 2.0%: $45.35 to $46.26
- 2024-01-01: E0678 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 E0678?
E0678 is the HCPCS Level II code for non-pneumatic sequential compression garment, full leg. Short descriptor: "Non pneum seq comp full leg".
How much does Medicare pay for E0678?
Under the 2026 DMEPOS fee schedule, non-rural state fees are RR (rental (monthly)): $39.22–$105.43. Rural fees can be higher.
Does Medicare cover E0678?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
Did the Medicare fee for E0678 change in 2026?
The average non-rural state fee for RR moved from $45.35 in 2025 to $46.26 in 2026 (+2.0%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.
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 E0678
- Watch E0678 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for E0678
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.