Lymphedema pump HCPCS code
A lymphedema pump is usually billed under HCPCS code E0650 (Pneumatic compressor, non-segmental home model); related codes are E0651, E0652. The 2026 Medicare DMEPOS fee schedule pays $872.43 to $1,215.31 (NU, new equipment, purchased) for E0650, depending on the state. Medicare paid for 202 E0650 services from 14 suppliers in 2024.
HCPCS codes for lymphedema pump
| Code | Description | Medicare coverage | DMEPOS fee (state range) | Medicare services |
|---|---|---|---|---|
| E0650 | Pneumatic compressor, non-segmental home model | Special coverage instructions apply | $872.43–$1,215.31 (NU) | 202 (2024) |
| E0651 | Pneumatic compressor, segmental home model without calibrated gradient pressure | Special coverage instructions apply | $888.41–$1,344.68 (NU) | 34,915 (2024) |
| E0652 | Pneumatic compressor, segmental home model with calibrated gradient pressure | Special coverage instructions apply | $6,422.01–$9,406.70 (NU) | 7,716 (2024) |
Supplies and accessories
| Code | Description | Medicare coverage | DMEPOS fee (state range) | Medicare services |
|---|---|---|---|---|
| E0655 | Non-segmental pneumatic appliance for use with pneumatic compressor, half arm | Special coverage instructions apply | $130.75–$166.54 (NU) | — |
| E0660 | Non-segmental pneumatic appliance for use with pneumatic compressor, full leg | Special coverage instructions apply | $164.58–$248.63 (NU) | — |
| E0665 | Non-segmental pneumatic appliance for use with pneumatic compressor, full arm | Special coverage instructions apply | $165.96–$195.25 (NU) | — |
| E0666 | Non-segmental pneumatic appliance for use with pneumatic compressor, half leg | Special coverage instructions apply | $130.91–$196.80 (NU) | — |
| E0667 | Segmental pneumatic appliance for use with pneumatic compressor, full leg | Special coverage instructions apply | $392.20–$1,054.26 (NU) | 70,877 (2024) |
| E0668 | Segmental pneumatic appliance for use with pneumatic compressor, full arm | Special coverage instructions apply | $534.98–$976.21 (NU) | 4,914 (2024) |
| E0669 | Segmental pneumatic appliance for use with pneumatic compressor, half leg | Special coverage instructions apply | $248.03–$297.69 (NU) | 591 (2024) |
Medicare revenue estimate for E0650
Units per month × state fee = monthly Medicare revenue. At 10 units a month, E0650 (NU) pays $12,153.10 in HI and $8,724.30 in CT, before the 20% patient coinsurance.
Frequently asked questions
What is the HCPCS code for a lymphedema pump?
E0650: Pneumatic compressor, non-segmental home model. Other lymphedema pump codes: E0651 (Pneum compressor segmental); E0652 (Pneum compres w/cal pressure).
Does Medicare cover a lymphedema pump?
By HCPCS coverage code — E0650: Special coverage instructions apply; E0651: Special coverage instructions apply; E0652: Special coverage instructions apply.
How much does Medicare pay for a lymphedema pump?
Under the 2026 DMEPOS fee schedule (non-rural state fees): E0650 $872.43 to $1,215.31 (NU, new equipment, purchased); E0651 $888.41 to $1,344.68 (NU, new equipment, purchased); E0652 $6,422.01 to $9,406.70 (NU, new equipment, purchased).
Which supplies and accessories are billed with a lymphedema pump?
E0655 (Pneumatic appliance half arm); E0660 (Pneumatic appliance full leg); E0665 (Pneumatic appliance full arm); E0666 (Pneumatic appliance half leg); E0667 (Seg pneumatic appl full leg); E0668 (Seg pneumatic appl full arm); E0669 (Seg pneumatic appli half leg).
Next steps
- Run a reimbursement report for a device billed under E0650
- Watch E0650 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for E0650
Part of Compression and lymphedema.
Related equipment
Sources: CMS HCPCS Level II; CMS DMEPOS fee schedule 2026; CMS Medicare utilization; CMS Medicare Coverage Database. Fees are Medicare allowables (non-rural, by state), not commercial rates. Code choice depends on the exact item; check the descriptor. Not billing or legal advice.