HCPCS Code E0667: Segmental Pneumatic Appliance for Use with Pneumatic Compressor, Full Leg (Multichamber Pump)

Learn about the HCPCS code E0667 for segmental pneumatic appliance for use with pneumatic compressor, full leg (multichamber pump), through this guide.

Use Code

## **What is the HCPCS code E0667 for?** The HCPCS code E0667 is meant to designate the use of a segmental pneumatic appliance for a full leg. This type of appliance is classified as a durable medical equipment (DME) and it takes the form of an inflatable limb sleeve that has multiple chamber pumps and a pneumatic compressor. This sleeve covers the entire leg and, through the chamber pumps and pneumatic compressor, improves blood circulation in the leg. Through control, the pumps deflate and inflate. This applies intermittent pressure on the leg, which is necessary to improve blood circulation. This medical sleeve is often requested for use when handling patients who have medical conditions that negatively impact blood circulation. These include chronic venous insufficiency, deep vein thrombosis (DVT), lymphedema, and (persistent) leg swelling. It can also be used on patients in post-surgical recovery to prevent blood clots from forming in the leg.

## **Documentation requirements for E0667** Like any HCPCS code, E0667 requires some documentation to make it eligible for claims. Here's what you need: - The full name of the patient - The patient's medical history - An appropriate diagnosis to support medical necessity (e.g., deep vein thrombosis, chronic venous insufficiency, arterial disease, etc.) - The full name and specialization of the professional handling the patient - The name and address of the facility where the medical equipment was used, or the address of the patient if this was applied in a home healthcare setting - Prior authorization request for the use of this medical equipment (or a new one, if this equipment has been used for over six months) - The appliance type (segmental pneumatic appliance) - The pneumatic compressor type used (segmented with/without gradient pressure)

## **Billing requirements for E0667** In addition to the documentation requirements above, it's essential to confirm that the product is listed on the PDAC Product Classification List (PCL) and follows proper coding for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS). Given that E0667 designates the use of this device with a pneumatic compressor, it must be accompanied by another HCPCS code that designates the use of a pneumatic compressor. Since this also designates a model with a multichamber pump), use either one: - E0651 - Pneumatic compressor, segmental home model without calibrated gradient pressure (multichamber pump) - E0652 - Pneumatic compressor, segmental home model with calibrated gradient pressure (multichamber pump) Also, as mentioned in the documentation requirements, this requires a prior authorization request that covers a six-month use period. For use beyond six months, a new authorization request must be made and included alongside the initial request.

## **Other similar codes** - **A4600** - Sleeve for intermittent limb compression device, replacement only, each - **E0650** - Pneumatic compressor, non-segmental home model (single-compartment pump) - **E0655** - Non-segmental pneumatic appliance for use with pneumatic compressor, half arm (single-compartment pump) - **E0660** - Non-segmental pneumatic appliance for use with pneumatic compressor, full leg (singlecompartment pump) - **E0665** - Non-segmental pneumatic appliance for use with pneumatic compressor, full arm (singlecompartment pump) - **E0666** - Non-segmental pneumatic appliance for use with pneumatic compressor, half leg (singlecompartment pump)

Frequently asked questions

Sessions typically last from thirty minutes to an hour.

If it's not properly used, the swelling might get worse, or there will be discomfort. It's also possible for a person to have minor skin irritation or discomfort, depending on the sensitivity of their skin. If your patient has severe arterial disease, circulation might worsen instead of improve.

Most patients will feel and notice improvements in a few days after regular use.