HCPCS Code E0673: Segmental Gradient Pressure Pneumatic Appliance, Half Leg

HCPCS Code E0673: Segmental Gradient Pressure Pneumatic Appliance, Half Leg

Learn about HCPCS code E0673, a segmental pneumatic compression device for half-leg use, coverage rules, billing, and documentation needs.

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Frequently asked questions

HCPCS code E0673 refers to a segmental home model pneumatic compressor with a half-leg inflatable garment. This device is used in the home setting to provide intermittent compression therapy for conditions such as lymphedema and chronic venous insufficiency. The segmented air chambers inflate in sequence to create a calibrated pressure gradient, which helps reduce swelling and improve circulation.

Unlike a non-segmental home model, which inflates the entire garment as a single unit, E0673 utilizes multiple air chambers that are inflated intermittently in sequence. This makes the segmental home model more effective at moving excess fluid and reducing discomfort compared to single-chamber devices.

Coverage for this pneumatic compression device requires clinical documentation that supports medical necessity. This typically includes the patient’s diagnosis, records showing failed conservative treatment, and the prescribing physician’s order. Payers, such as Medicare and Medicaid, often follow policy articles or guidelines that outline specific criteria for coverage.

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