HCPCS E0652: Pneumatic compressor, segmental home model

HCPCS E0652: Pneumatic compressor, segmental home model

Be more informed of the documentation and billing requirements needed to properly use and bill HCPCS code E0652, from our short guide.

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Frequently asked questions

No. For most payers, including Medicare, E0652 is generally covered only when the lymphedema extends to the chest, trunk, and/or abdomen and has not been successfully treated with a simpler device (E0650 or E0651). It is typically denied as not medically necessary for lymphedema of the extremities alone.

No. Medicare and many other payers generally do not cover E0652 for the treatment of CVI with venous stasis ulcers. Simpler pumps (E0650 or E0651) may be covered for CVI if specific medical necessity criteria are met, but not E0652.

E0651 is a segmental home model pneumatic compressor without calibrated gradient pressure. E0652 is the higher-level segmental compressor with calibrated gradient pressure. This "calibrated gradient pressure" means the device has manual control of the pressure in each chamber, allowing for a more sophisticated, individualized compression treatment. The difference in features often dictates which conditions they are covered for.

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