E0657 – Segmental pneumatic appliance for use with pneumatic compressor, chest

HCPCS Level II code · E codes: Durable Medical Equipment (DME)

Active code Special coverage instructions apply

HCPCS codeE0657
Long description
Segmental pneumatic appliance for use with pneumatic compressor, chest
Short description
Segmental pneumatic chest
Pricing indicator
36 DME – capped rental
Medicare coverage
D Special coverage instructions apply
BETOS category
D1E Other DME
Added
January 1, 2009
Last change
April 1, 2014 – No change

Frequently asked questions

What is HCPCS code E0657?

E0657 is a HCPCS Level II code for segmental pneumatic appliance for use with pneumatic compressor, chest.

Does Medicare cover E0657?

The HCPCS file lists coverage code D: Special coverage instructions apply. Coverage and payment also depend on local coverage determinations and the patient’s plan.

Nearby E codes

Source: CMS HCPCS Level II quarterly file, October 2026. Reference only – check payer policy before billing.