E0658 – Segmental pneumatic appliance for use with pneumatic compressor, integrated, 2 full arms and chest
HCPCS Level II code · E codes: Durable Medical Equipment (DME)
HCPCS codeE0658
- Long description
- Segmental pneumatic appliance for use with pneumatic compressor, integrated, 2 full arms and chest
- Short description
- Seg pneum comp 2 arm chest
- Pricing indicator
36DME – capped rental- Medicare coverage
DSpecial coverage instructions apply- BETOS category
D1EOther DME- Added
- October 1, 2025
- Last change
- October 1, 2025 – No change
Frequently asked questions
What is HCPCS code E0658?
E0658 is a HCPCS Level II code for segmental pneumatic appliance for use with pneumatic compressor, integrated, 2 full arms and chest.
Does Medicare cover E0658?
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
- E0641 – Standing frame/table system, multi-position (e.g., three-way stander), any size including pediatric, with or without wheels
- E0642 – Standing frame/table system, mobile (dynamic stander), any size including pediatric
- E0650 – Pneumatic compressor, non-segmental home model
- E0651 – Pneumatic compressor, segmental home model without calibrated gradient pressure
- E0652 – Pneumatic compressor, segmental home model with calibrated gradient pressure
- E0655 – Non-segmental pneumatic appliance for use with pneumatic compressor, half arm
- E0656 – Segmental pneumatic appliance for use with pneumatic compressor, trunk
- E0657 – Segmental pneumatic appliance for use with pneumatic compressor, chest
- E0659 – Segmental pneumatic appliance for use with pneumatic compressor, integrated, head, neck and chest
- E0660 – Non-segmental pneumatic appliance for use with pneumatic compressor, full leg
- E0665 – Non-segmental pneumatic appliance for use with pneumatic compressor, full arm
- E0666 – Non-segmental pneumatic appliance for use with pneumatic compressor, half leg
- E0667 – Segmental pneumatic appliance for use with pneumatic compressor, full leg
- E0668 – Segmental pneumatic appliance for use with pneumatic compressor, full arm
- E0669 – Segmental pneumatic appliance for use with pneumatic compressor, half leg
- E0670 – Segmental pneumatic appliance for use with pneumatic compressor, integrated, 2 full legs and trunk
Source: CMS HCPCS Level II quarterly file, October 2026. Reference only – check payer policy before billing.