Table of content for "Seg pneum comp 2 arm chest" (HCPCS E0658)
General information on the “E0658” code
HCPCS Code: E0658
Long Description: Segmental pneumatic appliance for use with pneumatic compressor, integrated, 2 full arms and chest
Short Description: Seg pneum comp 2 arm chest
Original information is taken from E0658 page
Pricing indicators
Pricing Indicator Code 1: 36 – Capped rental DME (price subject to floors and ceilings). Durable Medical Equipment, Prosthetics, Orthotics, Supplies And Surgical Dressings
Multiple Pricing Indicator Code A : Not applicable as HCPCS priced under one methodology
Certification and additional reference information
Coverage Issues Manual Reference Section Number 1: 60-16
Coverage
Coverage: D – Special coverage instructions apply
Type of service
Berenson-Eggers Type of Service (BETOS): D1E – Other DME
Type Of Service 1: R – Rental of DME
Misc information
Anesthesia Base Unit Quantity: 0
Code Added Date: 20251001
Code Effective Date: 20251001
Action Code: A – Add procedure or modifier code