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E0658 - HCPCS Level II | Verity

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HCPCS Level IIdmeActive

E0658

Seg pneum comp 2 arm chest

BETOS: D1E

Effective: 2025-10-01

Referenced in 2 policies

Description

Segmental pneumatic appliance for use with pneumatic compressor, integrated, 2 full arms and chest

Coverage Policies

This code is referenced in 2 Medicare coverage policies

Sample Policies

ANTHEM-CG-DME-46PayerPolicy

not covered

CG-DME-46 Pneumatic Compression Devices for Prevention of Deep Vein Thrombosis of the Extremities in the Home Setting

ANTHEM-CG-DME-06PayerPolicycovered

CG-DME-06 Compression Devices for Lymphedema

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About HCPCS Level II

Healthcare Common Procedure Coding System Level II codes for supplies, equipment, and non-physician services

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