E0658: Segmental pneumatic appliance for use with pneumatic compressor, integrated, 2 full arms and chest
E0658 is a HCPCS Level II code for segmental pneumatic appliance for use with pneumatic compressor, integrated, 2 full arms and chest. It belongs to the Durable Medical Equipment section. Whether Medicare pays it depends on the coverage rule below.
Medicare coverage: Special coverage instructions apply
There are published conditions attached to this code. Check the applicable coverage policy before billing it: the code being valid is not the same as the service being covered.
From the coverage field of the CMS Alpha-Numeric HCPCS File, release 2026Q4-Oct. This states Medicare’s position on the code, not on your particular claim.
Medically Unlikely Edits: units per day
The most units of E0658 Medicare will pay on one date of service. Bill more on a single line and it is denied. The limit is not the same in every setting, so the row that matters is the one matching the claim you are building.
- DME supplier
- 1 unit MAI 2: Date of Service Edit: Policy · Code Descriptor / CPT Instruction
The adjudication indicator decides whether exceeding the limit is worth appealing at all: MAI 1 is a line edit you can support with documentation, MAI 3 is a date-of-service edit that is also appealable, and MAI 2 is absolute, no documentation overrides it. CMS MUE 2026Q4.
The CMS record for E0658
- Long descriptor
- Segmental pneumatic appliance for use with pneumatic compressor, integrated, 2 full arms and chest
- Short descriptor
- Seg pneum comp 2 arm chest
- Added
- October 1, 2025
- BETOS
- D1E
- Pricing indicator
- 36: DMEPOS
The official wording. This is what the code means.
CMS's 28-character form, which is what shows up on a remittance advice.
When CMS introduced the code.
Berenson-Eggers Type of Service: CMS's own analytic grouping.
Capped rental DME. Price subject to floors and ceilings.
Codes adjacent to E0658
HCPCS has no hierarchy: related items simply sit next to each other in the numbering. If E0658 is not quite right, the correct code is very often within a few positions of it.
- E0641Standing frame/table system, multi-position (e.g., three-way stander), any size including pediatric, with or without wheels
- E0642Standing frame/table system, mobile (dynamic stander), any size including pediatric
- E0650Pneumatic compressor, non-segmental home model
- E0651Pneumatic compressor, segmental home model without calibrated gradient pressure
- E0652Pneumatic compressor, segmental home model with calibrated gradient pressure
- E0655Non-segmental pneumatic appliance for use with pneumatic compressor, half arm
- E0656Segmental pneumatic appliance for use with pneumatic compressor, trunk
- E0657Segmental pneumatic appliance for use with pneumatic compressor, chest
- E0659Segmental pneumatic appliance for use with pneumatic compressor, integrated, head, neck and chest
- E0660Non-segmental pneumatic appliance for use with pneumatic compressor, full leg
- E0665Non-segmental pneumatic appliance for use with pneumatic compressor, full arm
- E0666Non-segmental pneumatic appliance for use with pneumatic compressor, half leg
- E0667Segmental pneumatic appliance for use with pneumatic compressor, full leg
- E0668Segmental pneumatic appliance for use with pneumatic compressor, full arm
- E0669Segmental pneumatic appliance for use with pneumatic compressor, half leg
- E0670Segmental pneumatic appliance for use with pneumatic compressor, integrated, 2 full legs and trunk