E0665: Non-segmental pneumatic appliance for use with pneumatic compressor, full arm
E0665 is a HCPCS Level II code for non-segmental pneumatic appliance for use with pneumatic compressor, full arm. 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 E0665 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.
- practitioner
- 0, never payable MAI 3: Date of Service Edit: Clinical · CMS Policy
- outpatient
- 0, never payable MAI 3: Date of Service Edit: Clinical · CMS Policy
- DME supplier
- 2 units MAI 2: Date of Service Edit: Policy · Anatomic Consideration
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 E0665
- Long descriptor
- Non-segmental pneumatic appliance for use with pneumatic compressor, full arm
- Short descriptor
- Pneumatic appliance full arm
- Added
- January 1, 1986
- BETOS
- D1E
- Pricing indicator
- 32: 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.
Inexpensive and routinely purchased DME. Price subject to floors and ceilings.
Codes adjacent to E0665
HCPCS has no hierarchy: related items simply sit next to each other in the numbering. If E0665 is not quite right, the correct code is very often within a few positions of it.
- 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
- E0658Segmental pneumatic appliance for use with pneumatic compressor, integrated, 2 full arms and 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
- 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
- E0671Segmental gradient pressure pneumatic appliance, full leg
- E0672Segmental gradient pressure pneumatic appliance, full arm
- E0673Segmental gradient pressure pneumatic appliance, half leg