Summary & Overview
HCPCS E0667: Segmental Pneumatic Full-Leg Appliance
HCPCS Level II code E0667 designates a segmental pneumatic appliance for use with a pneumatic compressor covering the full leg. This durable medical equipment code represents devices used to provide sequential or segmental compression to an entire lower extremity, commonly applied to prevent venous thromboembolism, control postoperative swelling, or manage chronic lymphedema. Nationally, pneumatic compression devices are a recognized component of perioperative and medical thromboembolism prevention protocols and an element of long-term edema management, making accurate coding and coverage understanding important for clinical teams, DME suppliers, and billing staff.
Key payers discussed include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of the device and service context, payer coverage considerations, common claim modifiers (listed separately), and coding relationships relevant to billing and reimbursement workflows. The publication provides benchmarks and policy context where available, highlights clinical scenarios in which E0667 is typically used, and outlines documentation elements payers commonly require. Data not available in the input is identified as such where applicable.
Billing Code Overview
HCPCS Level II code E0667 describes a segmental pneumatic appliance for use with pneumatic compressor, full leg. This item is a medical device intended to provide pneumatic compression to the full length of a lower extremity in segmented chambers, typically used to promote venous return and reduce risk of venous thromboembolism or to manage edema.
Service Type: Durable medical equipment — pneumatic compression therapy
Typical Site of Service: Inpatient hospital, outpatient clinic, and home health settings where durable medical equipment is supplied or used
Clinical & Coding Specifications
Clinical Context
A 68-year-old patient with chronic venous insufficiency and significant lower-extremity edema presents to a vascular clinic for management of persistent leg swelling after conservative measures (compression stockings, elevation) provided incomplete relief. The provider orders intermittent pneumatic compression therapy using a segmental pneumatic full-leg appliance to be used with an external pneumatic compressor for daily 30–60 minute sessions at home or in an outpatient rehabilitation setting. The clinical workflow begins with an outpatient evaluation by a vascular surgeon, wound care nurse, or physiatrist documenting the indication (e.g., venous stasis edema, lymphedema), sizing and fitting of the E0667 full-leg appliance, patient education on device use and safety, and a written order for the durable medical equipment supplier. The supplier verifies payer coverage, applies appropriate modifiers on claim submission, delivers the E0667 appliance, trains the patient or caregiver on donning, operating the compressor and sleeve, documents compliance instructions, and schedules follow-up to assess edema reduction, skin integrity, and any need for continued therapy or device adjustment.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
00 | No modifier | When no other modifier applies to the service or supply |