Summary & Overview
HCPCS E0671: Segmental Gradient Pressure Pneumatic Appliance, Full Leg
HCPCS Level II code E0671 identifies a segmental gradient pressure pneumatic appliance for the full leg, a piece of durable medical equipment used to provide graduated pneumatic compression to the lower extremity. Nationally, pneumatic compression devices are relevant for managing edema, venous insufficiency, and thromboprophylaxis in specified clinical scenarios, and reimbursement policy affects access to home and outpatient use.
Key payers discussed include Aetna, Blue Cross Blue Shield, Cigna, UnitedHealthcare, and Medicare. Readers will find a concise explanation of what the code represents, typical sites of service, and which payers commonly cover this appliance. The publication outlines common billing and coding considerations, typical modifier usage, and where to find policy guidance from major payers and Medicare. It also summarizes clinical contexts in which segmental gradient pneumatic compression is used and highlights areas where coverage criteria or documentation requirements frequently apply.
This summary provides clinicians, billing staff, and policy analysts with a national overview of HCPCS Level II code E0671, what it covers, and the types of information to consult when preparing claims or reviewing coverage policies. Data not available in the input are noted where applicable in detailed sections.
Billing Code Overview
HCPCS Level II code E0671 describes a segmental gradient pressure pneumatic appliance, full leg. This durable medical equipment item is used to provide graduated compression and pneumatic inflation across multiple segments of the lower extremity, typically intended to assist venous return and reduce edema.
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Service type: Durable medical equipment (pneumatic compression therapy)
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Typical site of service: Outpatient settings, durable medical equipment suppliers, home use following prescription
Clinical & Coding Specifications
Clinical Context
A patient with chronic lower-extremity lymphedema following deep venous thrombosis and prior pelvic surgery presents for evaluation of limb swelling and skin changes. The vascular medicine or lymphedema specialty clinic documents persistent non-pitting edema and symptoms of heaviness and recurrent cellulitis despite compression stockings. The clinician evaluates leg measurements and orders a segmental gradient pressure pneumatic appliance, full leg (E0671) to provide intermittent sequential compression from ankle to thigh to reduce interstitial fluid and improve lymphatic return. The device is fitted in clinic or durable medical equipment (DME) setting; a certified medical equipment supplier provides training on application, pressure settings, wearing schedule, and device maintenance. Follow-up appointments with the ordering clinician occur within 2–6 weeks to assess response, skin integrity, and need for continued therapy. Typical site of service: outpatient clinic, DME supplier location, or home use after training.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
00 | No modifier | Default when no modifier applies |
52 |