`E0660` Pneumatic appliance full leg

Non-segmental pneumatic appliance for use with pneumatic compressor, full leg

Medicare coverage: Special coverage instructions apply
Status: active (October 2026 file)

Medically Unlikely Edits (effective October 1, 2026)

Practitioner: max 0 units per day (clinical), rationale: CMS Policy
Outpatient hospital: max 0 units per day (clinical), rationale: CMS Policy
DME supplier: max 2 units per day (policy), rationale: Anatomic Consideration

Medicare pricing for E0660

DMEPOS fee schedule, July 2026 (DME26-C)

NU (purchased, new), inexpensive or routinely purchased (IN): non-rural $193.51 to $227.66 in the contiguous states; $164.58 to $248.63 in AK, HI, PR and VI; ceiling $227.66, floor $193.51
RR (rental), inexpensive or routinely purchased (IN): non-rural $20.13 to $23.68 in the contiguous states; $16.49 to $31.09 in AK, HI, PR and VI; ceiling $23.68, floor $20.13
UE (purchased, used), inexpensive or routinely purchased (IN): non-rural $145.13 to $170.74 in the contiguous states; $123.43 to $186.45 in AK, HI, PR and VI; ceiling $170.74, floor $145.13

Payer policies and prior authorization for E0660

18 of 18 payer prior-auth lists that name E0660 require prior authorization or set conditions: Blue Cross and Blue Shield of New Mexico, CarePlus Health Plans, Humana, Rocky Mountain Health Plans, UnitedHealthcare.

Payer	Plan	State	Prior auth	Since	Source
Blue Cross and Blue Shield of New Mexico	Turquoise Care (New Mexico Medicaid)	NM	prior auth required	Oct 1, 2026	New Mexico Medicaid Benefit Preauthorization Procedure Code List 10/1/26
CarePlus Health Plans	CarePlus Health Plans	FL	prior auth required	Jan 1, 2027	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List
Humana	Humana D-SNP (FL)	FL	prior auth required	Jan 1, 2027	1 *New prior authorization requirement 787403FL0725 FLHMQSREN Humana Dual Fully Integrated Florida Prior Authorization and Notification List
Humana	Humana D-SNP (IL)	IL	prior auth required	Jan 1, 2027	Humana Dual Fully Integrated Illinois Prior Authorization and Notification List
Humana	Humana D-SNP (IN)	IN	prior auth required	Jan 1, 2027	*New prior authorization requirement 814403IN0825 H4939_INHN6Z6EN_C Humana PathWays Dual Care (HMO-POS D-SNP) Indiana Prior Authorization and Notification List
Humana	Humana D-SNP (MI)	MI	prior auth required	Jan 1, 2027	1 Humana Dual Highly Integrated Michigan Prior Authorization and Notification List
Humana	Humana D-SNP (SC)	SC	prior auth required	Jan 1, 2027	Humana Dual Highly Integrated South Carolina Prior Authorization and Notification List
Humana	Humana D-SNP (VA)	VA	prior auth required	Jan 1, 2027	Virginia Prior Authorization and Notification List
Humana	Humana D-SNP (VA)	VA	prior auth required	Jan 1, 2027	Virginia Prior Authorization and Notification List
Humana	Humana Healthy Horizons	IL	prior auth required	Jan 1, 2027	Humana Healthy Horizons in Illinois Prior Authorization and Notification List To view -specific medical coverage policies, please visit Humana Healthy Horizons in Illinois Clinical coverage policies .
Humana	Humana Healthy Horizons	IN	prior auth required	Jan 1, 2027	1 Humana Healthy Horizons® in Indiana Preauthorization and Notification List (PAL) for Indiana PathWays for Aging Please note the term prior authorization when used in this communication, is defined a
Humana	Humana Healthy Horizons	SC	prior auth required	Jan 1, 2027	Humana Healthy Horizons in South Carolina Prior authorization and Notification List The following list describes services and medications that are commonly reviewed and may require additional clinical
Humana	Humana Healthy Horizons	VA	prior auth required	Jan 1, 2027	Humana Healthy Horizons in Virginia Prior Authorization and Notification List (PAL)
Humana	Humana MA and D-SNP	All	prior auth required	Jan 1, 2027	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List
Humana	Humana Puerto Rico MA and Dual Medicare-Medicaid	PR	prior auth required	Nov 3, 2025	Puerto Rico Medicare Advantage and Dual Medicare-Medicaid Plans Preauthorization and Notification List Puerto Rico Medicare Advantage and Dual Medicare-Medicaid Plan Preauthorization and Notification
Humana	Oak Street Health	All	prior auth required		Oak Street Health (Humana): Prior Authorization List (PAL) Codes Under Management
Rocky Mountain Health Plans	Rocky Mountain Medicare Advantage D-SNP	CO	prior auth required	Feb 1, 2025	Rocky Mountain Health Plans Medicare Advantage Dual-Special Needs Plans – prior authorization Effective February 1, 2025
UnitedHealthcare	Preferred Care Network and Preferred Care Partners of Florida	FL	prior auth required	Oct 1, 2026	Prior authorization requirements for Preferred Care Network and Preferred Care Partners of Florida Effective October 1, 2026

Payer coverage policies that name E0660

E0660 appears in 28 coverage policies from Aetna, Anthem, Blue Cross & Blue Shield of Mississippi, Blue Cross Blue Shield of Massachusetts, Blue Shield of California, BlueCross BlueShield of South Carolina, Capital Blue Cross, Cigna, Premera Blue Cross, Regence, UnitedHealthcare.

Payer	Policy	Role in policy	Reviewed	Document
Aetna	Compression Garments for the Legs (0482)	covered if criteria are met	Jul 29, 2026	payer document
Aetna	Cryoanalgesia and Therapeutic Cold (0297)	not covered	Apr 14, 2026	payer document
Aetna	Intermittent Pneumatic Compression Devices (0500)	covered if criteria are met	Jul 10, 2026	payer document
Aetna	Lymphedema (0069)	covered if criteria are met	Feb 25, 2026	payer document
Anthem	Compression Devices for Lymphedema (CG-DME-06)	covered if criteria are met	Nov 6, 2025	payer document
Anthem	Pneumatic Compression Devices for Prevention of Deep Vein Thrombosis of the Extremities in the Home Setting (CG-DME-46)	not covered	May 14, 2026	payer document
Blue Cross & Blue Shield of Mississippi	Pneumatic Compression Pumps For Treatment Of Lymphedema And Venous Ulcers	covered if criteria are met		payer document
Blue Cross & Blue Shield of Mississippi	Postsurgical Home Use Of Limb Compression Devices For Venous Thromboembolism Prophylaxis	covered if criteria are met (range E0650-E0675)		payer document
Blue Cross Blue Shield of Massachusetts	Pneumatic Compression Pumps for Treatment of Lymphedema (354)	listed, no stance		payer document
Blue Shield of California	Compression Pumps for Treatment of Lymphedema and Venous Ulcers (1.01.18)	listed, no stance		payer document
Blue Shield of California	Postsurgical Home Use of Limb Compression Devices for Venous Thromboembolism Prophylaxis (1.01.28)	listed, no stance		payer document
BlueCross BlueShield of South Carolina	Postsurgical Home Use of Limb Compression Devices for Venous Thromboembolism Prophylaxis (CAM 10128)	listed, no stance (range E0650-E0673)	Aug 1, 2026	payer document
Capital Blue Cross	Compression Devices for Treatment of Lymphedema and Peripheral Vascular Disease (MP 6.013) Procedure Codes	covered if criteria are met	Sep 1, 2026	payer document
Cigna	Compression Devices (0354)	covered if criteria are met	May 15, 2026	payer document
Premera Blue Cross	Compression Pumps for Treatment of Lymphedema and Venous Ulcers (1.01.18) Single Compartment Nonprogrammable Appliances (used in conjunction with E0650)	covered if criteria are met	Sep 21, 2026	payer document
Regence	Postsurgical Home Use of Limb Compression Devices (Durable Medical Equipment 90)	listed, no stance (range E0650-E0673)	Dec 1, 2025	payer document
UnitedHealthcare	Pneumatic Compression Devices (CS097.T)	listed, no stance	Jul 1, 2026	payer document
UnitedHealthcare	Pneumatic Compression Devices (2026T0563X)	listed, no stance	Jun 1, 2026	payer document
UnitedHealthcare	Pneumatic Compression Devices (for Idaho Only) (CS097ID.E)	listed, no stance	Aug 1, 2026	payer document
UnitedHealthcare	Pneumatic Compression Devices (for Kansas Only) (CS097KS.04)	listed, no stance	Jul 1, 2026	payer document
UnitedHealthcare	Pneumatic Compression Devices (for Kentucky Only) (CS097KY.10)	listed, no stance	Jul 1, 2026	payer document
UnitedHealthcare	Pneumatic Compression Devices (for Nebraska Only) (CS097NE.T)	listed, no stance	Aug 1, 2026	payer document
UnitedHealthcare	Pneumatic Compression Devices (for New Jersey Only) (CS097NJ.S)	listed, no stance	Jul 1, 2026	payer document
UnitedHealthcare	Pneumatic Compression Devices (for New Mexico Only) (CS097NM.D)	listed, no stance	Jul 1, 2026	payer document
UnitedHealthcare	Pneumatic Compression Devices (for North Carolina Only) (CSNCT0563.09)	listed, no stance	Jul 1, 2026	payer document
UnitedHealthcare	Pneumatic Compression Devices (for Ohio Only) (CS097OH.E)	listed, no stance	Jul 1, 2026	payer document
UnitedHealthcare	Pneumatic Compression Devices (for Pennsylvania Only) (CS097PA.S)	listed, no stance	Jul 1, 2026	payer document
UnitedHealthcare	Pneumatic Compression Devices (for Tennessee Only) (CS097TN.T)	listed, no stance	Jul 1, 2026	payer document

Recent prior-auth changes

Jan 1, 2027: PA added, Humana
Jul 1, 2026: PA removed, Rocky Mountain Health Plans
Feb 1, 2026: PA added, UnitedHealthcare
Feb 1, 2026: PA added, uhc:pa:summary-of-changes
Mar 1, 2025: PA removed, Rocky Mountain Health Plans
Jul 1, 2024: PA removed, Blue Shield of California Promise Health Plan

Medicaid fee-for-service

Prior authorization required or conditional in CO, MA, MS, NY, VA, WV.

AZ: $263.78 (dme), effective Oct 1, 2026
CO: $93.51 (chp_plus, non-facility), effective Jul 1, 2026
FL: $72.86 (dme), effective Jul 1, 2026
IL: $137.73 (dme), effective Jan 1, 2026
IN: $18.66 (professional, Advanced Practice Nurse (85%), non-facility), effective Jan 1, 2026
KY: $152.83 (dme), effective Jan 1, 2026
MD: $164.48 (dme), effective Apr 1, 2026
MS: $91.07 (comprehensive), effective Jul 1, 2026
NE: $199.22 (dme), effective Jul 1, 2026
NY: $168.65 (dme), effective Jul 1, 2026
OH: $135.12 (dme), effective Jul 1, 2002
OK: $225.44 (dme), effective Jan 1, 2026
TX: $120.92 (dmepos_tos_9_e_j_l_and_r, Home Health Dme), effective Apr 1, 2013
VA: $174.16 (dme), effective Dec 1, 2026
VT: $189.05 (outpatient_hospital_opps), effective Feb 1, 2026
WA: $227.66 (medical_equipment_supplies), effective Jul 1, 2026
WY: $0.00 (outpatient_hospital_apc, Children's Hospitals), effective Apr 1, 2026

From payers' published prior-auth lists, coverage policies and state Medicaid fee schedules, updated Oct 16, 2026. The role is what the policy's own code table or text says about the code. Not a guarantee of coverage or payment; verify with the payer. CPT® is a registered trademark of the American Medical Association.

E0660 Pneumatic appliance full leg