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See a sample rate comparisonHealthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
| Key Fact | Detail |
|---|---|
| Service Type | Durable Medical Equipment Pneumatic Compressors and Appliances |
| Complexity Level | High |
| Medicaid Fee Schedule | View Medicaid rates for E0652 |
National average reimbursement for HCPCS E0652 by major payers:

$3,883.69

$3,820.80

$5,040.51

$7,459.21
Choose a payer to see a sample of rates for HCPCS E0652.
The Carle Foundation Hospital
R W Optometric Center Inc
Lincare Inc.
A E Medical Supply Inc
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Rate Benchmarking
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonPayer Contract Negotiation
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalHCPCS E0652 vs. Other Pneumatic Compressors and Appliances Codes
The HCPCS E0652 code is part of the Durable Medical Equipment services used for Pneumatic Compressors and Appliances. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The HCPCS E0652 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| E0651-HCPCS | Moderate | Pneumatic compressor, segmental home model without calibrated gradient pressure |
| E0652-HCPCS | High | Pneumatic compressor, segmental home model with calibrated gradient pressure |
| E0655-HCPCS | Low | Non-segmental pneumatic appliance for use with pneumatic compressor, half arm |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS E0652. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the E0652 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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