HCPCS E0652 Fee Schedule
Healthcare 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 |
National average reimbursement for HCPCS E0652 by major payers:
$3,883.69
$3,820.80
$5,040.51
$7,459.21
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
Select a payer to view fee schedule data Choose a payer from the options above to see rates for HCPCS E0652 | ||||||
United | E0652 | $200.41 | 1558320911 - A & E MEDICAL SUPPLY, INC | 202596886 - (IL) A E MEDICAL SUPPLY INC | IL | Durable Medical Equipment & Medical Supplies (332B00000X) |
United | E0652 | $2275.21 | 1265427033 - NORTHERN ILLINOIS HOME MEDICAL SUPPLY | 364469371 - (IL) NORTHERN ILLINOIS HOME MEDICAL SUPPLY | IL | Durable Medical Equipment & Medical Supplies (332B00000X) |
United | E0652 | $3695.35 | 1548367931 - PREFERRED PODIATRY GROUP PC | 363885637 - PREFERRED PODIATRY GROUP, P.C. | IL | Durable Medical Equipment & Medical Supplies (332B00000X) |
United | E0652 | $2904.14 | 1104804830 - HEALTH MEDICAL EQUIPMENT, INC. | 650393005 - (FL) HEALTH MEDICAL EQUIPMENT INC | FL | Durable Medical Equipment & Medical Supplies (332B00000X) |
United | E0652 | $1950.02 | 1427027218 - ROSEL HOME EQUIPMENT CARE INC | 650608232 - (FL) ROSEL HOME EQUIPMENT CARE INC | FL | Durable Medical Equipment & Medical Supplies (332B00000X) |
United | E0652 | $4628.16 | 1801886809 - VALLEY HEALTH ENTERPRISES, INC., FAMILY HOME MEDICAL EQUIPMENT | 363476877 | IL | Durable Medical Equipment & Medical Supplies (332B00000X) |
United | E0652 | $344.64 | 1295013563 - MED-CARE INFUSION SERVICES, INC. | 650208178 - (FL) MEDCARE INFUSION SERVICES INC | FL | Durable Medical Equipment & Medical Supplies (332B00000X) |
United | E0652 | $3545.48 | 1043699309 - DUPAGE MEDICAL GROUP, LTD, DUPAGE MEDICAL GROUP | 362657618 - (IL) DUPAGE MEDICAL GROUP LTD | IL | Durable Medical Equipment & Medical Supplies (332B00000X) |
United | E0652 | $215.27 | 1750682738 - HOME HEALTH DEPOT INC | 352048538 - HOME HEALTH DEPOT, INC. | IL | Durable Medical Equipment & Medical Supplies (332B00000X) |
United | E0652 | $2635.00 | 1356537955 - CHICAGO CORNEA CONSULTANTS LTD, CHICAGO CORNEA CONSULTANTS OPTICAL SHOP | 363605557 - (IL) CHICAGO CORNEA CONSULTANTS, LTD. | IL | Durable Medical Equipment & Medical Supplies (332B00000X) |
United | E0652 | $450.00 | 1780953984 - LINCARE INC | 592852900 - LINCARE INC. | IL | Durable Medical Equipment & Medical Supplies (332B00000X) |
United | E0652 | $532.90 | 1659704708 - DUPAGE MEDICAL GROUP LTD, M & M ORTHOPAEDICS A MEMBER OF DU PAGE MEDICAL GROUP | 362657618 - (IL) DUPAGE MEDICAL GROUP LTD | IL | Durable Medical Equipment & Medical Supplies (332B00000X) |
United | E0652 | $3545.48 | 1770656787 - SARA R. VEGH,O.D.,M.D.,S.C. | 363895722 - (IL) SARA R VEGHODMDSC | IL | Durable Medical Equipment & Medical Supplies (332B00000X) |
United | E0652 | $1694.08 | 1659472850 - DELTA SLEEP INC, | 203001899 | IL | Durable Medical Equipment & Medical Supplies (332B00000X) |
United | E0652 | $418.48 | 1033157524 - PEDIATRIC SUPPLIER, INC. | 743139165 - (FL) PEDIATRIC SUPPLIER INC | FL | Durable Medical Equipment & Medical Supplies (332B00000X) |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
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HCPCS 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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