Skip to Main Content

Print | Bookmark | Font Size: + |

Pneumatic Compression Devices

CMS requires prior authorization of these Pneumatic Compression Devices HCPCS codes for all states and territories for dates of service on and after April 13, 2026. CGS will begin accepting requests on March 30, 2026: E0651 and E0652.

How to Send Your Request

When to Expect the Decision

We will send a detailed decision letter by the fifth business day not to exceed seven calendar days.

Expedited requests: If there is a valid need for an expedited review, we will make reasonable efforts to send a decision within two business days.

We will base the prior authorization decision on the National Coverage Determinations (NCD) ManualExternal PDF (CMS Pub. 100-03), Chapter 1, Section 280.6 and the Standard Documentation Requirements for All Claims Submitted to DME MACs (A55426)External Website.

Expedited Reviews

Only request an expedited review if a delay of the prior authorization decision could jeopardize the life or health of the beneficiary.

Deliver the PCD Within 60 Calendar Days

Prior authorization decisions for PCDs are valid for 60 calendar days after the provisional affirmation review decision. If the supplier does not deliver the items within 60 calendar days of the decision, the supplier will need to send another prior authorization request.

Pneumatic Compression Device Resources

Updated: 01.29.2026

spacer

26 Century Blvd Ste ST610, Nashville, TN 37214-3685 © CGS Administrators, LLC. All Rights Reserved