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
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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) Manual
(CMS Pub. 100-03), Chapter 1, Section 280.6 and the Standard Documentation Requirements for All Claims Submitted to DME MACs (A55426)
.
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
- Pneumatic Compression Devices – Correct Coding and Billing
- National Coverage Determinations (NCD) Manual
(CMS Pub. 100-03), Chapter 1, Section 280.6. - Standard Documentation Requirements for All Claims Submitted to DME MACs (A55426)

- Items Requiring Coding Verification Reviews

Updated: 01.29.2026

