Description
Product Details
Non-Segmental Compression
Delivers uniform pressure from a single outflow port to an attached sleeve/appliance to compress the limb.
Home Use Model
Designed for at-home intermittent pneumatic compression therapy for lymphedema or chronic venous insufficiency.
Controlled Inflation/Deflation Cycle
The device alternates between inflation and deflation phases according to preset cycle times and pressures.
Single Port Output
Uses one tube to inflate the entire sleeve—even if the sleeve has multiple chambers.
Medical Coding: E0650
This device falls under HCPCS code E0650 for non-segmental home model compressors.
Indications for Use
Used for lymphedema, chronic venous insufficiency with venous stasis ulcers, and limb swelling not responsive to conservative therapy.
Coverage Criteria
Often requires a trial of conservative therapy (compression garments, elevation, exercise) before coverage is approved.
What’s Included
- 1 Pneumatic Compressor (non-segmental, home model)
- Power cord & control unit
- Connection tubing
- User manual & instructions for use
Use Tips
Start Slow
Begin with lower pressures and shorter session duration, and gradually increase as tolerated.
Proper Sleeve Fit
Ensure the compression sleeve fits snugly and comfortably—too loose can reduce effectiveness.
Maintain Clean Tubing
Check tubing for kinks, cracks, or leaks that could affect function.
Use with Other Therapies
Continue compression garments, elevation, and exercise as recommended by your clinician.
Insurance & Eligibility (Bill to Insurance)
Pneumatic compression devices are considered durable medical equipment and may be covered when medically necessary, particularly for lymphedema or chronic venous insufficiency.
Medicare / National Coverage
- Covered for lower extremity CVI with venous stasis ulcers that failed conservative treatment.
- Requires physician prescription and demonstration of medical necessity.
Commercial & Medicaid
- Policies vary by insurer—often require documentation of failed conservative therapy first.
Self-Pay
- Available as a private purchase if not covered by insurance.





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