Before an item can be considered DME, it must meet all of the following requirements:
It must be able to withstand repeated use.
It must be primarily and customarily used to serve a medical purpose.
It must be generally not useful to a person in the absence of an illness or injury.
It must be appropriate for use in the home.
All E codes fall under the jurisdiction of the DME MAC unless otherwise noted.
Immersion external heater for nebulizer
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate
Oxygen concentrator, dual delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate, each
Portable oxygen concentrator, rental
Durable medical equipment, miscellaneous
Oxygen and water vapor enriching system with heated delivery
Oxygen and water vapor enriching system without heated delivery
Centrifuge, for dialysis
Kidney, dialysate delivery syst kidney machine, pump recirculating, air removal syst, flowrate meter, power off, heater and temperature control with alarm, i.v. poles, pressure gauge, concentrate container
Heparin infusion pump for hemodialysis
Continued
Air bubble detector for hemodialysis, each, replacement
Pressure alarm for hemodialysis, each, replacement
Bath conductivity meter for hemodialysis, each
Blood leak detector for hemodialysis, each, replacement
Adjustable chair, for esrd patients
Transducer protectors/fluid barriers, for hemodialysis, any size, per 10
Unipuncture control system for hemodialysis
Hemodialysis machine
Automatic intermittent peritoneal dialysis system
Cycler dialysis machine for peritoneal dialysis
Delivery and/or installation charges for hemodialysis equipment
Reverse osmosis water purification system, for hemodialysis
Deionizer water purification system, for hemodialysis
Blood pump for hemodialysis, replacement
Water softening system, for hemodialysis
Tablo hemodialysis system for the billable dialysis service
Reciprocating peritoneal dialysis system
Wearable artificial kidney, each
Peritoneal dialysis clamps, each
Compact (portable) travel hemodialyzer system
Continued
Sorbent cartridges, for hemodialysis, per 10
Hemostats, each
Scale, each
Dialysis equipment, not otherwise specified
Jaw motion rehabilitation system
Replacement cushions for jaw motion rehabilitation system, pkg. of 6
Replacement measuring scales for jaw motion rehabilitation system, pkg. of 200
Dynamic adjustable elbow extension and flexion device, includes soft interface material
Static progressive stretch/patient actualized serial stretch elbow device, extension and/or flexion, with or without range of motion adjustment, includes all components and accessories
Dynamic adjustable forearm pronation/supination device, includes soft interface material
Dynamic adjustable elbow extension only device, includes soft interface material
Dynamic adjustable elbow flexion only device, includes soft interface material
Dynamic adjustable wrist extension and flexion device, includes soft interface material
Static progressive stretch wrist device, flexion and/or extension, with or without range of motion adjustment, includes all components and accessories
Dynamic adjustable wrist extension only device, includes soft interface material
Dynamic adjustable wrist flexion only device, includes soft interface material
Dynamic adjustable knee extension and flexion device, includes soft interface material
Static progressive stretch/patient actualized serial stretch knee device, extension and/or flexion, with or without range of motion adjustment, includes all components and accessories
Dynamic knee, extension/flexion device with active resistance control
Dynamic adjustable knee extension only device, includes soft interface material