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.
Hospital bed, fixed height, without side rails, without mattress
Hospital bed, variable height, hi-lo, without side rails, with mattress
Hospital bed, variable height, hi-lo, without side rails, without mattress
Hospital bed, semi-electric (head and foot adjustment), without side rails, with mattress
Hospital bed, semi-electric (head and foot adjustment), without side rails, without mattress
Hospital bed, total electric (head, foot and height adjustments), without side rails, with mattress
Hospital bed, total electric (head, foot and height adjustments), without side rails, without mattress
Pediatric crib, hospital grade, fully enclosed, with or without top enclosure
Hospital bed, heavy duty, extra wide, with weight capacity greater than 350 pounds, but less than or equal to 600 pounds, with any type side rails, without mattress
Hospital bed, extra heavy duty, extra wide, with weight capacity greater than 600 pounds, with any type side rails, without mattress
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Hospital bed, heavy duty, extra wide, with weight capacity greater than 350 pounds, but less than or equal to 600 pounds, with any type side rails, with mattress
Hospital bed, extra heavy duty, extra wide, with weight capacity greater than 600 pounds, with any type side rails, with mattress
Bed side rails, half length
Bed side rails, full length
Bed accessory: board, table, or support device, any type
Safety enclosure frame/canopy for use with hospital bed, any type
Urinal; male, jug-type, any material
Urinal; female, jug-type, any material
Hospital bed, pediatric, manual, 360 degree side enclosures, top of headboard, footboard and side rails up to 24 inches above the spring, includes mattress
Hospital bed, pediatric, electric or semi-electric, 360 degree side enclosures, top of headboard, footboard and side rails up to 24 inches above the spring, includes mattress
Control unit for electronic bowel irrigation/evacuation system
Disposable pack (water reservoir bag, speculum, valving mechanism and collection bag/box) for use with the electronic bowel irrigation/evacuation system
Air pressure elevator for heel
Nonpowered advanced pressure reducing overlay for mattress, standard mattress length and width
Powered air overlay for mattress, standard mattress length and width
Nonpowered advanced pressure reducing mattress
Stationary compressed gaseous oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, and tubing
Stationary compressed gas system, purchase; includes regulator, flowmeter, humidifier, nebulizer, cannula or mask, and tubing
Portable gaseous oxygen system, purchase; includes regulator, flowmeter, humidifier, cannula or mask, and tubing
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing
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Portable liquid oxygen system, rental; home liquefier used to fill portable liquid oxygen containers, includes portable containers, regulator, flowmeter, humidifier, cannula or mask and tubing, with or without supply reservoir and contents gauge
Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing
Portable liquid oxygen system, purchase; includes portable container, supply reservoir, flowmeter, humidifier, contents gauge, cannula or mask, tubing and refill adaptor
Stationary liquid oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, & tubing
Stationary liquid oxygen system, purchase; includes use of reservoir, contents indicator, regulator, flowmeter, humidifier, nebulizer, cannula or mask, and tubing
Stationary oxygen contents, gaseous, 1 month's supply = 1 unit
Stationary oxygen contents, liquid, 1 month's supply = 1 unit
Portable oxygen contents, gaseous, 1 month's supply = 1 unit
Portable oxygen contents, liquid, 1 month's supply = 1 unit
Oximeter device for measuring blood oxygen levels non-invasively
Topical oxygen delivery system, not otherwise specified, includes all supplies and accessories
Portable oxygen contents, liquid, 1 month's supply = 1 unit, prescribed amount at rest or nighttime exceeds 4 liters per minute (lpm)
Volume control ventilator, without pressure support mode, may include pressure control mode, used with invasive interface (e.g., tracheostomy tube)
Oxygen tent, excluding croup or pediatric tents
Chest shell (cuirass)
Chest wrap
Negative pressure ventilator; portable or stationary
Volume control ventilator, without pressure support mode, may include pressure control mode, used with non-invasive interface (e.g., mask)
Rocking bed with or without side rails
Pressure support ventilator with volume control mode, may include pressure control mode, used with invasive interface (e.g., tracheostomy tube)