HCPCS Service Codes - Rental of DME

HCPCS Service Code R for Rental of DME.

HCPCS Type of Service (TOS) code is an indicator that the contractor places on Form CMS-1500. The indicator is mainly used for data purposes, however in some instances, it affects payment. All HCPCS codes have a corresponding TOS indicator.

Below are all available HCPCS TOS codes. Find an HCPCS code based on the type of service.

HCPCS Codes for Rental of DME

  • E1195

    Heavy duty wheelchair, fixed full length arms, swing away detachable elevating legrests

  • E1200

    Amputee wheelchair, fixed full length arms, swing away detachable footrest

  • E1221

    Wheelchair with fixed arm, footrests

  • E1222

    Wheelchair with fixed arm, elevating legrests

  • E1223

    Wheelchair with detachable arms, footrests

  • E1224

    Wheelchair with detachable arms, elevating legrests

  • E1225

    Wheelchair accessory, manual semi-reclining back, (recline greater than 15 degrees, but less than 80 degrees), each

  • E1228

    Special back height for wheelchair

  • E1240

    Lightweight wheelchair, detachable arms, (desk or full length) swing away detachable, elevating legrest

  • E1250

    Lightweight wheelchair, fixed full length arms, swing away detachable footrest

  • E1260

    Lightweight wheelchair, detachable arms (desk or full length) swing away detachable footrest

  • E1270

    Lightweight wheelchair, fixed full length arms, swing away detachable elevating legrests

  • E1280

    Heavy duty wheelchair, detachable arms (desk or full length) elevating legrests

  • E1285

    Heavy duty wheelchair, fixed full length arms, swing away detachable footrest

  • E1290

    Heavy duty wheelchair, detachable arms (desk or full length) swing away detachable footrest

  • E1295

    Heavy duty wheelchair, fixed full length arms, elevating legrest

  • E1353

    Regulator

  • E1355

    Stand/rack

  • E1390

    Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate

  • E1391

    Oxygen concentrator, dual delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate, each

  • E1392

    Portable oxygen concentrator, rental

  • E1405

    Oxygen and water vapor enriching system with heated delivery

  • E1406

    Oxygen and water vapor enriching system without heated delivery

  • E1802

    Dynamic adjustable forearm pronation/supination device, includes soft interface material

  • E1832

    Static progressive stretch finger device, extension and/or flexion, with or without range of motion adjustment, includes all components and accessories

  • E1841

    Static progressive stretch/patient actualized serial stretch shoulder device, with or without range of motion adjustment, includes all components and accessories

  • E1905

    Virtual reality cognitive behavioral therapy device (cbt), including pre-programmed therapy software

  • E2000

    Gastric suction pump, home model, portable or stationary, electric

  • E2001

    Suction pump, home model, portable or stationary, electric, any type, for use with external urine and/or fecal management system

  • E2120

    Pulse generator system for tympanic treatment of inner ear endolymphatic fluid

  • E2402

    Negative pressure wound therapy electrical pump, stationary or portable

  • E3000

    Speech volume modulation system, any type, including all components and accessories

  • E3200

    Gait modulation system, rhythmic auditory stimulation, including restricted therapy software, all components and accessories, prescription only

  • K0001

    Standard wheelchair

  • K0002

    Standard hemi (low seat) wheelchair

  • K0003

    Lightweight wheelchair

  • K0004

    High strength, lightweight wheelchair

  • K0006

    Heavy duty wheelchair

  • K0007

    Extra heavy duty wheelchair

  • K0195

    Elevating leg rests, pair (for use with capped rental wheelchair base)

  • K0455

    Infusion pump used for uninterrupted parenteral administration of medication, (e.g., epoprostenol or treprostinol)

  • K0730

    Controlled dose inhalation drug delivery system

  • K0743

    Suction pump, home model, portable, for use on wounds

  • K1001

    Electronic positional obstructive sleep apnea treatment, with sensor, includes all components and accessories, any type

  • K1002

    Cranial electrotherapy stimulation (ces) system, any type

  • K1006

    Suction pump, home model, portable or stationary, electric, any type, for use with external urine management system

  • K1009

    Speech volume modulation system, any type, including all components and accessories

  • K1016

    Transcutaneous electrical nerve stimulator for electrical stimulation of the trigeminal nerve

  • K1018

    External upper limb tremor stimulator of the peripheral nerves of the wrist

  • K1020

    Non-invasive vagus nerve stimulator