DME, Prosthetics, Orthotics and Supplies

13 categories, 245 billing codes.

Durable medical equipment23 codes
E0100Cane, includes canes of all materials, adjustable or fixed, with tip E0105Cane, quad or three-prong, with tip E0110Crutches, forearm, adjustable or fixed, pair E0112Crutches, underarm, wood, adjustable or fixed, pair E0130Walker, rigid, adjustable or fixed height E0135Walker, folding, adjustable or fixed height E0140Walker, with trunk support E0143Walker, folding, wheeled, adjustable or fixed height E0148Walker, heavy duty, without wheels E0163Commode chair, stationary, with fixed arms E0165Commode chair, stationary, with detachable arms E0170Commode chair, mobile/stationary, with electrical elevation, with integrated seat E0181Powered pressure-reducing air mattress E0182Pump for alternating pressure pad/mattress, replacement only E0184Dry pressure mattress E0190Positioning cushion/pillow, any shape/size E0193Powered air flotation bed, low air loss therapy E0605Vaporizer, room type E0625Patient lift, bathroom or toilet E0720Transcutaneous electrical nerve stimulator (TENS), two lead E0730Transcutaneous electrical nerve stimulator (TENS), four lead E0776IV pole E1399Durable medical equipment, miscellaneous
Respiratory equipment26 codes
E0424Stationary liquid oxygen system, rental E0431Portable gaseous oxygen system, rental E0433Portable liquid oxygen system, rental E0439Stationary liquid oxygen system, rental, includes container E0441Stationary oxygen contents, gaseous, per month E0442Stationary oxygen contents, liquid, per month E0443Portable oxygen contents, gaseous, per month E0444Portable oxygen contents, liquid, per month E0446Topical oxygen delivery system E0455Oxygen tent, excluding croup or pediatric tents E0470Respiratory assist device, bilevel pressure capability, without backup rate E0471Respiratory assist device, bilevel pressure capability, with backup rate E0472Respiratory assist device, bilevel, with backup rate, invasive interface E0480Percussor, electric or pneumatic, for chest wall oscillation E0481Intrapulmonary percussive ventilation system E0483High frequency chest wall oscillation system E0561Humidifier, non-heated, for use with positive airway pressure device E0562Humidifier, heated, for use with positive airway pressure device E0570Nebulizer, with compressor E0574Ultrasonic/electronic aerosol generator with small volume nebulizer E0585Nebulizer, with compressor and heater E0601Continuous positive airway pressure (CPAP) device E0602Breast pump, manual, any type E0603Breast pump, electric, any type E0618Apnea monitor, without recording feature E0619Apnea monitor, with recording feature
Mobility equipment20 codes
E0950Wheelchair accessory, tray E0951Wheelchair accessory, loop heel/toe strap E0955Wheelchair accessory, headrest, cushioned E0961Wheelchair accessory, wheel lock brake extension E0967Manual wheelchair accessory, hand rim with projections E0970Wheelchair accessory, footrest, lower extension tube E0983Manual wheelchair accessory, power add-on to convert to motorized E1130Standard wheelchair, fixed full-length arms E1140Wheelchair, detachable arms, swing away detachable footrests E1150Wheelchair, detachable arms, elevating leg rests E1160Wheelchair, fixed full-length arms, elevating leg rests E1161Manual adult size wheelchair, tilt-in-space E1230Power operated vehicle (scooter), 3 or 4 wheel E1231Wheelchair, pediatric size, tilt-in-space, folding E2201Manual wheelchair accessory, nonstandard seat frame width, replacement only K0001Standard wheelchair K0003Lightweight wheelchair K0004High strength lightweight wheelchair K0005Ultralightweight wheelchair K0813Power wheelchair, group 1 standard, portable, weight capacity up to 300 lbs
Hospital beds14 codes
E0250Hospital bed, fixed height, with any type side rails, with mattress E0251Hospital bed, fixed height, with any type side rails, without mattress E0255Hospital bed, variable height, hi-lo, with side rails, with mattress E0256Hospital bed, variable height, hi-lo, with side rails, without mattress E0260Hospital bed, semi-electric, with any type side rails, with mattress E0261Hospital bed, semi-electric, with any type side rails, without mattress E0265Hospital bed, total electric, with any type side rails, with mattress E0266Hospital bed, total electric, with any type side rails, without mattress E0271Mattress, innerspring E0272Mattress, foam rubber E0277Powered pressure-reducing air mattress E0280Bed cradle, any type E0290Hospital bed, fixed height, without side rails, with mattress E0300Hospital bed, pediatric
Prosthetics26 codes
L5000Partial foot prosthesis, shoe insert with longitudinal arch, toe filler L5010Partial foot prosthesis, molded socket, ankle height, soft interface L5050Ankle symes prosthesis, molded socket L5100Below knee prosthesis, molded socket, shin, SACH foot L5200Above knee prosthesis, molded socket, single axis constant friction knee L5301Below knee prosthesis, molded socket, shin, SACH foot, endoskeletal system L5321Above knee prosthesis, molded socket, open end, endoskeletal system L5400Immediate post-surgical or early fitting, application of initial rigid dressing L5500Initial, below knee PTB type socket, non-alignable system L5629Addition to lower extremity, below knee, acrylic socket L5700Replacement, socket, below knee, molded to patient model L5980All lower extremity prostheses, flex foot system L5981All lower extremity prostheses, flex-walk system or equal L5987All lower extremity prosthesis, shank foot system with vertical loading pylon L6000Partial hand, thumb remaining L6100Interscapular thoracic, molded socket, shoulder bulkhead L6250Below elbow, molded socket L6400Above elbow, molded double wall socket L6600Upper extremity additions, polycentric hinge, pair L6805Addition to upper extremity prosthesis, monitor control mechanism L7007Electric hand, switch or myoelectric controlled, adult L7180Electronic elbow, adolescent, myoelectronically controlled L8039Upper extremity prosthesis, not otherwise specified L8400Sheath for below knee prosthesis L8420Sheath for above knee prosthesis L8499Unlisted procedure for miscellaneous prosthetic services
Orthotics26 codes
L0112Cranial cervical orthosis, congenital torticollis type L0140Cervical, semi-rigid, thermoplastic collar, molded to patient L0450Thoracic-lumbar-sacral orthosis (TLSO), flexible, provides trunk support L0500Thoracic-lumbar-sacral orthosis (TLSO), rigid, custom fitted L0621Sacroiliac orthosis, flexible, provides pelvic-sacral support L0630Lumbar-sacral orthosis, sagittal control, rigid posterior panel L0810Addition to halo procedure, cervical collar with attachment L1000Cervical-thoracic-lumbar-sacral orthosis, anterior-posterior-lateral control L1685Hip orthosis, abduction control of hip joints, dynamic L1830Knee orthosis, immobilizer, canvas longitudinal L1832Knee orthosis, adjustable joint, without soft interface L1843Knee orthosis, single upright, thigh and calf, adjustable flexion/extension joint L1845Knee orthosis, double upright, thigh and calf, adjustable flexion/extension joint L1900Ankle-foot orthosis, spring wire, dorsiflexion assist L1902Ankle orthosis, ankle gauntlet, prefabricated L1906Ankle-foot orthosis, multiligamentous ankle support L1930Ankle-foot orthosis, plastic or other material, prefabricated L1932Ankle-foot orthosis, rigid anterior tibial section, custom L1951Ankle-foot orthosis, spiral, plastic L1960Ankle-foot orthosis, posterior solid ankle, plastic L2999Lower extremity orthosis, not otherwise specified L3000Foot insert, removable, molded to patient model L3809Wrist-hand-finger orthosis, without joints, prefabricated L3906Wrist-hand orthosis, includes one or more nontorsion joints L3960Shoulder-elbow-wrist-hand orthosis, abduction positioning L4631Ankle-foot orthosis, walking boot type, with or without joints
Enteral and parenteral supplies26 codes
B4034Enteral feeding supply kit, syringe fed, per day B4035Enteral feeding supply kit, pump fed, per day B4036Enteral feeding supply kit, gravity fed, per day B4081Nasogastric tubing with stylet B4082Nasogastric tubing without stylet B4083Stomach tube, Levine type B4087Gastrostomy/jejunostomy tube, standard, any material, any type, each B4088Gastrostomy/jejunostomy tube, low-profile, any material, any type, each B4100Food thickener, administered orally B4102Enteral formula, for adults, used to replace fluids/electrolytes B4104Additive for enteral formula B4149Enteral formula, manufactured blenderized natural foods B4150Enteral formula, nutritionally complete, per 100 calories B4152Enteral formula, nutritionally complete, calorically dense B4153Enteral formula, hydrolyzed/amino acids, per 100 calories B4154Enteral formula, nutritionally incomplete/modular nutrients B4160Enteral formula, nutritionally complete, special metabolic needs, per 100 calories B4162Enteral formula, special metabolic needs, inherited disease of metabolism B4164Parenteral nutrition solution, carbohydrates, per liter B4168Parenteral nutrition solution, amino acid, 3.5%, per liter B4172Parenteral nutrition solution, amino acid, 5.5%, per liter B4185Parenteral nutrition solution, per 10 grams lipids B4189Parenteral nutrition solution compounded amino acid/carb, 10-51g protein/liter B5000Parenteral nutrition solution compounded for renal failure B9002Enteral nutrition infusion pump, without alarm B9004Parenteral nutrition infusion pump, portable
Diabetic supplies16 codes
A4233Replacement battery, alkaline, for blood glucose monitor A4238Supply allowance for adjunctive continuous glucose monitor, per month A4239Supply allowance for non-adjunctive continuous glucose monitor, per month A4244Alcohol or peroxide, per pint A4245Alcohol wipes, per box A4250Urine test/reagent strips A4253Blood glucose test/reagent strips A4256Normal, low, and high calibrator solution/chips A4258Spring-powered device for lancet A4259Lancets, per box of 100 E0607Home blood glucose monitor E2100Blood glucose monitor with integrated voice synthesizer E2101Blood glucose monitor with integrated lancing/blood sample K0553Supply allowance for therapeutic continuous glucose monitor K0554Receiver (monitor), dedicated, for therapeutic glucose continuous monitor S1030Continuous glucose monitoring system, purchase
Surgical supplies9 codes
A4206Syringe with needle, sterile, 1cc, each A4208Syringe with needle, sterile, 3cc, each A4210Needle-free injection device, each A4550Surgical trays A4649Surgical supply, miscellaneous A4657Syringe, with or without needle A4927Gloves, non-sterile, per 100 A4930Gloves, sterile, per pair A4931Oral thermometer, reusable, any type
Ostomy supplies19 codes
A4361Ostomy faceplate A4362Skin barrier, solid, 4x4 or equivalent, each A4363Ostomy clamp, any type, replacement only A4367Ostomy belt, each A4371Ostomy skin barrier, powder, per oz A4375Ostomy pouch, drainable, with faceplate attached, plastic, each A4383Ostomy pouch, drainable, for use on barrier with flange, rubber, each A4396Ostomy belt with peristomal hernia support A4397Irrigation supply, sleeve, each A4398Ostomy irrigation supply, bag, each A4402Lubricant, per ounce A4404Ostomy ring, each A4405Ostomy skin barrier, non-pectin based, paste, per oz A4406Ostomy skin barrier, pectin-based, paste, per oz A5051Ostomy pouch, closed, with barrier attached, one piece, each A5052Ostomy pouch, closed, without barrier attached, each A5061Ostomy pouch, drainable, without barrier attached, each A5071Ostomy pouch, urinary, with barrier attached, one piece, each A5093Ostomy accessory, convex insert
Urological supplies21 codes
A4310Insertion tray without drainage bag and without catheter A4311Insertion tray with drainage bag, without catheter, two-way latex A4314Insertion tray with drainage bag, with indwelling catheter, two-way latex A4315Insertion tray with drainage bag, with indwelling catheter, two-way, all silicone A4326Male external catheter, specialty type A4327Female external urinary collection device, meatal cup A4328Female external urinary collection device, pouch A4331Extension drainage tubing, any type, any length, with connector/adaptor A4335Incontinence supply, miscellaneous A4336Incontinence supply, urethral insert, any type A4338Indwelling catheter, Foley type, two-way latex, each A4340Indwelling catheter, specialty type A4344Indwelling catheter, Foley type, two-way, all silicone A4346Indwelling catheter, Foley type, three-way, for continuous irrigation A4351Intermittent urinary catheter, straight tip, each A4352Intermittent urinary catheter, coude tip, each A4353Intermittent urinary catheter, with insertion supplies A4354Insertion tray with drainage bag but without catheter, sterile A4356External urethral clamp or compression device A4357Bedside drainage bag, day/night, with or without anti-reflux device A4358Urinary leg or abdomen bag, vinyl, latex, or equivalent
Wound-care supplies12 codes
A6196Alginate dressing, wound cover, sterile, pad size 16 sq in or less A6216Gauze, non-impregnated, non-sterile, pad size 16 sq in or less A6222Gauze, impregnated with other than water/normal saline, sterile, pad size 16 sq in or less A6234Hydrocolloid dressing, wound cover, sterile, pad size 16 sq in or less A6242Hydrogel dressing, wound cover, sterile, pad size 16 sq in or less A6248Hydrogel dressing, wound filler, gel, per fluid ounce A6402Gauze, non-impregnated, sterile, pad size 16 sq in or less A6407Packing strips, non-impregnated, sterile, per linear yard A6441Padding bandage, non-elastic, non-woven, width 3in to 5in, per yard A6448Light compression bandage, elastic, width less than 3in, per yard A6453Self-adherent bandage, elastic, width 3in to 5in, per yard A6457Tubular dressing, any width, per linear yard
Additional durable medical equipment7 codes
A7027Combination oral/nasal mask A7028Repl oral cushion combo mask A7029Repl nasal pillow comb mask A7030Cpap full face mask A7031Replacement facemask interfa A7032Replacement nasal cushion A7033Replacement nasal pillows