This section covers a wide variety of medical and surgical supplies, as well as some DME-related supplies and accessories. Medicare generally covers DME-related supplies, accessories, maintenance, and repair under the prosthetic devices provision.
Hydrogel dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing
Hydrogel dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing
Hydrogel dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing
Hydrogel dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing
Hydrogel dressing, wound cover, sterile, pad size more than 48 sq. in., with any size adhesive border, each dressing
Hydrogel dressing, wound filler, gel, per fluid ounce
Skin sealants, protectants, moisturizers, ointments, any type, any size
Specialty absorptive dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing
Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing
Specialty absorptive dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing
Continued
Specialty absorptive dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing
Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing
Specialty absorptive dressing, wound cover, sterile, pad size more than 48 sq. in., with any size adhesive border, each dressing
Transparent film, sterile, 16 sq. in. or less, each dressing
Transparent film, sterile, more than 16 sq. in. but less than or equal to 48 sq. in., each dressing
Transparent film, sterile, more than 48 sq. in., each dressing
Wound cleansers, any type, any size
Wound filler, gel/paste, per fluid ounce, not otherwise specified
Wound filler, dry form, per gram, not otherwise specified
Gauze, impregnated, other than water, normal saline, or zinc paste, sterile, any width, per linear yard
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing
Gauze, non-impregnated, sterile, pad size more than 16 sq. in. less than or equal to 48 sq. in., without adhesive border, each dressing
Gauze, non-impregnated, sterile, pad size more than 48 sq. in., without adhesive border, each dressing
Packing strips, non-impregnated, sterile, up to 2 inches in width, per linear yard
Eye pad, sterile, each
Eye pad, non-sterile, each
Eye patch, occlusive, each
Adhesive bandage, first-aid type, any size, each
Padding bandage, non-elastic, non-woven/non-knitted, width greater than or equal to three inches and less than five inches, per yard
Conforming bandage, non-elastic, knitted/woven, non-sterile, width less than three inches, per yard
Continued
Conforming bandage, non-elastic, knitted/woven, non-sterile, width greater than or equal to three inches and less than five inches, per yard
Conforming bandage, non-elastic, knitted/woven, non-sterile, width greater than or equal to 5 inches, per yard
Conforming bandage, non-elastic, knitted/woven, sterile, width less than three inches, per yard
Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard
Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to five inches, per yard
Light compression bandage, elastic, knitted/woven, width less than three inches, per yard
Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard
Light compression bandage, elastic, knitted/woven, width greater than or equal to five inches, per yard
Moderate compression bandage, elastic, knitted/woven, load resistance of 1.25 to 1.34 foot pounds at 50% maximum stretch, width greater than or equal to three inches and less than five inches, per yard
High compression bandage, elastic, knitted/woven, load resistance greater than or equal to 1.35 foot pounds at 50% maximum stretch, width greater than or equal to three inches and less than five inches, per yard
Self-adherent bandage, elastic, non-knitted/non-woven, width less than three inches, per yard
Self-adherent bandage, elastic, non-knitted/non-woven, width greater than or equal to three inches and less than five inches, per yard
Self-adherent bandage, elastic, non-knitted/non-woven, width greater than or equal to five inches, per yard
Zinc paste impregnated bandage, non-elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard
Tubular dressing with or without elastic, any width, per linear yard
Synthetic resorbable wound dressing, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing
Synthetic resorbable wound dressing, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing
Compression burn garment, bodysuit (head to foot), custom fabricated
Compression burn garment, chin strap, custom fabricated
Compression burn garment, facial hood, custom fabricated