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.
Gradient compression wrap with adjustable straps, above knee, each, custom
Canister, disposable, used with suction pump, each
Canister, non-disposable, used with suction pump, each
Tubing, used with suction pump, each
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable
Small volume nonfiltered pneumatic nebulizer, disposable
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable
Administration set, with small volume filtered pneumatic nebulizer
Large volume nebulizer, disposable, unfilled, used with aerosol compressor
Large volume nebulizer, disposable, prefilled, used with aerosol compressor
Continued
Reservoir bottle, non-disposable, used with large volume ultrasonic nebulizer
Corrugated tubing, disposable, used with large volume nebulizer, 100 feet
Corrugated tubing, non-disposable, used with large volume nebulizer, 10 feet
Water collection device, used with large volume nebulizer
Filter, disposable, used with aerosol compressor or ultrasonic generator
Filter, nondisposable, used with aerosol compressor or ultrasonic generator
Aerosol mask, used with dme nebulizer
Dome and mouthpiece, used with small volume ultrasonic nebulizer
Nebulizer, durable, glass or autoclavable plastic, bottle type, not used with oxygen
Water, distilled, used with large volume nebulizer, 1000 ml
Interface for cough stimulating device, includes all components, replacement only
Supplies and accessories for lung expansion airway clearance, continuous high frequency oscillation, and nebulization device (e.g., handset, nebulizer kit, biofilter)
Mechanical allergen particle barrier/inhalation filter, cream, nasal, topical
High frequency chest wall oscillation system vest, replacement for use with patient owned equipment, each
High frequency chest wall oscillation system hose, replacement for use with patient owned equipment, each
Combination oral/nasal mask, used with continuous positive airway pressure device, each
Oral cushion for combination oral/nasal mask, replacement only, each
Nasal pillows for combination oral/nasal mask, replacement only, pair
Full face mask used with positive airway pressure device, each
Face mask interface, replacement for full face mask, each
Continued
Cushion for use on nasal mask interface, replacement only, each
Pillow for use on nasal cannula type interface, replacement only, pair
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap
Headgear used with positive airway pressure device
Chinstrap used with positive airway pressure device
Tubing used with positive airway pressure device
Filter, disposable, used with positive airway pressure device
Filter, non disposable, used with positive airway pressure device
One way chest drain valve
Water seal drainage container and tubing for use with implanted chest tube
Implanted pleural catheter, each
Vacuum drainage bottle and tubing for use with implanted catheter
Oral interface used with positive airway pressure device, each
Exhalation port with or without swivel used with accessories for positive airway devices, replacement only
Water chamber for humidifier, used with positive airway pressure device, replacement, each
Oral interface used with respiratory suction pump, each
Vacuum drainage collection unit and tubing kit, including all supplies needed for collection unit change, for use with implanted catheter, each
Expiratory positive airway pressure intranasal resistance valve
Tracheostoma valve, including diaphragm, each
Replacement diaphragm/faceplate for tracheostoma valve, each