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.
Filter holder or filter cap, reusable, for use in a tracheostoma heat and moisture exchange system, each
Filter for use in a tracheostoma heat and moisture exchange system, each
Housing, reusable without adhesive, for use in a heat and moisture exchange system and/or with a tracheostoma valve, each
Adhesive disc for use in a heat and moisture exchange system and/or with tracheostoma valve, any type each
Filter holder and integrated filter without adhesive, for use in a tracheostoma heat and moisture exchange system, each
Housing and integrated adhesive, for use in a tracheostoma heat and moisture exchange system and/or with a tracheostoma valve, each
Filter holder and integrated filter housing, and adhesive, for use as a tracheostoma heat and moisture exchange system, each
Tracheostomy/laryngectomy tube, non-cuffed, polyvinylchloride (pvc), silicone or equal, each
Tracheostomy/laryngectomy tube, cuffed, polyvinylchloride (pvc), silicone or equal, each
Tracheostomy/laryngectomy tube, stainless steel or equal (sterilizable and reusable), each
Continued
Tracheostomy shower protector, each
Tracheostoma stent/stud/button, each
Tracheostomy mask, each
Tracheostomy tube collar/holder, each
Tracheostomy/laryngectomy tube plug/stop, each
Helmet, protective, soft, prefabricated, includes all components and accessories
Helmet, protective, hard, prefabricated, includes all components and accessories
Helmet, protective, soft, custom fabricated, includes all components and accessories
Helmet, protective, hard, custom fabricated, includes all components and accessories
Soft interface for helmet, replacement only
Powered, cable driven grip assist glove, hand, finger, includes microprocessor, pressure sensors, all components and accessories, custom fitted
New
Powered, cable driven grip assist glove, hand, finger, includes pressure sensors, glove replacement only
New
Non-prescription drugs
Single vitamin/mineral/trace element, oral, per dose, not otherwise specified
Multiple vitamins, with or without minerals and trace elements, oral, per dose, not otherwise specified
Artificial saliva, 1 ml
Artificial saliva, 30 ml
Oral mucoadhesive, any type (liquid, gel, paste, etc.), per 1 ml
Pediculosis (lice infestation) treatment, topical, for administration by patient/caretaker
Programmer for transient, orally ingested capsule
Continued
Programable, transient, orally ingested capsule, for use with external programmer, per month
Non-covered item or service
Wound suction, disposable, includes dressing, all accessories and components, any type, each
Cold or hot fluid bottle, ice cap or collar, heat and/or cold wrap, any type
External ambulatory insulin delivery system, disposable, each, includes all supplies and accessories
Home glucose disposable monitor, includes test strips
Sensor; invasive (e.g., subcutaneous), disposable, for use with non-durable medical equipment interstitial continuous glucose monitoring system, one unit = 1 day supply
Transmitter; external, for use with non-durable medical equipment interstitial continuous glucose monitoring system
Receiver (monitor); external, for use with non-durable medical equipment interstitial continuous glucose monitoring system
Monitoring feature/device, stand-alone or integrated, any type, includes all accessories, components and electronics, not otherwise classified
Alert or alarm device, not otherwise classified
Reaching/grabbing device, any type, any length, each
Wig, any type, each
Foot pressure off loading/supportive device, any type, each
Spirometer, non-electronic, includes all accessories
Inversion/eversion correction device
Hygienic item or device, disposable or non-disposable, any type, each
Prescription digital cognitive and/or behavioral therapy, fda cleared, per course of treatment
Prescription digital visual therapy, software-only, fda cleared, per course of treatment
Fertility cycle (contraception & conception) tracking software application, fda cleared, per month, includes accessories (e.g., thermometer)