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.
Prescription digital cognitive and/or behavioral therapy, biofeedback, fda cleared, per course of treatment
New
Exercise equipment
Technetium tc-99m sestamibi, diagnostic, per study dose
Technetium tc-99m teboroxime, diagnostic, per study dose
Technetium tc-99m tetrofosmin, diagnostic, per study dose
Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuries
Technetium tc-99m apcitide, diagnostic, per study dose, up to 20 millicuries
Thallium tl-201 thallous chloride, diagnostic, per millicurie
Graphite crucible for preparation of technetium tc 99m-labeled carbon aerosol, one crucible
Indium in-111 capromab pendetide, diagnostic, per study dose, up to 10 millicuries
Continued
Iodine i-131 iobenguane sulfate, diagnostic, per 0.5 millicurie
Iodine i-123 sodium iodide, diagnostic, per millicurie
Technetium tc-99m disofenin, diagnostic, per study dose, up to 15 millicuries
Technetium tc-99m pertechnetate, diagnostic, per millicurie
Lutetium lu 177, dotatate, therapeutic, 1 millicurie
Choline c-11, diagnostic, per study dose up to 20 millicuries
Iodine i-123 sodium iodide, diagnostic, per 100 microcuries, up to 999 microcuries
Iodine i-131 sodium iodide capsule(s), therapeutic, per millicurie
Technetium tc-99m tilmanocept, diagnostic, up to 0.5 millicuries
Technetium tc-99m exametazime, diagnostic, per study dose, up to 25 millicuries
Iodine i-131 iodinated serum albumin, diagnostic, per 5 microcuries
Nitrogen n-13 ammonia, diagnostic, per study dose, up to 40 millicuries
Iodine i-125, sodium iodide solution, therapeutic, per millicurie
Iodine i-131 sodium iodide capsule(s), diagnostic, per millicurie
Iodine i-131 sodium iodide solution, diagnostic, per millicurie
Iodine i-131 sodium iodide solution, therapeutic, per millicurie
Iodine i-131 sodium iodide, diagnostic, per microcurie (up to 100 microcuries)
Iodine i-125 serum albumin, diagnostic, per 5 microcuries
Technetium tc-99m depreotide, diagnostic, per study dose, up to 35 millicuries
Technetium tc-99m mebrofenin, diagnostic, per study dose, up to 15 millicuries
Continued
Technetium tc-99m pyrophosphate, diagnostic, per study dose, up to 25 millicuries
Technetium tc-99m pentetate, diagnostic, per study dose, up to 25 millicuries
Technetium tc-99m macroaggregated albumin, diagnostic, per study dose, up to 10 millicuries
Technetium tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries
Indium in-111 ibritumomab tiuxetan, diagnostic, per study dose, up to 5 millicuries
Yttrium y-90 ibritumomab tiuxetan, therapeutic, per treatment dose, up to 40 millicuries
Iodine i-131 tositumomab, diagnostic, per study dose
Iodine i-131 tositumomab, therapeutic, per treatment dose
Cobalt co-57/58, cyanocobalamin, diagnostic, per study dose, up to 1 microcurie
Indium in-111 oxyquinoline, diagnostic, per 0.5 millicurie
Indium in-111 pentetate, diagnostic, per 0.5 millicurie
Technetium tc-99m sodium gluceptate, diagnostic, per study dose, up to 25 millicurie
Technetium tc-99m succimer, diagnostic, per study dose, up to 10 millicuries
Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries
Chromium cr-51 sodium chromate, diagnostic, per study dose, up to 250 microcuries
Iodine i-125 sodium iothalamate, diagnostic, per study dose, up to 10 microcuries
Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries
Gallium ga-67 citrate, diagnostic, per millicurie
Technetium tc-99m bicisate, diagnostic, per study dose, up to 25 millicuries
Xenon xe-133 gas, diagnostic, per 10 millicuries