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.
Urine test or reagent strips or tablets (100 tablets or strips)
Blood ketone test or reagent strip, each
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips
Platforms for home blood glucose monitor, 50 per box
Normal, low and high calibrator solution / chips
Replacement lens shield cartridge for use with laser skin piercing device, each
Spring-powered device for lancet, each
Lancets, per box of 100
Cervical cap for contraceptive use
Temporary, absorbable lacrimal duct implant, each
Continued
Permanent, long term, non-dissolvable lacrimal duct implant, each
Permanent implantable contraceptive intratubal occlusion device(s) and delivery system
Paraffin, per pound
Diaphragm for contraceptive use
Contraceptive supply, condom, male, each
Contraceptive supply, condom, female, each
Contraceptive supply, spermicide (e.g., foam, gel), each
Disposable endoscope sheath, each
Integrated lancing and blood sample testing cartridges for home blood glucose monitor, per month
Adhesive skin support attachment for use with external breast prosthesis, each
Tubing for breast pump, replacement
Adapter for breast pump, replacement
Cap for breast pump bottle, replacement
Breast shield and splash protector for use with breast pump, replacement
Polycarbonate bottle for use with breast pump, replacement
Locking ring for breast pump, replacement
Disposable collection and storage bag for breast milk, any size, any type, each
Sacral nerve stimulation test lead, each
Implantable access catheter, (e.g., venous, arterial, epidural subarachnoid, or peritoneal, etc.) external access
Implantable access total catheter, port/reservoir (e.g., venous, arterial, epidural, subarachnoid, peritoneal, etc.)
Continued
Disposable drug delivery system, flow rate of 50 ml or greater per hour
Disposable drug delivery system, flow rate of less than 50 ml per hour
Insertion tray without drainage bag and without catheter (accessories only)
Insertion tray without drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)
Insertion tray without drainage bag with indwelling catheter, foley type, two-way, all silicone
Insertion tray without drainage bag with indwelling catheter, foley type, three-way, for continuous irrigation
Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)
Insertion tray with drainage bag with indwelling catheter, foley type, two-way, all silicone
Insertion tray with drainage bag with indwelling catheter, foley type, three-way, for continuous irrigation
Irrigation tray with bulb or piston syringe, any purpose
Therapeutic agent for urinary catheter irrigation
Irrigation syringe, bulb or piston, each
Male external catheter with integral collection chamber, any type, each
Female external urinary collection device; meatal cup, each
Female external urinary collection device; pouch, each
Perianal fecal collection pouch with adhesive, each
Extension drainage tubing, any type, any length, with connector/adaptor, for use with urinary leg bag or urostomy pouch, each
Lubricant, individual sterile packet, each
Urinary catheter anchoring device, adhesive skin attachment, each
Urinary catheter anchoring device, leg strap, each