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.
Ostomy skin barrier, liquid (spray, brush, etc.), per oz
Ostomy skin barrier, powder, per oz
Ostomy skin barrier, solid 4 x 4 or equivalent, standard wear, with built-in convexity, each
Ostomy skin barrier, with flange (solid, flexible or accordion), with built-in convexity, any size, each
Ostomy pouch, drainable, with faceplate attached, plastic, each
Ostomy pouch, drainable, with faceplate attached, rubber, each
Ostomy pouch, drainable, for use on faceplate, plastic, each
Ostomy pouch, drainable, for use on faceplate, rubber, each
Ostomy pouch, urinary, with faceplate attached, plastic, each
Ostomy pouch, urinary, with faceplate attached, rubber, each
Continued
Ostomy pouch, urinary, for use on faceplate, plastic, each
Ostomy pouch, urinary, for use on faceplate, heavy plastic, each
Ostomy pouch, urinary, for use on faceplate, rubber, each
Ostomy faceplate equivalent, silicone ring, each
Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each
Ostomy pouch, closed, with barrier attached, with built-in convexity (1 piece), each
Ostomy pouch, drainable, with extended wear barrier attached, (1 piece), each
Ostomy pouch, drainable, with barrier attached, with built-in convexity (1 piece), each
Ostomy pouch, drainable, with extended wear barrier attached, with built-in convexity (1 piece), each
Ostomy pouch, urinary, with extended wear barrier attached (1 piece), each
Ostomy pouch, urinary, with standard wear barrier attached, with built-in convexity (1 piece), each
Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity (1 piece), each
Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce
Ostomy deodorant for use in ostomy pouch, solid, per tablet
Ostomy belt with peristomal hernia support
Irrigation supply; sleeve, each
Ostomy irrigation supply; bag, each
Ostomy irrigation supply; cone/catheter, with or without brush
Ostomy irrigation set
Lubricant, per ounce
Continued
Ostomy ring, each
Ostomy skin barrier, non-pectin based, paste, per ounce
Ostomy skin barrier, pectin-based, paste, per ounce
Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each
Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, with built-in convexity, larger than 4 x 4 inches, each
Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each
Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, larger than 4 x 4 inches, each
Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, with built-in convexity, each
Ostomy pouch, drainable, high output, for use on a barrier with flange (2 piece system), without filter, each
Ostomy pouch, drainable, high output, for use on a barrier with flange (2 piece system), with filter, each
Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each
Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, larger than 4 x 4 inches, each
Ostomy pouch, closed, with barrier attached, with filter (1 piece), each
Ostomy pouch, closed, with barrier attached, with built-in convexity, with filter (1 piece), each
Ostomy pouch, closed; without barrier attached, with filter (1 piece), each
Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each
Ostomy pouch, closed; for use on barrier with locking flange (2 piece), each
Ostomy supply; miscellaneous
Ostomy absorbent material (sheet/pad/crystal packet) for use in ostomy pouch to thicken liquid stomal output, each
Ostomy pouch, closed; for use on barrier with locking flange, with filter (2 piece), each