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 pouch, drainable, with barrier attached, with filter (1 piece), each
Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each
Ostomy pouch, drainable; for use on barrier with locking flange (2 piece system), each
Ostomy pouch, drainable; for use on barrier with locking flange, with filter (2 piece system), each
Ostomy pouch, urinary, with extended wear barrier attached, with faucet-type tap with valve (1 piece), each
Ostomy pouch, urinary, with barrier attached, with built-in convexity, with faucet-type tap with valve (1 piece), each
Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity, with faucet-type tap with valve (1 piece), each
Ostomy pouch, urinary; with barrier attached, with faucet-type tap with valve (1 piece), each
Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each
Ostomy pouch, urinary; for use on barrier with locking flange (2 piece), each
Continued
Ostomy pouch, urinary; for use on barrier with locking flange, with faucet-type tap with valve (2 piece), each
Ostomy pouch, drainable, high output, with extended wear barrier (one-piece system), with or without filter, each
Irrigation supply; sleeve, reusable, per month
Irrigation supply; sleeve, disposable, per month
Adhesive clip applied to the skin to secure external electrical nerve stimulator controller, each
Tape, non-waterproof, per 18 square inches
Tape, waterproof, per 18 square inches
Rectal catheter with or without balloon, for use with any type transanal irrigation system, each
Adhesive remover or solvent (for tape, cement or other adhesive), per ounce
Adhesive remover, wipes, any type, each
Enema tube, with or without adapter, any type, replacement only, each
Enema bag with tubing, reusable
Manual transanal irrigation system, includes water reservoir, pump, tubing, and accessories, without catheter, any type
Surgical dressing holder, non-reusable, each
Surgical dressing holder, reusable, each
Non-elastic binder for extremity
Garment, belt, sleeve or other covering, elastic or similar stretchable material, any type, each
Belt, strap, sleeve, garment, or covering, any type
Exsufflation belt, includes all supplies and accessories
Gravlee jet washer
Continued
Electronic transanal irrigation system, includes electronic pump, water reservoir, tubing, and accessories, without catheter, any type
New
Vabra aspirator
Tracheostoma filter, any type, any size, each
Moisture exchanger, disposable, for use with invasive mechanical ventilation
Surgical stockings above knee length, each
Surgical stockings thigh length, each
Surgical stockings below knee length, each
Surgical stockings full length, each
Incontinence garment, any type, (e.g., brief, diaper), each
Distal transcutaneous electrical nerve stimulator, stimulates peripheral nerves of the upper arm
Monthly supplies for use of device coded at e0733
Supplies and accessories for external upper limb tremor stimulator of the peripheral nerves of the wrist
Supplies for transcutaneous electrical nerve stimulator, for nerves in the auricular region, per month
Electrode for external lower extremity nerve stimulator for restless legs syndrome
Supplies and accessories for external tibial nerve stimulator (e.g., socks, gel pads, electrodes, etc.), needed for one month
Surgical trays
Non-disposable underpads, all sizes
Disposable underpads, all sizes
Electrode/transducer for use with electrical stimulation device used for cancer treatment, replacement only
Electrodes, (e.g., apnea monitor), per pair