Before an item can be considered DME, it must meet all of the following requirements:

• It must be able to withstand repeated use.
• It must be primarily and customarily used to serve a medical purpose.
• It must be generally not useful to a person in the absence of an illness or injury.
• It must be appropriate for use in the home.

All E codes fall under the jurisdiction of the DME MAC unless otherwise noted.

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• E0100

  Cane, includes canes of all materials, adjustable or fixed, with tip

• E0105

  Cane, quad or three prong, includes canes of all materials, adjustable or fixed, with tips

• E0110

  Crutches, forearm, includes crutches of various materials, adjustable or fixed, pair, complete with tips and handgrips

• E0111

  Crutch forearm, includes crutches of various materials, adjustable or fixed, each, with tip and handgrips

• E0112

  Crutches underarm, wood, adjustable or fixed, pair, with pads, tips and handgrips

• E0113

  Crutch underarm, wood, adjustable or fixed, each, with pad, tip and handgrip

• E0114

  Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips

• E0116

  Crutch, underarm, other than wood, adjustable or fixed, with pad, tip, handgrip, with or without shock absorber, each

• E0117

  Crutch, underarm, articulating, spring assisted, each

• E0118

  Crutch substitute, lower leg platform, with or without wheels, each

• E0130

  Walker, rigid (pickup), adjustable or fixed height

• E0135

  Walker, folding (pickup), adjustable or fixed height

• E0140

  Walker, with trunk support, adjustable or fixed height, any type

• E0141

  Walker, rigid, wheeled, adjustable or fixed height

• E0143

  Walker, folding, wheeled, adjustable or fixed height

• E0144

  Walker, enclosed, four sided framed, rigid or folding, wheeled with posterior seat

• E0147

  Walker, heavy duty, multiple braking system, variable wheel resistance

• E0148

  Walker, heavy duty, without wheels, rigid or folding, any type, each

• E0149

  Walker, heavy duty, wheeled, rigid or folding, any type

• E0150

  Combination wheeled walker with seat and transport chair, folding, adjustable or fixed height

• E0152

  Walker, battery powered, wheeled, folding, adjustable or fixed height

• E0153

  Platform attachment, forearm crutch, each

• E0154

  Platform attachment, walker, each

• E0155

  Wheel attachment, rigid pick-up walker, per pair

• E0156

  Seat attachment, walker

• E0157

  Crutch attachment, walker, each

• E0158

  Leg extensions for walker, per set of four (4)

• E0159

  Brake attachment for wheeled walker, replacement, each

• E0160

  Sitz type bath or equipment, portable, used with or without commode

• E0161

  Sitz type bath or equipment, portable, used with or without commode, with faucet attachment/s

• E0162

  Sitz bath chair

• E0163

  Commode chair, mobile or stationary, with fixed arms

• E0165

  Commode chair, mobile or stationary, with detachable arms

• E0167

  Pail or pan for use with commode chair, replacement only

• E0168

  Commode chair, extra wide and/or heavy duty, stationary or mobile, with or without arms, any type, each

• E0170

  Commode chair with integrated seat lift mechanism, electric, any type

• E0171

  Commode chair with integrated seat lift mechanism, non-electric, any type

• E0172

  Seat lift mechanism placed over or on top of toilet, any type

• E0175

  Foot rest, for use with commode chair, each

• E0181

  Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty

• E0182

  Pump for alternating pressure pad, for replacement only

• E0183

  Powered pressure reducing underlay/pad, alternating, with pump, includes heavy duty

• E0184

  Dry pressure mattress

• E0185

  Gel or gel-like pressure pad for mattress, standard mattress length and width

• E0186

  Air pressure mattress

• E0187

  Water pressure mattress

• E0188

  Synthetic sheepskin pad

• E0189

  Lambswool sheepskin pad, any size

• E0190

  Positioning cushion/pillow/wedge, any shape or size, includes all components and accessories

• E0191

  Heel or elbow protector, each

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HCPCS Level II codes and descriptors are approved and maintained jointly by the alpha-numeric editorial panel (consisting of CMS, the Health Insurance Association of America, and the Blue Cross and Blue Shield Association). — Updated 6/23/2026

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