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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• E1372

  Immersion external heater for nebulizer

• E1390

  Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate

• E1391

  Oxygen concentrator, dual delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate, each

• E1392

  Portable oxygen concentrator, rental

• E1399

  Durable medical equipment, miscellaneous

• E1405

  Oxygen and water vapor enriching system with heated delivery

• E1406

  Oxygen and water vapor enriching system without heated delivery

• E1500

  Centrifuge, for dialysis

• E1510

  Kidney, dialysate delivery syst kidney machine, pump recirculating, air removal syst, flowrate meter, power off, heater and temperature control with alarm, i.v. poles, pressure gauge, concentrate container

• E1520

  Heparin infusion pump for hemodialysis

• E1530

  Air bubble detector for hemodialysis, each, replacement

• E1540

  Pressure alarm for hemodialysis, each, replacement

• E1550

  Bath conductivity meter for hemodialysis, each

• E1560

  Blood leak detector for hemodialysis, each, replacement

• E1570

  Adjustable chair, for esrd patients

• E1575

  Transducer protectors/fluid barriers, for hemodialysis, any size, per 10

• E1580

  Unipuncture control system for hemodialysis

• E1590

  Hemodialysis machine

• E1592

  Automatic intermittent peritoneal dialysis system

• E1594

  Cycler dialysis machine for peritoneal dialysis

• E1600

  Delivery and/or installation charges for hemodialysis equipment

• E1610

  Reverse osmosis water purification system, for hemodialysis

• E1615

  Deionizer water purification system, for hemodialysis

• E1620

  Blood pump for hemodialysis, replacement

• E1625

  Water softening system, for hemodialysis

• E1629

  Tablo hemodialysis system for the billable dialysis service

• E1630

  Reciprocating peritoneal dialysis system

• E1632

  Wearable artificial kidney, each

• E1634

  Peritoneal dialysis clamps, each

• E1635

  Compact (portable) travel hemodialyzer system

• E1636

  Sorbent cartridges, for hemodialysis, per 10

• E1637

  Hemostats, each

• E1639

  Scale, each

• E1699

  Dialysis equipment, not otherwise specified

• E1700

  Jaw motion rehabilitation system

• E1701

  Replacement cushions for jaw motion rehabilitation system, pkg. of 6

• E1702

  Replacement measuring scales for jaw motion rehabilitation system, pkg. of 200

• E1800

  Dynamic adjustable elbow extension and flexion device, includes soft interface material

• E1801

  Static progressive stretch/patient actualized serial stretch elbow device, extension and/or flexion, with or without range of motion adjustment, includes all components and accessories

• E1802

  Dynamic adjustable forearm pronation/supination device, includes soft interface material

• E1803

  Dynamic adjustable elbow extension only device, includes soft interface material

• E1804

  Dynamic adjustable elbow flexion only device, includes soft interface material

• E1805

  Dynamic adjustable wrist extension and flexion device, includes soft interface material

• E1806

  Static progressive stretch wrist device, flexion and/or extension, with or without range of motion adjustment, includes all components and accessories

• E1807

  Dynamic adjustable wrist extension only device, includes soft interface material

• E1808

  Dynamic adjustable wrist flexion only device, includes soft interface material

• E1810

  Dynamic adjustable knee extension and flexion device, includes soft interface material

• E1811

  Static progressive stretch/patient actualized serial stretch knee device, extension and/or flexion, with or without range of motion adjustment, includes all components and accessories

• E1812

  Dynamic knee, extension/flexion device with active resistance control

• E1813

  Dynamic adjustable knee extension only device, includes soft interface material

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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 6/3/2026

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