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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• E0621

  Sling or seat, patient lift, canvas or nylon

• E0625

  Patient lift, bathroom or toilet, not otherwise classified

• E0627

  Seat lift mechanism, electric, any type

• E0628

  Separate seat lift mechanism for use with patient owned furniture-electric

• E0629

  Seat lift mechanism, non-electric, any type

• E0630

  Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)

• E0635

  Patient lift, electric with seat or sling

• E0636

  Multipositional patient support system, with integrated lift, patient accessible controls

• E0637

  Combination sit to stand frame/table system, any size including pediatric, with seat lift feature, with or without wheels

• E0638

  Standing frame/table system, one position (e.g., upright, supine or prone stander), any size including pediatric, with or without wheels

• E0639

  Patient lift, moveable from room to room with disassembly and reassembly, includes all components/accessories

• E0640

  Patient lift, fixed system, includes all components/accessories

• E0641

  Standing frame/table system, multi-position (e.g., three-way stander), any size including pediatric, with or without wheels

• E0642

  Standing frame/table system, mobile (dynamic stander), any size including pediatric

• E0650

  Pneumatic compressor, non-segmental home model

• E0651

  Pneumatic compressor, segmental home model without calibrated gradient pressure

• E0652

  Pneumatic compressor, segmental home model with calibrated gradient pressure

• E0655

  Non-segmental pneumatic appliance for use with pneumatic compressor, half arm

• E0656

  Segmental pneumatic appliance for use with pneumatic compressor, trunk

• E0657

  Segmental pneumatic appliance for use with pneumatic compressor, chest

• E0658

  Segmental pneumatic appliance for use with pneumatic compressor, integrated, 2 full arms and chest

• E0659

  Segmental pneumatic appliance for use with pneumatic compressor, integrated, head, neck and chest

• E0660

  Non-segmental pneumatic appliance for use with pneumatic compressor, full leg

• E0665

  Non-segmental pneumatic appliance for use with pneumatic compressor, full arm

• E0666

  Non-segmental pneumatic appliance for use with pneumatic compressor, half leg

• E0667

  Segmental pneumatic appliance for use with pneumatic compressor, full leg

• E0668

  Segmental pneumatic appliance for use with pneumatic compressor, full arm

• E0669

  Segmental pneumatic appliance for use with pneumatic compressor, half leg

• E0670

  Segmental pneumatic appliance for use with pneumatic compressor, integrated, 2 full legs and trunk

• E0671

  Segmental gradient pressure pneumatic appliance, full leg

• E0672

  Segmental gradient pressure pneumatic appliance, full arm

• E0673

  Segmental gradient pressure pneumatic appliance, half leg

• E0675

  Pneumatic compression device, high pressure, rapid inflation/deflation cycle, for arterial insufficiency (unilateral or bilateral system)

• E0676

  Intermittent limb compression device (includes all accessories), not otherwise specified

• E0677

  Non-pneumatic sequential compression garment, trunk

• E0678

  Non-pneumatic sequential compression garment, full leg

• E0679

  Non-pneumatic sequential compression garment, half leg

• E0680

  Non-pneumatic compression controller with sequential calibrated gradient pressure

• E0681

  Non-pneumatic compression controller without calibrated gradient pressure

• E0682

  Non-pneumatic sequential compression garment, full arm

• E0683

  Non-pneumatic, non-sequential, peristaltic wave compression pump

• E0691

  Ultraviolet light therapy system, includes bulbs/lamps, timer and eye protection; treatment area 2 square feet or less

• E0692

  Ultraviolet light therapy system panel, includes bulbs/lamps, timer and eye protection, 4 foot panel

• E0693

  Ultraviolet light therapy system panel, includes bulbs/lamps, timer and eye protection, 6 foot panel

• E0694

  Ultraviolet multidirectional light therapy system in 6 foot cabinet, includes bulbs/lamps, timer and eye protection

• E0700

  Safety equipment, device or accessory, any type

• E0705

  Transfer device, any type, each

• E0710

  Restraints, any type (body, chest, wrist or ankle)

• E0711

  Upper extremity medical tubing/lines enclosure or covering device, restricts elbow range of motion

• E0715

  Intravaginal device intended to strengthen pelvic floor muscles during kegel exercises

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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 7/21/2026

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