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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• E0716

  Supplies and accessories for intravaginal device intended to strengthen pelvic floor muscles during kegel exercises

• E0720

  Transcutaneous electrical nerve stimulation (tens) device, two lead, localized stimulation

• E0721

  Transcutaneous electrical nerve stimulator for nerves in the auricular region

• E0730

  Transcutaneous electrical nerve stimulation (tens) device, four or more leads, for multiple nerve stimulation

• E0731

  Form fitting conductive garment for delivery of tens or nmes (with conductive fibers separated from the patient's skin by layers of fabric)

• E0732

  Cranial electrotherapy stimulation (ces) system, any type

• E0733

  Transcutaneous electrical nerve stimulator for electrical stimulation of the trigeminal nerve

• E0734

  External upper limb tremor stimulator of the peripheral nerves of the wrist

• E0735

  Non-invasive vagus nerve stimulator

• E0736

  Transcutaneous tibial nerve stimulator

• E0737

  Transcutaneous tibial nerve stimulator, controlled by phone application

• E0738

  Upper extremity rehabilitation system providing active assistance to facilitate muscle re-education, include microprocessor, all components and accessories

• E0739

  Rehabilitation system with interactive interface providing active assistance in rehabilitation therapy, includes all components and accessories, motors, microprocessors, sensors

• E0740

  Non-implanted pelvic floor electrical stimulator, complete system

• E0743

  External lower extremity nerve stimulator for restless legs syndrome, each

• E0744

  Neuromuscular stimulator for scoliosis

• E0745

  Neuromuscular stimulator, electronic shock unit

• E0746

  Electromyography (emg), biofeedback device

• E0747

  Osteogenesis stimulator, electrical, non-invasive, other than spinal applications

• E0748

  Osteogenesis stimulator, electrical, non-invasive, spinal applications

• E0749

  Osteogenesis stimulator, electrical, surgically implanted

• E0755

  Electronic salivary reflex stimulator (intra-oral/non-invasive)

• E0760

  Osteogenesis stimulator, low intensity ultrasound, non-invasive

• E0761

  Non-thermal pulsed high frequency radiowaves, high peak power electromagnetic energy treatment device

• E0762

  Transcutaneous electrical joint stimulation device system, includes all accessories

• E0764

  Functional neuromuscular stimulation, transcutaneous stimulation of sequential muscle groups of ambulation with computer control, used for walking by spinal cord injured, entire system, after completion of training program

• E0765

  Fda approved nerve stimulator, for treatment of nausea and vomiting

• E0766

  Electrical stimulation device used for cancer treatment, includes all accessories, any type

• E0767

  Intrabuccal, systemic delivery of amplitude-modulated, radiofrequency electromagnetic field device, for cancer treatment, includes all accessories

• E0769

  Electrical stimulation or electromagnetic wound treatment device, not otherwise classified

• E0770

  Functional electrical stimulator, transcutaneous stimulation of nerve and/or muscle groups, any type, complete system, not otherwise specified

• E0776

  Iv pole

• E0779

  Ambulatory infusion pump, mechanical, reusable, for infusion 8 hours or greater

• E0780

  Ambulatory infusion pump, mechanical, reusable, for infusion less than 8 hours

• E0781

  Ambulatory infusion pump, single or multiple channels, electric or battery operated, with administrative equipment, worn by patient

• E0782

  Infusion pump, implantable, non-programmable (includes all components, e.g., pump, catheter, connectors, etc.)

• E0783

  Infusion pump system, implantable, programmable (includes all components, e.g., pump, catheter, connectors, etc.)

• E0784

  External ambulatory infusion pump, insulin

• E0785

  Implantable intraspinal (epidural/intrathecal) catheter used with implantable infusion pump, replacement

• E0786

  Implantable programmable infusion pump, replacement (excludes implantable intraspinal catheter)

• E0787

  External ambulatory infusion pump, insulin, dosage rate adjustment using therapeutic continuous glucose sensing

• E0791

  Parenteral infusion pump, stationary, single or multi-channel

• E0830

  Ambulatory traction device, all types, each

• E0840

  Traction frame, attached to headboard, cervical traction

• E0849

  Traction equipment, cervical, free-standing stand/frame, pneumatic, applying traction force to other than mandible

• E0850

  Traction stand, free standing, cervical traction

• E0855

  Cervical traction equipment not requiring additional stand or frame

• E0856

  Cervical traction device, with inflatable air bladder(s)

• E0860

  Traction equipment, overdoor, cervical

• E0870

  Traction frame, attached to footboard, extremity traction, (e.g., buck's)

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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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