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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• E0880

  Traction stand, free standing, extremity traction

• E0890

  Traction frame, attached to footboard, pelvic traction

• E0900

  Traction stand, free standing, pelvic traction, (e.g., buck's)

• E0910

  Trapeze bars, a/k/a patient helper, attached to bed, with grab bar

• E0911

  Trapeze bar, heavy duty, for patient weight capacity greater than 250 pounds, attached to bed, with grab bar

• E0912

  Trapeze bar, heavy duty, for patient weight capacity greater than 250 pounds, free standing, complete with grab bar

• E0920

  Fracture frame, attached to bed, includes weights

• E0930

  Fracture frame, free standing, includes weights

• E0935

  Continuous passive motion exercise device for use on knee only

• E0936

  Continuous passive motion exercise device for use other than knee

• E0940

  Trapeze bar, free standing, complete with grab bar

• E0941

  Gravity assisted traction device, any type

• E0942

  Cervical head harness/halter

• E0944

  Pelvic belt/harness/boot

• E0945

  Extremity belt/harness

• E0946

  Fracture, frame, dual with cross bars, attached to bed, (e.g., balken, 4 poster)

• E0947

  Fracture frame, attachments for complex pelvic traction

• E0948

  Fracture frame, attachments for complex cervical traction

• E0950

  Wheelchair accessory, tray, each

• E0951

  Heel loop/holder, any type, with or without ankle strap, each

• E0952

  Toe loop/holder, any type, each

• E0953

  Wheelchair accessory, lateral thigh or knee support, any type including fixed mounting hardware, each

• E0954

  Wheelchair accessory, foot box, any type, includes attachment and mounting hardware, each foot

• E0955

  Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each

• E0956

  Wheelchair accessory, lateral trunk or hip support, any type, including fixed mounting hardware, each

• E0957

  Wheelchair accessory, medial thigh support, any type, including fixed mounting hardware, each

• E0958

  Manual wheelchair accessory, one-arm drive attachment, each

• E0959

  Manual wheelchair accessory, adapter for amputee, each

• E0960

  Wheelchair accessory, shoulder harness/straps or chest strap, including any type mounting hardware

• E0961

  Manual wheelchair accessory, wheel lock brake extension (handle), each

• E0966

  Manual wheelchair accessory, headrest extension, each

• E0967

  Manual wheelchair accessory, hand rim with projections, any type, replacement only, each

• E0968

  Commode seat, wheelchair

• E0969

  Narrowing device, wheelchair

• E0970

  No. 2 footplates, except for elevating leg rest

• E0971

  Manual wheelchair accessory, anti-tipping device, each

• E0973

  Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each

• E0974

  Manual wheelchair accessory, anti-rollback device, each

• E0978

  Wheelchair accessory, positioning belt/safety belt/pelvic strap, each

• E0980

  Safety vest, wheelchair

• E0981

  Wheelchair accessory, seat upholstery, replacement only, each

• E0982

  Wheelchair accessory, back upholstery, replacement only, each

• E0983

  Manual wheelchair accessory, power add-on to convert manual wheelchair to motorized wheelchair, joystick control

• E0984

  Manual wheelchair accessory, power add-on to convert manual wheelchair to motorized wheelchair, tiller control

• E0985

  Wheelchair accessory, seat lift mechanism

• E0986

  Manual wheelchair accessory, power assist system

• E0988

  Manual wheelchair accessory, lever-activated, wheel drive, pair

• E0990

  Wheelchair accessory, elevating leg rest, complete assembly, each

• E0992

  Manual wheelchair accessory, solid seat insert

• E0994

  Arm rest, 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 6/3/2026

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