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.


  • 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


  • Continued
  • 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


  • Continued
  • 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