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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Wheelchair accessory, calf rest/pad, replacement only, each
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Wheelchair accessory, power seating system, tilt only
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Wheelchair accessory, power seating system, recline only, without shear reduction
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Wheelchair accessory, power seating system, recline only, with mechanical shear reduction
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Wheelchair accessory, power seating system, recline only, with power shear reduction
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Wheelchair accessory, power seating system, combination tilt and recline, without shear reduction
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Wheelchair accessory, power seating system, combination tilt and recline, with mechanical shear reduction
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Wheelchair accessory, power seating system, combination tilt and recline, with power shear reduction
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Wheelchair accessory, addition to power seating system, mechanically linked leg elevation system, including pushrod and leg rest, each
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Wheelchair accessory, addition to power seating system, power leg elevation system, including leg rest, pair
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Continued
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Modification to pediatric size wheelchair, width adjustment package (not to be dispensed with initial chair)
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Wheelchair accessory, addition to power seating system, center mount power elevating leg rest/platform, complete system, any type, each
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Reclining back, addition to pediatric size wheelchair
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Shock absorber for manual wheelchair, each
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Shock absorber for power wheelchair, each
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Heavy duty shock absorber for heavy duty or extra heavy duty manual wheelchair, each
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Heavy duty shock absorber for heavy duty or extra heavy duty power wheelchair, each
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Residual limb support system for wheelchair, any type
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Wheelchair transportation securement system, any type includes all components and accessories
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Wheelchair transit securement system, includes all components and accessories
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Wheelchair accessory, manual swingaway, retractable or removable mounting hardware, other
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Wheelchair accessory, ventilator tray, fixed
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Wheelchair accessory, ventilator tray, gimbaled
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Rollabout chair, any and all types with casters 5" or greater
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Wheelchair accessory, manual swingaway, retractable or removable mounting hardware used with joystick or other drive control interface
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Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for headrest, cushioned, any type
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Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for lateral trunk or hip support, any type
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Multi-positional patient transfer system, with integrated seat, operated by care giver, patient weight capacity up to and including 300 lbs
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Multi-positional patient transfer system, extra-wide, with integrated seat, operated by caregiver, patient weight capacity greater than 300 lbs
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Transport chair, pediatric size
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Continued
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Transport chair, adult size, patient weight capacity up to and including 300 pounds
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Transport chair, adult size, heavy duty, patient weight capacity greater than 300 pounds
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Fully-reclining wheelchair, fixed full length arms, swing away detachable elevating leg rests
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Fully-reclining wheelchair, detachable arms, desk or full length, swing away detachable elevating legrests
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Fully-reclining wheelchair, detachable arms (desk or full length) swing away detachable footrest
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Hemi-wheelchair, fixed full length arms, swing away detachable elevating leg rest
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Hemi-wheelchair, detachable arms desk or full length arms, swing away detachable elevating leg rests
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Hemi-wheelchair, fixed full length arms, swing away detachable foot rests
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Hemi-wheelchair detachable arms desk or full length, swing away detachable footrests
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High strength lightweight wheelchair, fixed full length arms, swing away detachable elevating leg rests
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High strength lightweight wheelchair, detachable arms desk or full length, swing away detachable elevating leg rests
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High strength lightweight wheelchair, fixed length arms, swing away detachable footrest
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High strength lightweight wheelchair, detachable arms desk or full length, swing away detachable foot rests
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Wide heavy duty wheel chair, detachable arms (desk or full length), swing away detachable elevating leg rests
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Wide heavy duty wheelchair, detachable arms desk or full length arms, swing away detachable footrests
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Semi-reclining wheelchair, fixed full length arms, swing away detachable elevating leg rests
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Semi-reclining wheelchair, detachable arms (desk or full length) elevating leg rest
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Standard wheelchair, fixed full length arms, fixed or swing away detachable footrests
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Wheelchair, detachable arms, desk or full length, swing away detachable footrests
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Wheelchair, detachable arms, desk or full length swing away detachable elevating legrests