Ineligible Durable Medical Equipment

Ineligible Durable Medical Equipment List

A

  • Adjustable bed
  • Aero massage
  • Air cleaners - electric
  • Air filter/cleaner/conditioner/purifier
  • Air purifier
  • Ankle/wrist weight
  • Aqua-whirl
  • Aqua K-pad
  • Augmentation voice output communication aid
  • Auto lift
  • Auto wheelchair carrier
  • Automasseur
  • Automated medication dispenser
  • Automobile modifications

B

  • Back chair
  • Basic power trainer
  • Bath bench (E0245)
  • Bath chair
  • Bath lift
  • Bathtub grab bar
  • Bathtub padded seat
  • Bathtub safety rail (E0246)
  • Bathtub seat or shower chair (E0245)
  • Bathtub transfer bench (E0179)
  • Bathtub whirlpool (E1300)
  • Beanbag lap tray
  • Bed bath
  • Bed board (E0273, E0315)
  • Bed lift
  • Bed pan (E0275, E0276)
  • Bed tray (E0315)
  • Bed wedge (E0272 - foam rubber)
  • Bicycle
  • Bidet toilet seat (E0244)
  • Blue ice reusable flex gel pack

C

  • Car Seat
  • Carafe
  • Chair board
  • Chairlift (E0627)
  • Climber - exercise equipment
  • Cold therapy system
  • Commode seat lift (E0625)
  • Communic-Aid
  • Communication aid with keyboard and printer
  • Communication system
  • Communicator
  • Continuous Passive Motion Machine
  • Cryo cuff
  • Cuff weight
  • Cushion-lift chair (same as a seat lift) (E0621)
  • Cutlery - built-up

D

  • Dehumidifier
  • Deluxe high back chair table
  • Diapulse equipment
  • Digital augmentative communicator (DAC) - communication device with sound output
  • Dressing stick
  • Dumbbells
  • Dynamic LE coil for power wheel chair

E

  • Ear pulse (low-pressure pulse generator - a portable, computerized device designed for treatment of Meniere's disease)
  • Easel for wheelchair HCPCS (K0108)
  • Egg switch for power wheel chair
  • Electronic communication aid which records and saves spoken messages
  • Electronic communication aid with synthesized speech output
  • Electrostatic machine
  • Elevator
  • Elevator chair (E0627)
  • Emesis basin
  • Enuresis monitor
  • Environmental control system
  • Esophageal dilator
  • Exercise equipment (including basic power trainer [form of exercise equipment for paraplegic, quadriplegic, stroke, MS patient or other conditions], ergometer cycle, exercise bike, Limb-O-Cycle, Moore wheel, resistive exerciser, Restorator, motorized or manual treadmill, ankle/wrist weights, dumbbells, resistive exercise band, climbers, and rowers)

F

  • Feeding and dressing aid
  • Foot stool

G

  • Gatchboard (bed board)
  • Gel flotation pad (E0185)
  • Gel pack (E0230)
  • Geri-chair (E1031)
  • Glideabout chair (E1031)
  • Grab bar (E0241)
  • Grabber
  • Grooming aid

H

  • Hand-held shower
  • Handi ramp - wheelchair ramp
  • Heat and massage foam cushion pad
  • Heat lamp (E0205)
  • Heater
  • Heating and cooling plant
  • Heating pad (E0210)
  • Home massage equipment
  • Humidifier (for a room or part of a central heating system)
  • Hydraulic patient lift (E0630)

I

  • Incontinence clamp
  • Infinity wheelchair cushion
  • Inflatable bathtub
  • Intercom

J

  • Jay Seating System (Jay cushion/Jay back)

K

  • Knee walker/roller

L

  • Lamb's wool pad
  • Lift chair
  • Lift recliner
  • Lumbar Rehabilitation System/back chair
  • LUX phototherapy light fixture

M

  • Massage device
  • Massage pillow
  • Medical alert jewelry
  • Mobile geriatric chair (same as a rollabout chair)
  • Multi-position chair

O

  • Over-bed table (E0274)

P

  • Page turner
  • Parallel bars (Walk-A-Long)
  • Patient assist pole
  • Pediatric bath chair
  • Personal Reader
  • Pill crusher
  • Pool-lift chair
  • Porch-lift vertical wheelchair lift
  • Posture support chair (same as a seat lift)
  • Push or pull handles for power wheel chair

R

  • Raised toilet seat
  • Reacher/reaching aid
  • Recliner (with or without a seat lift)
  • Roller aides/knee walker
  • Room heater
  • Rubber blanket or sheet

S

  • Safety bath lift
  • Safety grab bar
  • Safety side rail (does not include side rails that are built into hospital beds that are approved for coverage)
  • Sauna
  • Scale
  • Seat lift
  • Shampoo/rinse basin or tray
  • Shower and safety support bar
  • Shower chair (E0245)
  • Shower hose
  • Specialty posture chair
  • Speech amplifier
  • Stairway lift/elevator (Golden-Glide stairway lift, Stairglide)
  • Stand aid
  • Standing table
  • Step stool
  • Stroller
  • Sun lamp
  • Support back chair

T

  • Telephone alert system
  • Tinnitus masker
  • Toilet assist rail (E0243)
  • Toilet safety frame
  • Toilet seat-portable elevated
  • Toilet seat-raised (E0244)
  • Toilet seat erector (E0625)
  • Toilet seat (E0160 through E0179)
  • Transfer tub bench or seat
  • Translift chair
  • Travel chair
  • Tricycloped
  • Trunk lift
  • Tub items (refer to bathtub)

U

  • Urinal (E0326 - female, E0325 - male)

V

  • Vaginal cone
  • Vaporizer (E0605)
  • Vehicle customization charges
  • Vehicle (customized vans, cars, trucks, etc.)
  • Vibrator
  • Vocal Aid - serving as voice amplifier or equipment that augments speech like tape recorder or computer
  • Voice amplificaider

W

  • Wash basin
  • Water pressure pad
  • Weight equipment
  • Wheelchair - Surry tricycloped/motorized cart with ramps that carry a wheelchair
  • Wheelchair lift
  • Wheelchair ramp
  • Wheelchair table (E0950)
  • Wheelchair tray (E0950)
  • Wheelchair/scooter lift
  • Whirlpool bath (portable or stationary)
  • Whirlpool pump

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