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