Disposable Medical Supplies/Durable Medical Equipment (DMS/DME)

Fourth edition (2007)

  Table of Contents

Preface, Disclosure, Copyright Information;

Coverage and Payment Rules;

Disposable medical supplies ;

·         Diabetic supplies

·         Incontinence supplies;

·         Ostomy supplies; 

·        Surgical dressings

·         Unna boot; 

·       Urological supplies

Durable Medical Equipment (DME) 

·     Definitions

·     Ambulatory blood Pressure Monitor;

·     Ambulatory electrocardiography: Cardiac event monitors, Holter monitors, Implanted loop recorders, Mobile cardiac outpatient telemetry; 

·       Apnea monitor; 

·       ART device

·       Bathroom and Toilet Equipment and Supplies;

·     Commodes;

·       Beds/Pressure Reducing Support Surfaces – Introduction;

·      Pressure Reducing Support Surfaces – Group 1;

·        Pressure Reducing Support Surfaces – Group 2 and 3;

·        Air Fluidized Beds ;

·        Hospital beds;

·        Bed accessories: Trapeze bars; Bed and Pillow Covers for Asthmatics; Bed-wetting Alarm;

·         Breast Pumps;  

·      Cardiac Defibrillators, home use

·         Catheters, Urinary;

·        Traction devices; Cervical traction;

·        Traction for low back pain;

·         Chairs, therapeutic;  

  • Gravity lumbar reduction chairs

·      Communication devices/aides; Speech generating devices

         ·         Tracheo-esophageal voice prostheses, Indwelling;

         ·          Augmentive communication aides; Communication board;

·     Compression Garments in the Treatment of Venous Stasis Ulcers;

·      Continuous passive motion device;  

·   Cooling devices;

·     Cranial Remodeling Band/Helmet for infants with asymmetrical heads;

·   Diabetes mellitus related DME;

        Glucose monitors, blood;

        Continuous Glucose Monitoring;

       External insulin pumps;

      GlucoWatch® Biographer;

       H-wave stimulation for the treatment of diabetic neuropathy

      Jet Injectors for Insulin Administration;

        Insulin Pens; Insulin syringes; 

        Shoes, therapeutic;

        Sleep sentry to detect hypoglycemia;

·  Diathermy;

 ·  Electrical Stimulation Modalities

Ø      Dorsal Column Stimulators/Spinal Cord Stimulators: Chronic pain, Angina pectoris;

Ø      Neuromuscular electrical stimulation (NMES) for disuse atrophy;

Ø      Treatment of Motor Function Disorders with Electric Nerve Stimulation - Medicare NCD;

Ø      Neuromuscular or Therapeutic Electrical Stimulation (TES);

Ø      Transcutaneous electrical nerve stimulation (TENS);

Ø      Supplies – Form-fitting Conductive Garment for TENS or NMES;

Ø      TENS – Medicare LMRPs;

Ø      Inferential current stimulation;

Ø      Non-Implantable Pelvic Floor Electrical Stimulator;

Ø      ReliefBand;

Ø      ‘Sympathetic Therapy’;

Ø      Percutaneous electrical nerve stimulation (PENS);

Ø      Implanted Peripheral Electrical Nerve Stimulation – Medicare LMRP;

Ø      Electrical Stimulation/Electro-magnetic Therapy for the Treatment of Wounds: Chronic Stage III & IV Musculo-Cutaneous Ulcerations;

Ø      Electrogalvanic Stimulators for Levator Syndrome;  

·   Environmental Control Systems;

       ·        Vaporizers;

·          Exercise Equipment;

·         Hearing aids

  • Bone-anchored Hearing Aid;

·        Infusion pumps, external; implantable;

·  Intra-oral appliances for the management of headache syndromes, TMJ

·        Jobst burn garments;

·        Lifts: Seat and Patient ;  

·       Light Emitting Diode (LED) or Infrared Therapy

·       Light therapy/phototherapy for seasonal affective disorder

·       Lymphedema ‘pump’/Manual lymph drainage;  

·      Magnetic Pelvic Floor Stimulation (MPFS) or Extracorporeal Magnetic Innervation (ExMI) therapy for Incontinence

·       Mobility Assistive Equipment: Strollers; Walkers/Rollers; Wheelchairs, Power-type and Power-operated vehicles (POVs); INDEPENDENCE iBOT 4000 Mobility System; Wheelchair seats, cushions and back supports

·       Pulmonary DME: Airway Clearance/High Frequency Chest Wall Oscillation Devices; Mechanical in-exsufflation/in-exsufflator devices; Intrapulmonary Percussive Ventilator (IPV); Nebulizers;  Oxygen coverage including portable, home oxygen; Peak expiratory flow meters; postural drainage; Respiratory assist devices; Suction pumps; vaporizers

·      Obstructive Sleep Apnea (OSA) Therapies: CPap for OSA; Noninvasive positive-pressure ventilation (NPPV)/Bilevel Positive Airway Pressure (BiPAP); Sleep Apnea, Noninvasive Positive Pressure Ventilation (NPPV)/Bi-PAP, C-PAP – References/resources; Palatal implants for obstructive sleep apnea (OSA).

·       Wound Care: Electrical Stimulation/Electro-magnetic Therapy for the Treatment of Wounds: Chronic Stage III & IV Musculo-Cutaneous Ulcerations; Negative pressure wound therapy (NPWT) Pumps; Noncontact Normothermic Wound Therapy/Radiant Heat Wound Therapy Systems; Pneumatic Compression Therapy/Circulator Boot – End-diastolic for extremity ulcers, lymphedema

Orthotic (braces) and Prosthetic Devices;  CERT document checklist links

  • Aircast ankle brace

  • Breast prosthesis, specialized bras for women post-mastectomy

  • Canes and crutches

  • Corsets

  • Dynamic Splinting Devices;  

  • Facial prostheses

  • Foot Orthotics/Prosthetics; Shoe(s), Therapeutic;

  • Hand neuroprosthesis

  • Hernia Truss/Sykes;

  • Knee braces

  • Lower limb prostheses, above-knee, computerized

  • Magnetic insoles for plantar heel pain

  • Magnetic Pelvic Floor Stimulation (MPFS);

  • Myoelectric prosthesis, upper extremity; 

  • Lower limb computerized prosthesis

  • Prosthesis criteria: functional levels

  • Scoliosis Braces

  • Spinal Orthoses – TLSO, LSO

  • Spinal Unloading Devices

  • Splints, Strapping & Casting

·         Pneumatic Compression Therapy - End-diastolic for non-healing extremity ulcers;

·        Peak expiratory flow meter; 

·         Prothrombin Time – Home Testing Systems/Coagulometers;  

·        Safety items for patient use

·        ThairapyÒ vest for cystic fibrosis; Thairapy Bronchial Drainage System;

·         Therabite® Jaw Motion Rehabilitation System;

·         Sexual Function Restorative Devices;

·         Male: Non-invasive suction or vacuum constriction devices; Penile prosthesis implantation

·         Female

·        Standers, Boards and Tilt Tables; 

·        Ultraviolet B Home Therapy;

·         Vitrectomy Face Support;

·        Whirlpool;

·        Wigs;

·      DMS/DME Miscellaneous List - Review criteria  for 275 additional items;

Addenda

·  Web  Resources

·  Reuse Information Resource

·  Medicare Advance Beneficiary Notice and Limits on Beneficiary Liability for DMS/DME; 

·  Accreditation organizations for suppliers of durable medical equipment, prosthetics, orthotics and supplies

Please e-mail apollomanagedcare@cox.net to request specific current example pages from the preceding table of contents.

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