Worker's Compensation
Auto-Adjudication
Durable Medical Equipment
Select Sub-section
Air Conduction Hearing Aids
Airway Clearance Devices
Artificial
Pancreas
Device
Systems
Automated Insulin Delivery Devices
Automatic
External Defibrillators
Blood Glucose Monitors & Supplies
Bowel Management Devices
Cervical
Traction
Devices
Electric Breast Pumps
Electrical Nerve Stimulation, Transcutaneous, Percutaneous
Electrical Stimulation for Pain
Electrostim-ulation and Electromag-netic Therapy for Treating Wounds
Neuromuscular Electrical Stimulation (NMES)
Percutaneous Electrical Nerve Stimulation (PENS)
External Continuous Insulin Infusion Pumps
External Infusion Pumps
(non-insulin)
High Frequency
Chest Wall
Oscillation
Implantable Bone Conduction & Bone-Anchored Hearing Aids
Implantable Continuous Glucose Monitors
(I-CGM)
Infant Home Apnea
Monitors
Infant Home Cardiorespiratory Monitoring
Mechanical
In-exsufflation Devices
Nebulizers
Negative Pressure Wound Therapy Pumps
Inpatient- OutPatient
Negative Pressure Wound Therapy (NPWT)
Vacuum Assisted Wound Therapy in the Outpatient Setting
Neuromuscular Stimulation in the Treatment of Muscle Atrophy
Oral Appliances
for Obstructive Sleep Apnea
NonInvasive Ultrasound Osteogenesis Stimulators
Osteogenic Stimulation/
Non-Invasive Electrical Bone Growth Stimulators (EBGS)
Positive Pressure Ventilation
Respiratory Assist Devices
Speech
Generating
Devices
Suction
Pump
Prothrombin Time Self-Monitoring Devices
Transtympanic Micropressure Applications as a Treatment of Meniere's Disease
Ultrasound &
Electrical Bone Growth Stimulation
Ambulatory Assistance Devices
Ankle-Foot/Knee-Ankle-Foot Orthosis
Back-Up Ventilators in the Home Setting
Home Ventilators
Canes
&
Crutches
Bathroom & Toilet Equipment & Supplies
Compression Garments for the Legs
Continuous Passive Motion (CPM) Machines
Corset Used as Hernia Support
Cranial Orthosis for Craniosynostosis
& Plagiocephaly
Cryoanalgesia & Therapeutic Cold
Foot Orthoses, Foot Care Services
Gait Trainers
Hand Orthotic
Heating Pads
&
Heat Lamps
Hospital Beds
&
Accessories
Knee Braces
Prefabricated & Prophylactic Knee Braces
Lymphedema & Venous Stasis Ulcer Treatments
Mechanical Stretching Devices for Joint Stiffness & Contracture
Noninvasive Home Ventilator Therapy for Respiratory Failure
Orthopedic Footwear
Orthotics
Oxygen & Oxygen Equipment
Patient
Lifts
Pediatric Gait Trainers
Pneumatic Compression Devices
Pressure Reducing Support Surfaces - Group 1
Pressure Reducing Support Surfaces - Group 2
Pressure Reducing Support Surfaces - Group 3
Power Operated Vehicle (POV)
Refractive Lenses
Seat Lift Mechanisms
Scoliosis Braces
& Casts
Seat Lift Mechanisms, Patient Lifts & Standing Devices
Spinal Orthoses: TLSO & LSO
Standing Frames
Therapeutic Chairs
Therapeutic Shoes for Persons with Diabetes
Vitrectomy Chair/Face-Down Positioning System
Walkers
Wheelchairs & Wheelchair Accessories
External Breast Prostheses
Eye
Prostheses
Facial Prostheses
Lower Limb Prostheses
Microprocessor-Controlled Prosthetic for the Lower Limb
Prosthetics
Prosthetic Limb Vacuum Systems
Upper Limb Prostheses
Enteral Nutrition
Hyperalimentation (Total Parenteral Nutrition)
Intradialytic Parenteral Nutrition
Lymphedema Garments
Ostomy
Supplies
Functional Electrical Stimulation & Neuromuscular Electrical Stimulation
SUPPLIES TRANSCUTANEOUS ELECTRICAL NERVE STIMULATION (TENS) & NEUROMUSCULAR ELECTRICAL STIMULATION (NMES)
69930, L8614, L8615, L8616, L8617, L8619, L8625, L8627, L8628, S2235, E0193, E0194, E0265, E0266, E0296, E0329, E0297, 94669, E0483, 97605, 97606, A6550, A9272, E2402, K0743, E0466, 21086, 21088, A9282, L5100, L5105, L5150, L5160, L5200, L5210, L5220, L5230, L5301, L5312, L5321, L5610, L5611, L5613, L5614, L5616, L5645, L5649, L5651, L5673, L5677, L5679, L5681, L5683, L5700, L5701, L5703, L5718, L5722, L5724, L5726, L5728, L5780, L5781, L5782, L5814, L5816, L5818, L5822, L5824, L5826, L5828, L5830, L5840, L5845, L5848, L5856, L5857, L5858, L5859, L5930, L5950, L5960, L5968, L5969, L5973, L5976, L5979, L5980, L5981, L5987, L5988, L5990, L5999, L6000, L6010, L6020, L6026, L6050, L6055, L6100, L6110, L6120, L6130, L6200, L6205, L6250, L6300, L6310, L6320, L6350, L6360, L6370, L6400, L6450, L6500, L6550, L6570, L6580, L6582, L6584, L6586, L6588, L6590, L6600, L6605, L6610, L6611, L6615, L6616, L6620, L6621, L6623, L6624, L6625, L6628, L6629, L6630, L6632, L6635, L6637, L6638, L6640, L6641, L6642, L6645, L6646, L6647, L6648, L6650, L6655, L6660, L6665, L6670, L6672, L6675, L6676, L6677, L6680, L6682, L6684, L6686, L6687, L6688, L6689, L6690, L6691, L6692, L6693, L6694, L6695, L6696, L6697, L6698, L6703, L6704, L6706, L6707, L6708, L6709, L6711, L6712, L6713, L6714, L6715, L6721, L6722, L6805, L6810, L6880, L6881,L6882, L6883, L6884, L6885, L6890, L6895, L6900, L6905, L6910, L6915, L6920, L6925, L6930, L6935, L6940, L6945, L6950, L6955, L6960, L6965, L6970, L6975, L7007, L7008, L7009, L7040, L7045, L7170, L7180, L7181, L7185, L7186, L7190, L7191, L7259, L7400, L7401, L7402, L7403, L7404, L7405, L7499, L7510, L7520, L7600, L8499, E0986, E1002, E1003, E1004, E1005, E1006, E1007, E1008, E1009, E1010, E1012, E1015, E1016, E1018, E1161, E1220, E1229, E1230, E1231, E1234, E1235, E1239, E2207, E2213, E2300, E2301, E2310, E2311, E2312, E2321, E2322, E2325, E2327, E2328, E2329, E2330, E2331, E2343, E2351, E2358, E2359, E2360, E2362, E2364, E2367, E2368, E2369, E2370, E2372, E2374, E2375, E2376,, E2383, E2386, E2398, E2610, K0005, K0008, K0009, K0010, K0011, K0012, K0013, K0014, K0669, K0800, K0801, K0802, K0806, K0807, K0808, K0812, K0813, K0814, K0815, K0816, K0820, K0821, K0822, K0823, K0824, K0825, K0826, K0827, K0828, K0829, K0830, K0831, K0835, K0836, K0837, K0838, K0839, K0840, K0841, K0842, K0843, K0848, K0849, K0850, K0851, K0852, K0853, K0854, K0855, K0856, K0857, K0858, K0859, K0860, K0861, K0862, K0863, K0864, K0868, K0869, K0870, K0871, K0877, K0878, K0879, K0880, K0884, K0885, K0886, K0890, K0891, K0898, K0899,
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