E0601
CPAP device
- Specialty
- CPAP / PAP Supplies
- Publication
- verified
- Fee reference
- Available
- Documentation
- Required
Medicare DME HCPCS Reimbursement Database
Search Medicare DMEPOS HCPCS codes by description, specialty, documentation requirement, modifier, fee reference, and reimbursement topic.
Important: Fee schedule amounts and code references do not guarantee coverage or payment. Verify billing decisions with official Medicare sources, DME MAC guidance, and qualified compliance professionals.
79 of 79 HCPCS records shown
conditional
E0470
Respiratory assist device, bilevel pressure capability, without backup rate
- Specialty
- CPAP / PAP Supplies
- Publication
- verified
- Fee reference
- Available
- Documentation
- Required
E0471
Respiratory assist device, bilevel pressure capability, with backup rate
- Specialty
- CPAP / PAP Supplies
- Publication
- verified
- Fee reference
- Available
- Documentation
- Required
E0562
Heated humidifier
- Specialty
- CPAP Accessories
- Publication
- verified
- Fee reference
- Available
- Documentation
- Required
A4604
Heated tubing
- Specialty
- CPAP Accessories
- Publication
- verified
- Fee reference
- Available
- Documentation
- Required
A7027
Combination oral/nasal mask
- Specialty
- CPAP Masks
- Publication
- verified
- Fee reference
- Available
- Documentation
- Required
A7028
Oral cushion
- Specialty
- CPAP Masks
- Publication
- verified
- Fee reference
- Available
- Documentation
- Required
A7029
Nasal pillows for combination oral/nasal mask
- Specialty
- CPAP Masks
- Publication
- verified
- Fee reference
- Available
- Documentation
- Required
A7030
Full face mask
- Specialty
- CPAP Masks
- Publication
- verified
- Fee reference
- Available
- Documentation
- Required
A7031
Full face mask interface replacement
- Specialty
- CPAP Masks
- Publication
- verified
- Fee reference
- Available
- Documentation
- Required
A7032
Nasal cushion
- Specialty
- CPAP Masks
- Publication
- verified
- Fee reference
- Available
- Documentation
- Required
A7033
Nasal pillows
- Specialty
- CPAP Masks
- Publication
- verified
- Fee reference
- Available
- Documentation
- Required
A7034
Nasal interface
- Specialty
- CPAP Masks
- Publication
- verified
- Fee reference
- Available
- Documentation
- Required
A7035
Headgear
- Specialty
- CPAP Accessories
- Publication
- verified
- Fee reference
- Available
- Documentation
- Required
A7036
Chinstrap
- Specialty
- CPAP Accessories
- Publication
- verified
- Fee reference
- Available
- Documentation
- Required
A7037
Tubing
- Specialty
- CPAP Accessories
- Publication
- verified
- Fee reference
- Available
- Documentation
- Required
A7038
Disposable filter
- Specialty
- CPAP Accessories
- Publication
- verified
- Fee reference
- Available
- Documentation
- Required
A7039
Non-disposable filter
- Specialty
- CPAP Accessories
- Publication
- verified
- Fee reference
- Available
- Documentation
- Required
A7044
Oral interface
- Specialty
- CPAP Masks
- Publication
- verified
- Fee reference
- Available
- Documentation
- Required
A7045
Exhalation port
- Specialty
- CPAP Accessories
- Publication
- verified
- Fee reference
- Available
- Documentation
- Required
A7046
Water chamber
- Specialty
- CPAP Accessories
- Publication
- verified
- Fee reference
- Available
- Documentation
- Required
A4238
Supply allowance for adjunctive continuous glucose monitor
- Specialty
- Diabetic Supplies & CGM
- Publication
- needs research
- Fee reference
- Available
- Documentation
- Review needed
A4239
Supply allowance for non-adjunctive continuous glucose monitor
- Specialty
- Diabetic Supplies & CGM
- Publication
- needs research
- Fee reference
- Available
- Documentation
- Review needed
E2102
Adjunctive continuous glucose monitor or receiver
- Specialty
- Diabetic Supplies & CGM
- Publication
- needs research
- Fee reference
- Available
- Documentation
- Review needed
E2103
Non-adjunctive continuous glucose monitor or receiver
- Specialty
- Diabetic Supplies & CGM
- Publication
- needs research
- Fee reference
- Available
- Documentation
- Review needed
A4253
Blood glucose test or reagent strips
- Specialty
- Diabetic Supplies & CGM
- Publication
- needs research
- Fee reference
- Available
- Documentation
- Review needed
A4259
Lancets
- Specialty
- Diabetic Supplies & CGM
- Publication
- needs research
- Fee reference
- Available
- Documentation
- Review needed
A4256
Normal, low and high calibrator solution/chips
- Specialty
- Diabetic Supplies & CGM
- Publication
- needs research
- Fee reference
- Available
- Documentation
- Review needed
A4258
Spring-powered device for lancet
- Specialty
- Diabetic Supplies & CGM
- Publication
- needs research
- Fee reference
- Available
- Documentation
- Review needed
E2361
Sealed lead-acid battery, 22NF
- Specialty
- Mobility Batteries
- Publication
- needs research
- Fee reference
- Available
- Documentation
- Review needed
E2363
Sealed lead-acid battery, group 24
- Specialty
- Mobility Batteries
- Publication
- needs research
- Fee reference
- Available
- Documentation
- Review needed
E2365
Sealed lead-acid battery, U-1
- Specialty
- Mobility Batteries
- Publication
- needs research
- Fee reference
- Available
- Documentation
- Review needed
E2371
Sealed lead-acid battery, group 27
- Specialty
- Mobility Batteries
- Publication
- needs research
- Fee reference
- Available
- Documentation
- Review needed
E2397
Lithium-based battery
- Specialty
- Mobility Batteries
- Publication
- needs research
- Fee reference
- Available
- Documentation
- Review needed
K0733
Sealed lead-acid battery, 12-24 amp-hour
- Specialty
- Mobility Batteries
- Publication
- needs research
- Fee reference
- Available
- Documentation
- Review needed
K0108
Wheelchair component/accessory, not otherwise specified
- Specialty
- Wheelchair Repairs
- Publication
- needs research
- Fee reference
- Not verified
- Documentation
- Review needed
E1028
Wheelchair accessory, manual swingaway/retractable mounting hardware
- Specialty
- Wheelchair Repairs
- Publication
- needs research
- Fee reference
- Available
- Documentation
- Review needed
K0019
Arm pad replacement
- Specialty
- Wheelchair Repairs
- Publication
- needs research
- Fee reference
- Available
- Documentation
- Review needed
K0739
Repair or nonroutine service for DME other than oxygen requiring skill of technician
- Specialty
- Wheelchair Repairs
- Publication
- needs research
- Fee reference
- Available
- Documentation
- Review needed
K0462
Temporary replacement for patient-owned equipment being repaired
- Specialty
- Wheelchair Repairs
- Publication
- needs research
- Fee reference
- Not verified
- Documentation
- Review needed
E1390
Oxygen concentrator
- Specialty
- Oxygen Equipment
- Publication
- needs research
- Fee reference
- Available
- Documentation
- Review needed
E0431
Portable gaseous oxygen system
- Specialty
- Oxygen Equipment
- Publication
- needs research
- Fee reference
- Available
- Documentation
- Review needed
E0433
Portable liquid oxygen system
- Specialty
- Oxygen Equipment
- Publication
- needs research
- Fee reference
- Available
- Documentation
- Review needed
E0443
Portable oxygen contents, gaseous
- Specialty
- Oxygen Equipment
- Publication
- needs research
- Fee reference
- Available
- Documentation
- Review needed
E0441
Stationary oxygen contents, gaseous
- Specialty
- Oxygen Equipment
- Publication
- needs research
- Fee reference
- Available
- Documentation
- Review needed
E0442
Stationary oxygen contents, liquid
- Specialty
- Oxygen Equipment
- Publication
- needs research
- Fee reference
- Available
- Documentation
- Review needed
E0444
Portable oxygen contents, liquid
- Specialty
- Oxygen Equipment
- Publication
- needs research
- Fee reference
- Available
- Documentation
- Review needed
E0250
Hospital bed, fixed height, with side rails
- Specialty
- Hospital Beds
- Publication
- needs research
- Fee reference
- Available
- Documentation
- Review needed
E0255
Hospital bed, variable height, with side rails
- Specialty
- Hospital Beds
- Publication
- needs research
- Fee reference
- Available
- Documentation
- Review needed
E0260
Hospital bed, semi-electric, with side rails
- Specialty
- Hospital Beds
- Publication
- needs research
- Fee reference
- Available
- Documentation
- Review needed
E0261
Hospital bed, semi-electric, without side rails
- Specialty
- Hospital Beds
- Publication
- needs research
- Fee reference
- Available
- Documentation
- Review needed
E0290
Hospital bed, fixed height, without side rails
- Specialty
- Hospital Beds
- Publication
- needs research
- Fee reference
- Available
- Documentation
- Review needed
E0305
Bed side rails
- Specialty
- Hospital Beds
- Publication
- needs research
- Fee reference
- Available
- Documentation
- Review needed
E0310
Bed board
- Specialty
- Hospital Beds
- Publication
- needs research
- Fee reference
- Available
- Documentation
- Review needed
E0181
Powered pressure reducing mattress overlay/pad
- Specialty
- Support Surfaces
- Publication
- needs research
- Fee reference
- Available
- Documentation
- Review needed
E0184
Dry pressure mattress
- Specialty
- Support Surfaces
- Publication
- needs research
- Fee reference
- Available
- Documentation
- Review needed
E0185
Gel or gel-like pressure mattress pad
- Specialty
- Support Surfaces
- Publication
- needs research
- Fee reference
- Available
- Documentation
- Review needed
E0186
Air pressure mattress
- Specialty
- Support Surfaces
- Publication
- needs research
- Fee reference
- Available
- Documentation
- Review needed
E0277
Powered pressure-reducing air mattress
- Specialty
- Support Surfaces
- Publication
- needs research
- Fee reference
- Available
- Documentation
- Review needed
B4034
Enteral feeding supply kit, syringe fed
- Specialty
- Enteral Nutrition
- Publication
- needs research
- Fee reference
- Not verified
- Documentation
- Review needed
B4035
Enteral feeding supply kit, pump fed
- Specialty
- Enteral Nutrition
- Publication
- needs research
- Fee reference
- Not verified
- Documentation
- Review needed
B4036
Enteral feeding supply kit, gravity fed
- Specialty
- Enteral Nutrition
- Publication
- needs research
- Fee reference
- Not verified
- Documentation
- Review needed
B4150
Enteral formula, nutritionally complete
- Specialty
- Enteral Nutrition
- Publication
- needs research
- Fee reference
- Not verified
- Documentation
- Review needed
B9002
Enteral nutrition infusion pump
- Specialty
- Enteral Nutrition
- Publication
- needs research
- Fee reference
- Not verified
- Documentation
- Review needed
A4351
Intermittent urinary catheter, straight tip
- Specialty
- Urological Supplies
- Publication
- needs research
- Fee reference
- Available
- Documentation
- Review needed
A4352
Intermittent urinary catheter, coude tip
- Specialty
- Urological Supplies
- Publication
- needs research
- Fee reference
- Available
- Documentation
- Review needed
A4353
Intermittent urinary catheter, with insertion supplies
- Specialty
- Urological Supplies
- Publication
- needs research
- Fee reference
- Available
- Documentation
- Review needed
A4357
Bedside drainage bag
- Specialty
- Urological Supplies
- Publication
- needs research
- Fee reference
- Available
- Documentation
- Review needed
A4358
Urinary drainage bag, leg or abdomen
- Specialty
- Urological Supplies
- Publication
- needs research
- Fee reference
- Available
- Documentation
- Review needed
A4310
Insertion tray without drainage bag and catheter
- Specialty
- Urological Supplies
- Publication
- needs research
- Fee reference
- Available
- Documentation
- Review needed
A4311
Insertion tray with drainage bag but without catheter
- Specialty
- Urological Supplies
- Publication
- needs research
- Fee reference
- Available
- Documentation
- Review needed
A4312
Insertion tray with drainage bag and catheter
- Specialty
- Urological Supplies
- Publication
- needs research
- Fee reference
- Available
- Documentation
- Review needed
E0100
Cane, includes canes of all materials
- Specialty
- Walkers, Canes & Crutches
- Publication
- needs research
- Fee reference
- Available
- Documentation
- Review needed
E0105
Cane, quad or three prong
- Specialty
- Walkers, Canes & Crutches
- Publication
- needs research
- Fee reference
- Available
- Documentation
- Review needed
E0110
Crutches, forearm
- Specialty
- Walkers, Canes & Crutches
- Publication
- needs research
- Fee reference
- Available
- Documentation
- Review needed
E0114
Crutches, underarm, other than wood
- Specialty
- Walkers, Canes & Crutches
- Publication
- needs research
- Fee reference
- Available
- Documentation
- Review needed
E0135
Walker, folding, wheeled, adjustable or fixed height
- Specialty
- Walkers, Canes & Crutches
- Publication
- needs research
- Fee reference
- Available
- Documentation
- Review needed
E0143
Walker, folding, wheeled, with seat
- Specialty
- Walkers, Canes & Crutches
- Publication
- needs research
- Fee reference
- Available
- Documentation
- Review needed
E0156
Seat attachment for walker
- Specialty
- Walkers, Canes & Crutches
- Publication
- needs research
- Fee reference
- Available
- Documentation
- Review needed
| HCPCS | Description | Specialty | Coverage | Documentation | Rental/Purchase | Fee Reference | Research Status | Confidence | View |
|---|---|---|---|---|---|---|---|---|---|
| E0601 | CPAP device | CPAP / PAP Supplies | conditional | Required | capped rental | Available | verified | Verified | Open |
| E0470 | Respiratory assist device, bilevel pressure capability, without backup rate | CPAP / PAP Supplies | conditional | Required | capped rental | Available | verified | Verified | Open |
| E0471 | Respiratory assist device, bilevel pressure capability, with backup rate | CPAP / PAP Supplies | conditional | Required | capped rental | Available | verified | Verified | Open |
| E0562 | Heated humidifier | CPAP Accessories | conditional | Required | rental or purchase | Available | verified | Verified | Open |
| A4604 | Heated tubing | CPAP Accessories | conditional | Required | supply | Available | verified | Verified | Open |
| A7027 | Combination oral/nasal mask | CPAP Masks | conditional | Required | supply | Available | verified | Verified | Open |
| A7028 | Oral cushion | CPAP Masks | conditional | Required | supply | Available | verified | Verified | Open |
| A7029 | Nasal pillows for combination oral/nasal mask | CPAP Masks | conditional | Required | supply | Available | verified | Verified | Open |
| A7030 | Full face mask | CPAP Masks | conditional | Required | supply | Available | verified | Verified | Open |
| A7031 | Full face mask interface replacement | CPAP Masks | conditional | Required | supply | Available | verified | Verified | Open |
| A7032 | Nasal cushion | CPAP Masks | conditional | Required | supply | Available | verified | Verified | Open |
| A7033 | Nasal pillows | CPAP Masks | conditional | Required | supply | Available | verified | Verified | Open |
| A7034 | Nasal interface | CPAP Masks | conditional | Required | supply | Available | verified | Verified | Open |
| A7035 | Headgear | CPAP Accessories | conditional | Required | supply | Available | verified | Verified | Open |
| A7036 | Chinstrap | CPAP Accessories | conditional | Required | supply | Available | verified | Verified | Open |
| A7037 | Tubing | CPAP Accessories | conditional | Required | supply | Available | verified | Verified | Open |
| A7038 | Disposable filter | CPAP Accessories | conditional | Required | supply | Available | verified | Verified | Open |
| A7039 | Non-disposable filter | CPAP Accessories | conditional | Required | supply | Available | verified | Verified | Open |
| A7044 | Oral interface | CPAP Masks | conditional | Required | supply | Available | verified | Verified | Open |
| A7045 | Exhalation port | CPAP Accessories | conditional | Required | supply | Available | verified | Verified | Open |
| A7046 | Water chamber | CPAP Accessories | conditional | Required | supply | Available | verified | Verified | Open |
| A4238 | Supply allowance for adjunctive continuous glucose monitor | Diabetic Supplies & CGM | unknown | Unknown | unknown | Available | needs research | Unverified | Open |
| A4239 | Supply allowance for non-adjunctive continuous glucose monitor | Diabetic Supplies & CGM | unknown | Unknown | unknown | Available | needs research | Unverified | Open |
| E2102 | Adjunctive continuous glucose monitor or receiver | Diabetic Supplies & CGM | unknown | Unknown | unknown | Available | needs research | Unverified | Open |
| E2103 | Non-adjunctive continuous glucose monitor or receiver | Diabetic Supplies & CGM | unknown | Unknown | unknown | Available | needs research | Unverified | Open |
| A4253 | Blood glucose test or reagent strips | Diabetic Supplies & CGM | unknown | Unknown | unknown | Available | needs research | Unverified | Open |
| A4259 | Lancets | Diabetic Supplies & CGM | unknown | Unknown | unknown | Available | needs research | Unverified | Open |
| A4256 | Normal, low and high calibrator solution/chips | Diabetic Supplies & CGM | unknown | Unknown | unknown | Available | needs research | Unverified | Open |
| A4258 | Spring-powered device for lancet | Diabetic Supplies & CGM | unknown | Unknown | unknown | Available | needs research | Unverified | Open |
| E2361 | Sealed lead-acid battery, 22NF | Mobility Batteries | unknown | Unknown | unknown | Available | needs research | Unverified | Open |
| E2363 | Sealed lead-acid battery, group 24 | Mobility Batteries | unknown | Unknown | unknown | Available | needs research | Unverified | Open |
| E2365 | Sealed lead-acid battery, U-1 | Mobility Batteries | unknown | Unknown | unknown | Available | needs research | Unverified | Open |
| E2371 | Sealed lead-acid battery, group 27 | Mobility Batteries | unknown | Unknown | unknown | Available | needs research | Unverified | Open |
| E2397 | Lithium-based battery | Mobility Batteries | unknown | Unknown | unknown | Available | needs research | Unverified | Open |
| K0733 | Sealed lead-acid battery, 12-24 amp-hour | Mobility Batteries | unknown | Unknown | unknown | Available | needs research | Unverified | Open |
| K0108 | Wheelchair component/accessory, not otherwise specified | Wheelchair Repairs | unknown | Unknown | unknown | Not verified | needs research | Unverified | Open |
| E1028 | Wheelchair accessory, manual swingaway/retractable mounting hardware | Wheelchair Repairs | unknown | Unknown | unknown | Available | needs research | Unverified | Open |
| K0019 | Arm pad replacement | Wheelchair Repairs | unknown | Unknown | unknown | Available | needs research | Unverified | Open |
| K0739 | Repair or nonroutine service for DME other than oxygen requiring skill of technician | Wheelchair Repairs | unknown | Unknown | unknown | Available | needs research | Unverified | Open |
| K0462 | Temporary replacement for patient-owned equipment being repaired | Wheelchair Repairs | unknown | Unknown | unknown | Not verified | needs research | Unverified | Open |
| E1390 | Oxygen concentrator | Oxygen Equipment | unknown | Unknown | unknown | Available | needs research | Unverified | Open |
| E0431 | Portable gaseous oxygen system | Oxygen Equipment | unknown | Unknown | unknown | Available | needs research | Unverified | Open |
| E0433 | Portable liquid oxygen system | Oxygen Equipment | unknown | Unknown | unknown | Available | needs research | Unverified | Open |
| E0443 | Portable oxygen contents, gaseous | Oxygen Equipment | unknown | Unknown | unknown | Available | needs research | Unverified | Open |
| E0441 | Stationary oxygen contents, gaseous | Oxygen Equipment | unknown | Unknown | unknown | Available | needs research | Unverified | Open |
| E0442 | Stationary oxygen contents, liquid | Oxygen Equipment | unknown | Unknown | unknown | Available | needs research | Unverified | Open |
| E0444 | Portable oxygen contents, liquid | Oxygen Equipment | unknown | Unknown | unknown | Available | needs research | Unverified | Open |
| E0250 | Hospital bed, fixed height, with side rails | Hospital Beds | unknown | Unknown | unknown | Available | needs research | Unverified | Open |
| E0255 | Hospital bed, variable height, with side rails | Hospital Beds | unknown | Unknown | unknown | Available | needs research | Unverified | Open |
| E0260 | Hospital bed, semi-electric, with side rails | Hospital Beds | unknown | Unknown | unknown | Available | needs research | Unverified | Open |
| E0261 | Hospital bed, semi-electric, without side rails | Hospital Beds | unknown | Unknown | unknown | Available | needs research | Unverified | Open |
| E0290 | Hospital bed, fixed height, without side rails | Hospital Beds | unknown | Unknown | unknown | Available | needs research | Unverified | Open |
| E0305 | Bed side rails | Hospital Beds | unknown | Unknown | unknown | Available | needs research | Unverified | Open |
| E0310 | Bed board | Hospital Beds | unknown | Unknown | unknown | Available | needs research | Unverified | Open |
| E0181 | Powered pressure reducing mattress overlay/pad | Support Surfaces | unknown | Unknown | unknown | Available | needs research | Unverified | Open |
| E0184 | Dry pressure mattress | Support Surfaces | unknown | Unknown | unknown | Available | needs research | Unverified | Open |
| E0185 | Gel or gel-like pressure mattress pad | Support Surfaces | unknown | Unknown | unknown | Available | needs research | Unverified | Open |
| E0186 | Air pressure mattress | Support Surfaces | unknown | Unknown | unknown | Available | needs research | Unverified | Open |
| E0277 | Powered pressure-reducing air mattress | Support Surfaces | unknown | Unknown | unknown | Available | needs research | Unverified | Open |
| B4034 | Enteral feeding supply kit, syringe fed | Enteral Nutrition | unknown | Unknown | unknown | Not verified | needs research | Unverified | Open |
| B4035 | Enteral feeding supply kit, pump fed | Enteral Nutrition | unknown | Unknown | unknown | Not verified | needs research | Unverified | Open |
| B4036 | Enteral feeding supply kit, gravity fed | Enteral Nutrition | unknown | Unknown | unknown | Not verified | needs research | Unverified | Open |
| B4150 | Enteral formula, nutritionally complete | Enteral Nutrition | unknown | Unknown | unknown | Not verified | needs research | Unverified | Open |
| B9002 | Enteral nutrition infusion pump | Enteral Nutrition | unknown | Unknown | unknown | Not verified | needs research | Unverified | Open |
| A4351 | Intermittent urinary catheter, straight tip | Urological Supplies | unknown | Unknown | unknown | Available | needs research | Unverified | Open |
| A4352 | Intermittent urinary catheter, coude tip | Urological Supplies | unknown | Unknown | unknown | Available | needs research | Unverified | Open |
| A4353 | Intermittent urinary catheter, with insertion supplies | Urological Supplies | unknown | Unknown | unknown | Available | needs research | Unverified | Open |
| A4357 | Bedside drainage bag | Urological Supplies | unknown | Unknown | unknown | Available | needs research | Unverified | Open |
| A4358 | Urinary drainage bag, leg or abdomen | Urological Supplies | unknown | Unknown | unknown | Available | needs research | Unverified | Open |
| A4310 | Insertion tray without drainage bag and catheter | Urological Supplies | unknown | Unknown | unknown | Available | needs research | Unverified | Open |
| A4311 | Insertion tray with drainage bag but without catheter | Urological Supplies | unknown | Unknown | unknown | Available | needs research | Unverified | Open |
| A4312 | Insertion tray with drainage bag and catheter | Urological Supplies | unknown | Unknown | unknown | Available | needs research | Unverified | Open |
| E0100 | Cane, includes canes of all materials | Walkers, Canes & Crutches | unknown | Unknown | unknown | Available | needs research | Unverified | Open |
| E0105 | Cane, quad or three prong | Walkers, Canes & Crutches | unknown | Unknown | unknown | Available | needs research | Unverified | Open |
| E0110 | Crutches, forearm | Walkers, Canes & Crutches | unknown | Unknown | unknown | Available | needs research | Unverified | Open |
| E0114 | Crutches, underarm, other than wood | Walkers, Canes & Crutches | unknown | Unknown | unknown | Available | needs research | Unverified | Open |
| E0135 | Walker, folding, wheeled, adjustable or fixed height | Walkers, Canes & Crutches | unknown | Unknown | unknown | Available | needs research | Unverified | Open |
| E0143 | Walker, folding, wheeled, with seat | Walkers, Canes & Crutches | unknown | Unknown | unknown | Available | needs research | Unverified | Open |
| E0156 | Seat attachment for walker | Walkers, Canes & Crutches | unknown | Unknown | unknown | Available | needs research | Unverified | Open |