Medicare Coverage
Specific Coverage Requirements for DME
Most durable medical equipment has specific eligibility requirements. For example, a bedside commode is covered only if the person is bed-or room-confined. In some instances, coverage of certain DME items will not be covered simultaneously. A wheelchair and a walker will be not covered at the same time, and a seat lift mechanism that helps a person exit a chair will not be covered if a person uses a wheelchair.To learn more about the exact criteria that a person must meet in order to qualify for a specific item, please visit Medicare's website.
http://www.medicare.gov/.
Physician's Prescription
All items submitted for Medicare payment require a doctor's prescription, also referred to as a Certificate of Medical Necessity (CMN).Covered items for eligible patients
- Alternating Pressure Pad
- Bead Bath
- Bed Pan
- Cane
- Commode
- Heating Pad
- Heat Lamp
- Hospital Bed
- Mattress (covered only with hospital bed)
- Mobile Geriatric Chair
- Pressure Relieving Surfaces (pads & mattresses)
- Seat Lift
- Sitz Bath & Whirlpool Bath Equipment
- Trapeze Bar
- Walker
- Wheelchair (manual & powered)
Noncovered items for eligible patients
- Air cleaner
- Augmentative Communication Device
- Bathtub Lift
- Bathtub Seat & Transfer Bench
- Bed Bath
- Environmental Control Equipment
- Grab Bar
- Overbed Table
- Stair Lift
- Telephone Alert System
- Toilet Safety Frame
- Toilet Seat
- Whirlpool Pump
