| Issue Date |
DME Pre-Certification Criteria Documents |
| Nov 13, 2008 |
Apnea
monitor, with recording feature, months 1-4, E0619 (RR) |
| Nov 13, 2008 |
Apnea
monitor, with recording feature, months 5-12, E0619 (RRKJ) |
| Nov 30, 2009 |
Augmentative Communication Devices |
| Nov 30, 2009 |
Augmentative Communication Devices, Subsequent Pre-Cert after rental |
| Oct 06, 2009 |
Breast Prostheses |
| Nov 13, 2008 |
Canes
and Crutches |
| Dec 11, 2008 |
Commodes,
bed pans, urinals; E0163NU, E0163RR, E0165NU, E0165RR, E0168NU, E0168RR,
E0275NU, E0276NU, E0325NU, E0326NU |
| Nov 13, 2008 |
Cough
Stimulator Device E0482RREP |
| Nov 13, 2008 |
CPAP — Rental |
| Jan 08, 2008 |
CPAP
Humidifier — Purchase |
| Jan 14, 2009 |
Cranial
Remolding Orthosis, Pediatric |
| Nov 13, 2008 |
Diabetic
Shoe Inserts |
| Nov 13, 2008 |
Diabetic
Shoe Modifications |
| Apr 20, 2009 |
Diabetic
Shoes |
| Jan 14, 2011 |
Diapers, Pull-ons,
Underpads |
| Feb 24, 2009 |
Diapers,
Pull-ons, Underpads Over 186 Unit Limit |
| Aug 08, 2007 |
DME
Nebulizer E0570, Small Volume |
| Oct 23, 2007 |
DME
Nebulizer, Large Volume |
| Apr 11, 2008 |
DME
Respiratory Assist Device (RAD) With Back-Up Rate, months 4-12, E0471 (KJRR) |
| Apr 11, 2008 |
DME
Respiratory Assist Device (RAD) With Back-Up Rate, months 1-3, E0471 (RR) |
| Apr 11, 2008 |
DME
Respiratory Assist Device (RAD) Without Back-Up Rate, months 4-12, E0470
(KJRR) |
| Apr 11, 2008 |
DME
Respiratory Assist Device (RAD) Without Back-Up Rate, months 1-3, E0470 (RR) |
| Feb 19, 2008 |
DME Ultrasonic
Osteogenesis Stimulator (E0760 NU) |
| Nov 14, 2008 |
High Frequency
Chest Wall Oscillation Air-pulse Generator System — E0483 EPRR |
| Nov 14, 2008 |
Hospital Beds |
| Jul 21, 2009 |
Insulin Pumps |
| Nov 14, 2008 |
Lifts,
hydraulic or mechanical — E0630 |
| Jun 01, 2009 |
Mastectomy Bra |
| Oct 22, 2008 |
Oximeter
Device E0445 EPRR |
| Jun 04, 2009 |
Oxygen |
| Jan 14, 2011 |
Pressure
Reducing Support Surfaces – E0181NU, E0181RR, E0184NU, E0185NU, E0185RR,
E0186NU, E0187NU, E0196NU |
| Jan 09, 2009 |
Respiratory
Suction Pump |
| Nov 14, 2008 |
Semi-Electric
Hospital Beds |
| Sep 21, 2009 |
Total Parenteral Nutrition (TPN) and Intradialytic Parenteral Nutrition (IDPN) |
| Feb 19, 2010 |
Urological Supplies |
| Feb 19, 2010 |
Urological Supplies Over the Quantity Limit |
| Feb 04, 2009 |
Ventilators – E0450RR;
E0463RR |
| Jun 04, 2009 |
Ventilators
(Backup) – E0450TWRR; E0463TWRR |
| Nov 13, 2008 |
Walkers |