DME Pre-Certification Criteria Documents

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
Aug 29, 2013 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