Medical Service

DME (Durable) – HME (Home) Medical Equipment


DME is a type of therapeutic equipment that certified physicians prescribe to individuals who are suffering from a certain medical condition or ailment.

DME billing does not cover equipment that is used for convenience or that is beyond a patients legitimate medical necessity.

HME refers to a group of medical devices for patients whose treatment is maintained at home by a nonprofessional caregiver or family member. It is designed to survive frequent usage by non-professionals or patients and it is safe to use at home

DME Objectives
  1. Primarily used for medical purposes
  2. Prescribed or ordered by a medical professional
  3. Effective to patients only with an injury or disability
  4. Used repeatedly
  5. Suitable for usage at home.
DME Equipment’s:
  1. Ambulatory Aids
  2. Enteral feeding
  3. Hospital beds, pressure mattresses, lift beds, blankets
  4. Medical supplies & incontinence supplies
  5. Kidney machines
  6. Mobility aids
  7. Ostomy & Urological supplies
  8. Oxygen concentrators, monitors, ventilators
Insurance Coverage for DME :

Medicare – Part A only covers about 80% of the costs associated with DME. Doesn’t cover equipment like hearing aids.

Medicaid – Covers a wide range of DMsupplies than Medicare. Cover a large portion of expenses for qualifying medical supplies.

Commercial – Private insurers often cover a good portion of costs also cover some home safety modifications. They don’t cover disposable materials but they might agree to partially cover some costs.

CPT Codes – DME

The HCPCS codes range Durable Medical Equipment E0100-E8002 is a standardized code set necessary for Medicare and other health insurance providers to provide healthcare claims.

HCPCS Code range (E0100-E8002), Durable Medical Equipment, contains HCPCS codes for Medical equipment, canes of all materials, adjustable or fixed, with tips, Crutches underarm, wood, adjustable or fixed, pair, with pads, tips and handgrips, lower leg platform, with or without wheels,Walker, folding (pickup), adjustablePump for alternating pressure pad.

List of CPT codes from AAPC :

E0100-E0159 Walking Aids and Attachments

E0160-E0162 Sitz Bath/Equipment

E0163-E0175 Commode Chair and Supplies

E0181-E0199 Pressure Mattresses, Pads, and Other Supplies

E0200-E0239 Heat, Cold, and Light Therapies

E0240-E0249 Bathing Supplies

E0250-E0373 Hospital Beds and Associated Supplies

E0424-E0487 Oxygen Delivery Systems and Related Supplies

E0500-E0500 Intermittent Positive Pressure Breathing Devices

E0550-E0601 Humidifiers and Nebulizers with Related Equipment

E0602-E0604 Breast Pumps

E0605-E0606 Other Breathing Aids

E0607-E0620 Monitoring Equipment

E0621-E0642 Patient Lifts and Support Systems

E0650-E0676 Pneumatic Compressors and Appliances


E0700-E0710 Safety Devices

E0720-E0770 Stimulation Devices

E0776-E0791 Infusion Pumps and Supplies

E0830-E0948 Traction and Other Orthopedic Devices

E0950-E1036 Wheelchair Accessories

E1037-E1039 Transport Chairs

E1050-E1070 Fully Reclining Wheelchairs

E1083-E1086 Hemi-Wheelchairs

E1087-E1090 Lightweight, High-strength Wheelchairs

E1092-E1093 Heavy Duty, Wide Wheelchairs

E1100-E1110 Semi-reclining Wheelchairs

E1130-E1161 Standard Wheelchairs

E1170-E1200 Amputee Wheelchairs

E1220-E1228 Other Wheelchairs and Accessories

E1229-E1239 Pediatric Wheelchairs

E1240-E1270 Lightweight Wheelchairs

E1280-E1298 Heavy Duty and Special Wheelchairs

E1300-E1310 Whirlpool Baths

E1352-E1406 Accessories for Oxygen Delivery Devices

E1500-E1699 Dialysis Systems and Accessories

E1700-E1702 Jaw Motion Rehabilitation Systems

E1800-E1841 Extension/Flexion Rehabilitation Devices

E1902-E1902 Communication Boards

E2000-E2120 Miscellaneous Pumps and Monitors

E2201-E2295 Manual Wheelchair Accessories

E2300-E2398 Power Wheelchair Accessories

E2402-E2402 Wound Therapy Pumps

E2500-E2599 Speech Generating Devices, Software, and Accessories

E2601-E2625 Wheelchair Seat and Back Cushions

E2626-E2633 Wheelchair Mobile Arm Supports

E8000-E8002 Pediatric Gait Trainers


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