Wheelchair accessory, wheelchair seat or back cushion, does not meet specific code criteria or no written coding verification from DME PDAC
Addition to lower extremity orthosis, removable soft interface, all components, replacement only, each
Controlled dose inhalation drug delivery system
Power wheelchair accessory, 12 to 24 amp hour sealed lead acid battery, each (e.g., gel cell, absorbed glassmat)
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing
Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes
Repair or nonroutine service for oxygen equipment requiring the skill of a technician, labor component, per 15 minutes
Suction pump, home model, portable, for use on wounds
Absorptive wound dressing for use with suction pump, home model, portable, pad size 16 square inches or less
Absorptive wound dressing for use with suction pump, home model, portable, pad size more than 16 square inches but less than or equal to 48 square inches
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