DME002 Orthotics Ostomy Supplies Aug2018.pdf

Heat and massage foam cushion pads deny not primarily

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Heat and Massage Foam Cushion Pads Deny - not primarily medical in nature; personal comfort item (§1861(n) and 1862(a)(6) of the Act). Heating and Cooling Plants Deny - environmental control equipment not primarily medical in nature (§1861(n) of the Act). Heating Pads Covered if MAC's medical staff determines patient’s medical condition is one for which the application of heat in the form of a heating pad is therapeutically effective. Heat Lamps Covered if MAC's medical staff determines patient’s medical condition is one for which the application of heat in the form of a heat lamp is therapeutically effective. Hospital Beds (See §280.7 of this manual.) Hot Packs (See Heating Pads.) Humidifiers (oxygen) (See Oxygen Humidifiers.) Humidifiers (room or central heating system types) Deny - environmental control equipment; not medical in nature (§1861(n) of the Act). Hydraulic Lifts (See Patient Lifts.) Incontinent Pads Deny - nonreusable supply; hygienic item (§1861(n) of the Act). Infusion Pumps For external and implantable pumps, see §40.2 of this manual. If pump is used with an enteral or parenteral nutritional therapy system, see §180.2 of this manual for special coverage rules.
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Durable Medical Equipment Orthotics Ostomy Supplies Medical Supplies Repairs_replacements.docx Page 13 of 20 Injectors (hypodermic jet) Deny - not covered self-administered drug supply; pressure powered devices (§1861(s)(2)(A) of the Act) for injection of insulin. Intermittent Positive Pressure Breathing Machines Covered if patient’s ability to breathe is severely impaired. Iron Lungs (See Ventilators.) Irrigating Kits Deny - nonreusable supply; hygienic equipment (§1861(n) of the Act). Lamb's Wool Pads (See Alternating Pressure Pads, Mattresses, and Lamb's Wool Pads.) Leotards Deny - (See Pressure Leotards.) (§1861(n) of the Act). Lymphedema Pumps Covered (See Pneumatic Compression Devices, §280.6 of this manual.) Massage Devices Deny - personal comfort items; not primarily medical in nature (§1861(n) and 1862(a)(6) of the Act). Mattresses Covered only where hospital bed is medically necessary. (Separate Charge for replacement mattress should not be allowed where hospital bed with mattress is rented.) (See §280.7 of this manual.) Medical Oxygen Regulators Covered i f patient’s ability to breathe is severely impaired. (See §240.2 of this manual.) Mobile Geriatric Chairs Covered if patient meets Mobility Assistive Equipment clinical criteria (see §280.3 of this manual). (See Rolling Chairs). Motorized Wheelchairs Covered if patient meets Mobility Assistive Equipment clinical criteria (see §280.3 of this manual). Muscle Stimulators Covered for certain conditions. (See §250.4 of this manual.) Nebulizers Covered if patient’s ability to breathe is severely impaired. Oscillating Beds Deny - institutional equipment - inappropriate for home use. Over-bed Tables Deny - convenience item; not primarily medical in nature (§1861(n) of the Act).
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  • Winter '16
  • Dr. Vincent Onyebuchi
  • Medical equipment, medical device, Medical Supplies, durable medical equipment, Home medical equipment