| WRITTEN ORDERS (SCRIPTS) NEEDED PRIOR TO DELIVERY |
MEDICARE REQUIRES A WRITTEN ORDER SIGNED BY THE ATTENDING PHYSICIAN PRIOR TO DELIVERY OF THE FOLLOWING EQUIPMENT: |
- A4640 Replacement pad for use with medically necessary alternating pressure pad owned by patient
- E0176 Air pressure pad or cushion, nonpositioning
- E0177 Water pressure pad or cushion, nonpositioning
- E0178 Gel or gel-like pressure pad, or cushion, nonpositioning
- E0179 Dry pressure pad or cushion, nonpositioning
- E0180 Pressure pad, alternating with pump
- E0181 Pressure pad alternating with pump, heavy duty
- E0182 Pump for alternating pressure pad
- E0184 Dry pressure pad
- E0185 Gel or gel-like pressure pad for mattress, standard mattress length and width
- E0186 Air pressure mattress
- E0187 Water pressure mattress
- E0188 Synthetic sheepskin pad
- E0189 Lambswool sheepskin pad, any size
- E0192 Low pressure and positioning equalization pad, for wheelchair
- E0193 Powered air flotation bed (low air loss therapy)
- E0194 Air fluidized bed
- E0196 Gel pressure mattress
- E0197 Air pressure pad for mattress, standard mattress length and width
- E0198 Water pressure pad for mattress, standard mattress length and width
- E0199 Dry pressure pad for mattress, standard mattress length and width
- E0277 Powered pressure-reducing air mattress
- E0371 Nonpowered advanced pressure reducing overlay for mattress, standard mattress length and width
- E0372 Powered air overlay mattress, standard mattress length and width
- E0373 Nonpowered advanced pressure reducing mattress
- E0627 Seat lift mechanism incorporated into a combination lift-chair mechanism
- E0628 Separate seat lift mechanism for use with patient owned furniture – electric
- E0629 Separate seat lift mechanism for use with patient owned furniture – non electric
- E0720 TENS, two lead, localized stimulation
- E0730 TENS, four lead, larger area/multiple nerve stimulation
- E1230 Powered operated vehicle (three or four wheel nonhighway)
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| MEDICAL EQUIPMENT BEARING A FEDERAL LEGEND
(Must have script before delivery) |
| 1. Bunny Boots |
2. CPAP units & CPAP supplies |
| 3. Erect Aids |
4. Oxygen Concentrators |
| 5. Oxygen supplies i.e. nasal cannula, tubing . |
6. Oxygen Conserving Devices |
| 7. Over the door traction |
8. Compressor ( nebulizers ) & Supplies i.e. mask, medicine kits |
| 9. Space Chambers & Mask |
11. TENS Unit & Supplies i.e. electrodes conductive gel, prep pads and lotion. |
| 10. Suction Machines & Supplies i.e. canister, tubing and catheters. |
13. Sterile Water |
| 12. Trach Tubes & Trach Collars |
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| 14. Normal Saline |
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