DME supplies(price subject to floors and ceilings)
Every HCPCS Level II code priced by Part B as "DME supplies(price subject to floors and ceilings)".
Part B pricingCMS code 3439 codes
By series
These 39 codes span 3 series, split as below. Opening one shows that whole series, not just the codes listed here.
All codes 39
All code series- A4221Supp non-insulin inf cath/wk
- A4222Infusion supplies with pump
- A4224Supply insulin inf cath/wk
- A4225Sup/ext insulin inf pump syr
- A4230Infus insulin pump non needl
- A4231Infusion insulin pump needle
- A4238Adju cgm supply allowance
- A4239Non-adju cgm supply allow
- A4255Glucose monitor platforms
- A4256Calibrator solution/chips
- A4257Replace lensshield cartridge
- A4258Lancet device each
- A4259Lancets per box
- A4265Paraffin
- A4271Home lancing/test cartridges
- A4541Monthly supp use with e0733
- A4542Supp ext up limb tremor stim
- A4544Electro nerve stimulator rls
- A4545Suppl accessor tibial stim
- A4556Electrodes, pair
- A4557Lead wires, pair
- A4558Conductive gel or paste
- A4559Coupling gel or paste
- A4595Tens suppl 2 lead per month
- A4596Ces system monthly supp
- A6550Neg pres wound ther drsg set
- A6590Urinary cath disp suc pump
- A6591Urinary cath suc pump
- E0731Conductive garment for tens/
- E1701Repl cushions for jaw motion
- E1702Repl measr scales jaw motion
- K0552Sup/ext non-ins inf pump syr
- K0553Ther cgm supply allowance
- K0609Repl electrode for aed
- K0744Absorp drg <= 16 suc pump
- K0745Absorp drg >16<=48 suc pump
- K0746Absorp drg >48 suc pump
- K1017Monthly supp use with k1016
- K1019Supp ext up limb tremor stim
About this list
The pricing indicator comes from the CMS HCPCS release and describes the method Part B uses to price the code. It is not a price, and it says nothing about what another payer will allow. The largest group here is the A series (Transportation Services including Ambulance; Medical and Surgical Supplies; Vision and Hearing Systems).