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2025 jurisdiction list for DMEPOS HCPCS codes

The following list reflect codes that are either added or discontinued (deleted) each quarter. 

The 2025 DMEPOS jurisdiction list is a zipped Excel file available on the CMS website. 

  • Deleted codes are valid for dates of service on or before the date of deletion.
  • Updated codes are in bold.
  • All HCPCs code listed have DME or joint MAC Jurisdiction. Any other codes not listed as DME MAC only or dual DME MAC/Part B MAC jurisdiction shall be considered to be A/B MAC (Part B) only jurisdiction.
  • The jurisdiction list includes codes that are not payable by Medicare. Please consult the Medicare contractor in whose jurisdiction a claim would be filed to determine coverage under Medicare.
  • For Part B providers within our jurisdiction, please refer to our Fee Schedule code search tool for codes indicated as Part B MAC in the jurisdiction column below. 

A list of A/B MACs and DME MACs can be found on the CMS Who are the MACs webpage.

The following list reflect codes that are either added or discontinued (deleted) each quarter. 

The 2025 DMEPOS jurisdiction list is a zipped Excel file available on the CMS website. 

  • Deleted codes are valid for dates of service on or before the date of deletion.
  • Updated codes are in bold.
  • All HCPCs code listed have DME or joint MAC Jurisdiction. Any other codes not listed as DME MAC only or dual DME MAC/Part B MAC jurisdiction shall be considered to be A/B MAC (Part B) only jurisdiction.
  • The jurisdiction list includes codes that are not payable by Medicare. Please consult the Medicare contractor in whose jurisdiction a claim would be filed to determine coverage under Medicare.
  • For Part B providers within our jurisdiction, please refer to our Fee Schedule code search tool for codes indicated as Part B MAC in the jurisdiction column below. 

A list of A/B MACs and DME MACs can be found on the CMS Who are the MACs webpage.

HCPCS Description Jurisdiction Comment
A4206 - A4209 Medical, Surgical, and Self-Administered Injection Supplies Part B MAC if incident to a physician's service (not separately payable). If other, DME MAC. N/A
A4210 Needle Free Injection Device DME MAC N/A
A4211 Medical, Surgical, and Self- Administered Injection Supplies Part B MAC if incident to a physician's service (not separately payable). If other, DME MAC. N/A
A4213 - A4215 Medical, Surgical, and Self- Administered Injection Supplies Part B MAC if incident to a physician's service (not separately payable). If other, DME MAC. N/A
A4216 - A4218 Saline Part B MAC if incident to a physician's service (not separately payable). If other, DME MAC. N/A
A4221 - A4239 Self-Administered Injection and Diabetic Supplies DME MAC N/A
A4244 - A4250 Medical, Surgical, and Self- Administered Injection Supplies Part B MAC if incident to a physician's service (not separately payable). If other, DME MAC. N/A
A4252 - A4259; A4271 Diabetic Supplies DME MAC N/A
A4265 Paraffin Part B MAC if incident to a physician's service (not separately payable). If other, DME MAC N/A
A4280 Accessory for Breast Prosthesis DME MAC N/A
A4281 - A4288 Accessory for Breast Pump DME MAC N/A
A4305 - A4306 Disposable Drug Delivery System Part B MAC if incident to a physician's service (not separately payable). If other, DME MAC. N/A
A4310 - A4340 Incontinence Supplies/ Urinary Supplies Part B MAC if incident to a physician's service. If other, DME MAC. N/A
A4341-A4342 Urinary Supplies DME MAC N/A
A4344 - A4358 Incontinence Supplies/ Urinary Supplies Part B MAC if incident to a physician's service. If other, DME MAC. N/A
A4360 - A4437 Urinary Supplies Part B MAC if incident to a physician's service. If other, DME MAC. N/A
A4450 - A4452 Tape; Adhesive Remover Part B MAC if incident to a physician's service (not separately payable), or if supply for implanted prosthetic device. If other, DME MAC. N/A
A4453 Enema Catheter DME MAC N/A
A4455 - A4456 Tape; Adhesive Remover Part B MAC if incident to a physician's service (not separately payable), or if supply for implanted prosthetic device. If other, DME MAC. N/A
A4457 Enema Tube Part B MAC if a supply for or inserted by a licensed healthcare provider. If other, DME MAC N/A
A4458-A4459 Bowel management DME MAC N/A
A4461-A4463 Surgical Dressing Holders Part B MAC if incident to a physician's service (not separately payable). If other, DME MAC. N/A
A4465 - A4468 Non-elastic Binder and Garment, Strap, Covering, Exsufflation Belt DME MAC N/A
A4481 Tracheostomy Supply Part B MAC if incident to a physician's service (not separately payable). If other, DME MAC. N/A
A4483 Moisture Exchanger DME MAC N/A
A4490 - A4510 Surgical Stockings DME MAC N/A
A4520 Diapers DME MAC N/A
A4540 - A4545 Stimulator and Supplies DME MAC N/A
A4553 - A4554 Underpads DME MAC N/A
A4555 - A4558 Electrodes; Lead Wires; Conductive Paste Part B MAC if incident to a physician's service (not separately payable). If other, DME MAC. N/A
A4559 Coupling Gel Part B MAC if incident to a physician's service (not separately payable). If other, DME MAC. N/A
A4560 Disposable NMES DME MAC N/A
A4575 Topical Hyperbaric Oxygen Chamber, Disposable DME MAC N/A
A4593-A4594 Stimulator and Supplies DME MAC N/A
A4595 TENS Supplies Part B MAC if incident to a physician's service (not separately payable). If other, DME MAC. N/A
A4596 Electrical Stimulator Supplies DME MAC N/A
A4600 Sleeve for Intermittent Limb Compression Device DME MAC N/A
A4601-A4602 Lithium Replacement Batteries DME MAC N/A
A4604 Tubing for Positive Airway Pressure Device DME MAC N/A
A4605 Tracheal Suction Catheter DME MAC N/A
A4606 Oxygen Probe for Oximeter DME MAC N/A
A4608 Transtracheal Oxygen Catheter DME MAC N/A
A4611 - A4613 Oxygen Equipment Batteries and Supplies DME MAC N/A
A4614 Peak Flow Rate Meter Part B MAC if incident to a physician's service (not separately payable). If other, DME MAC. N/A
A4615 - A4629 Oxygen & Tracheostomy Supplies Part B MAC if incident to a physician's service (not separately payable). If other, DME MAC. N/A
A4630 - A4640 DME Supplies DME MAC N/A
A4649 Miscellaneous Surgical Supplies Part B MAC if incident to a physician's service (not separately payable), or if supply for implanted prosthetic device or implanted DME. If other, DME MAC. N/A
A4651 - A4932 Supplies for ESRD DME MAC (not separately payable) N/A
A5051 - A5093 Additional Ostomy Supplies Part B MAC if incident to a physician's service. If other, DME MAC. N/A
A5102 - A5200 Additional Incontinence and Ostomy Supplies Part B MAC if incident to a physician's service. If other, DME MAC. N/A
A5500 - A5514 Therapeutic Shoes DME MAC N/A
A6000 Non-Contact Wound Warming Cover DME MAC N/A
A6010-A6024 Surgical Dressing Part B MAC if incident to a physician's service (not separately payable) or if supply for implanted prosthetic device or implanted DME. If other, DME MAC. N/A
A6025 Silicone Gel Sheet Part B MAC if incident to a physician's service (not separately payable) or if supply for implanted prosthetic device or implanted DME. If other, DME MAC. N/A
A6154 - A6411 Surgical Dressing Part B MAC if incident to a physician's service (not separately payable) or if supply for implanted prosthetic device or implanted DME. If other, DME MAC. N/A
A6412 Eye Patch Part B MAC if incident to a physician's service (not separately payable) or if supply for implanted prosthetic device or implanted DME. If other, DME MAC. N/A
A6413 Adhesive Bandage Part B MAC if incident to a physician's service (not separately payable) or if supply for implanted prosthetic device or implanted DME. If other, DME MAC. N/A
A6441 - A6457 Surgical Dressings Part B MAC if incident to a physician's service (not separately payable), or if supply for implanted prosthetic device or implanted DME. If other, DME MAC. N/A
A6501-A6512 Surgical Dressing Part B MAC if incident to a physician's service (not separately payable) or if supply for implanted prosthetic device or implanted DME. If other, DME MAC N/A
A6513; A6515-A6519 Compression Burn Mask, Lymphedema Compression Treatment Items DME MAC N/A
A6520 - A6549 Gradient Compression Garments DME MAC N/A
A6550 Supplies for Negative Pressure Wound Therapy Electrical Pump DME MAC N/A
A6552- A6589 Lymphedema Compression Items DME MAC N/A
A6590 - A6591 Accessories for suction pumps DME MAC N/A
A6593 - A6611 Lymphedema Compression Items DME MAC N/A
A7003 - A7039 Accessories for Nebulizers, Aspirators and Ventilators DME MAC N/A
A7044 - A7047 Respiratory Accessories DME MAC N/A
A7049 Respiratory Item DME MAC N/A
A7501-A7527 Tracheostomy Supplies DME MAC N/A
A8000-A8004 Protective Helmets DME MAC N/A
A9156; A9268-A9269 Mucoadhesive and Programable oral capsule DME MAC N/A
A9270 Noncovered Items or Services DME MAC N/A
A9272 Disposable Wound Suction Pump DME MAC N/A
A9273 Hot Water Bottles, Ice Caps or Collars, and Heat and/or Cold Wraps DME MAC N/A
A9274 - A9278 Glucose Monitoring DME MAC N/A
A9279 Monitoring Feature/Device DME MAC N/A
A9280 Alarm Device DME MAC N/A
A9281 Reaching/Grabbing Device DME MAC N/A
A9282 Wig DME MAC N/A
A9283 Foot Off Loading Device DME MAC N/A
A9284- A9286 Non-electric Spirometer, Inversion Devices and Hygienic Items DME MAC N/A
A9300 Exercise Equipment DME MAC N/A
A9900 Miscellaneous DME Supply or Accessory Part B MAC if used with implanted DME. If other, DME MAC. N/A
A9901 Delivery DME MAC N/A
A9999 Miscellaneous DME Supply or Accessory Part B MAC if used with implanted DME. If other, DME MAC. N/A
B4034 - B9999 Enteral and Parenteral Therapy DME MAC N/A
E0100 - E0105 Canes DME MAC N/A
E0110 - E0118 Crutches DME MAC N/A
E0130 - E0159 Walkers DME MAC N/A
E0160 - E0175 Commodes DME MAC N/A
E0181 - E0199 Decubitus Care Equipment DME MAC N/A
E0200 - E0239 Heat/Cold Applications DME MAC N/A
E0240 - E0248 Bath and Toilet Aids DME MAC N/A
E0249 Pad for Heating Unit DME MAC N/A
E0250 - E0304 Hospital Beds DME MAC N/A
E0305 - E0326 Hospital Bed Accessories DME MAC N/A
E0328 - E0329 Pediatric Hospital Beds DME MAC N/A
E0350 - E0352 Electronic Bowel Irrigation System DME MAC N/A
E0370 Heel Pad DME MAC N/A
E0371 - E0373 Decubitus Care Equipment DME MAC N/A
E0424 - E0484 Oxygen and Related Respiratory Equipment DME MAC N/A
E0485 - E0486 Oral Device to Reduce Airway Collapsibility DME MAC N/A
E0487 Electric Spirometer DME MAC N/A
E0490- E0493 Oral Neuromuscular Stimulator DME MAC N/A
E0500 IPPB Machine DME MAC N/A
E0530 Electric Sleep Apnea Treatment DME MAC N/A
E0550 - E0585 Compressors/Nebulizers DME MAC N/A
E0600 Suction Pump DME MAC N/A
E0601 CPAP Device DME MAC N/A
E0602 - E0604 Breast Pump DME MAC N/A
E0605 Vaporizer DME MAC N/A
E0606 Drainage Board DME MAC N/A
E0607 Home Blood Glucose Monitor DME MAC N/A
E0610 - E0615 Pacemaker Monitor DME MAC N/A
E0617 External Defibrillator DME MAC N/A
E0618 - E0619 Apnea Monitor DME MAC N/A
E0620 Skin Piercing Device DME MAC N/A
E0621 - E0636 Patient Lifts DME MAC N/A
E0637 - E0642 Standing Devices/Lifts DME MAC N/A
E0650 - E0683 Pneumatic/ Non-Pneumatic Devices and Appliances DME MAC N/A
E0691 - E0694 Ultraviolet Light Therapy Systems DME MAC N/A
E0700 Safety Equipment DME MAC N/A
E0705 Transfer Board DME MAC N/A
E0710 - E0716 Restraints/Enclosures; Pelvic Device DME MAC N/A
E0720 - E0745 Electrical Nerve Stimulators; Rehab System DME MAC N/A
E0747 - E0748 Osteogenic Stimulators DME MAC N/A
E0755- E0770 Stimulation Devices DME MAC N/A
E0776 IV Pole DME MAC N/A
E0779 - E0780 External Infusion Pumps DME MAC N/A
E0781 Ambulatory Infusion Pump DME MAC N/A
E0784 Infusion Pumps, Insulin DME MAC N/A
E0791 Parenteral Infusion Pump DME MAC N/A
E0830 Ambulatory Traction Device DME MAC N/A
E0840 - E0900 Traction Equipment DME MAC N/A
E0910 - E0930 Trapeze/Fracture Frame DME MAC N/A
E0935 - E0936 Passive Motion Exercise Device DME MAC N/A
E0940 Trapeze Equipment DME MAC N/A
E0941 Traction Equipment DME MAC N/A
E0942 - E0945 Orthopedic Devices DME MAC N/A
E0946 - E0948 Fracture Frame DME MAC N/A
E0950 - E1298 Wheelchairs DME MAC N/A
E1300 - E1310 Whirlpool Equipment DME MAC N/A
E1352 - E1392 Additional Oxygen Related Equipment DME MAC N/A
E1399 Miscellaneous DME Part B MAC if implanted DME. If other, DME MAC. N/A
E1405 - E1406 Additional Oxygen Equipment DME MAC N/A
E1500 - E1625 Artificial Kidney Machines and Accessories DME MAC (not separately payable) N/A
E1630 -E1699 Artificial Kidney Machines and Accessories DME MAC (not separately payable) N/A
E1700 - E1702 TMJ Device and Supplies DME MAC N/A
E1800 - E1841 Dynamic Flexion Devices DME MAC N/A
E1902 Communication Board DME MAC N/A
E1905 CBT Device DME MAC N/A
E2000 - E2001 Suction Pump DME MAC N/A
E2100 - E2104 Blood Glucose Monitors with special Features: Continuous Glucose Monitor DME MAC N/A
E2120 Pulse Generator for Tympanic Treatment of Inner Ear DME MAC N/A
E2201 - E2299 Wheelchair Accessories DME MAC N/A
E2301 - E2398 Wheelchair Accessories DME MAC N/A
E2402 Negative Pressure Wound Therapy Pump DME MAC N/A
E2500 - E2599 Speech Generating Device DME MAC N/A
E2601 - E2633 Wheelchair Cushions and Accessories DME MAC N/A
E3000 - E3200 Devices DME MAC N/A
E8000 - E8002 Gait Trainers DME MAC N/A
G0333 Dispensing Fee DME MAC N/A
J0120-J0134 Injection Part B MAC if incident to a physician's service or used in an implanted infusion pump. If other, DME MAC. N/A
J0136-J0169 Injection Part B MAC if incident to a physician's service or used in an implanted infusion pump. If other, DME MAC. N/A
J0172 Injection Part B MAC if incident to a physician’s service or used in an implanted infusion pump. If other, DME MAC. J0171 and J0173 have been terminated as of 7/1/25
J0174-J0567 Injection Part B MAC if incident to a physician's service or used in an implanted infusion pump. If other, DME MAC. N/A
J0577-J0600 Injection Part B MAC if incident to a physician's service or used in an implanted infusion pump. If other, DME MAC. N/A
J0606 Injection Part B MAC if incident to a physician's service or used in an implanted infusion pump. If other, DME MAC. N/A
J0610-J0614 Injection Part B MAC if incident to a physician's service or used in an implanted infusion pump. If other, DME MAC. N/A
J0618-J0738 Injection Part B MAC if incident to a physician's service, Part B pharmacy supplier, or used in an implanted infusion pump. If other, DME MAC. N/A
J0739 Injection Part B MAC if incident to a physician’s service, Part B pharmacy supplier, or used in an implanted infusion pump. If other, DME MAC. N/A
J0740 - J0749 Injection Part B MAC if incident to a physician's service, Part B pharmacy supplier, or used in an implanted infusion pump. If other, DME MAC. N/A
J0750-J0752 Oral Part B MAC if incident to a physician's service, Part B pharmacy supplier, or used in an implanted infusion pump. If other, DME MAC. N/A
J0753 - J0798 Injection Part B MAC if incident to a physician's service or used in an implanted infusion pump. If other, DME MAC. N/A
J0799 NOC Drugs Part B MAC if incident to a physician's service, Part B pharmacy supplier, or used in an implanted infusion pump. If other, DME MAC. N/A
J0800 - J0900 Injection Part B MAC if incident to a physician's service or used in an implanted infusion pump. If other, DME MAC. N/A
J0902 - J1019 Injection Part B MAC if incident to a physician's service or used in an implanted infusion pump. If other, DME MAC. N/A
J1021-J1029 Injection Part B MAC if incident to a physician's service or used in an implanted infusion pump. If other, DME MAC. N/A
J1031 - J1039 Injection Part B MAC if incident to a physician's service or used in an implanted infusion pump. If other, DME MAC. N/A
J1041 - J1093 Injection Part B MAC if incident to a physician's service or used in an implanted infusion pump. If other, DME MAC. N/A
J1100-J1104 Injection Part B MAC if incident to a physician's service or used in an implanted infusion pump. If other, DME MAC. N/A
J1105 Oral Part B MAC if incident to a physician's service If other, DME MAC. N/A
J1106 - J1169 Injection Part B MAC if incident to a physician's service or used in an implanted infusion pump. If other, DME MAC. N/A
J1171 - J1299 Injection Part B MAC if incident to a physician's service or used in an implanted infusion pump. If other, DME MAC. N/A
J1301-J1809 Injection Part B MAC if incident to a physician's service or used in an implanted infusion pump. If other, DME MAC. N/A
J1811 – J1839 Injection Part B MAC if incident to a physician's service or used in an implanted infusion pump. If other, DME MAC. N/A
J1841 - J1849 Injection Part B MAC if incident to a physician's service or used in an implanted infusion pump. If other, DME MAC. N/A
J1851 – J1889 Injection Part B MAC if incident to a physician's service or used in an implanted infusion pump. If other, DME MAC. N/A
J1891 – J1939 Injection Part B MAC if incident to a physician's service or used in an implanted infusion pump. If other, DME MAC. N/A
J1941 – J1960 Injection Part B MAC if incident to a physician's service or used in an implanted infusion pump. If other, DME MAC. N/A
J1961 Injection

Part B MAC if incident to a physician's service, Part B pharmacy supplier, or used in an implanted infusion pump.

If other, DME MAC.

 N/A
J1962 - J200 Injection

Part B MAC if incident to a physician's service or used in an implanted infusion pump. 

If other, DME MAC.

 N/A
J2002 -J2100 Injection Part B MAC if incident to a physician's service or used in an implanted infusion pump. If other, DME MAC. N/A
J2151 - J2305 Injection

Part B MAC if incident to a physician's service or used in an implanted infusion pump. 

If other, DME MAC.

 J2150 has been terminated as of 10/01
J2312-J2402 Injection Part B MAC if incident to a physician's service or used in an implanted infusion pump. If other, DME MAC. N/A
J2403 Miscellaneous Drug and Solutions Part B MAC if incident to a physician's service or used in an implanted infusion pump. If other, DME MAC N/A
J2404-J2502 Injection Part B MAC if incident to a physician's service or used in an implanted infusion pump. If other, DME MAC.  J2503 has been terminated as of 10/01
J2504 - J2779 Injection Part B MAC if incident to a physician's service or used in an implanted infusion pump. If other, DME MAC. N/A
J2781-J2786 Injection Part B MAC if incident to a physician's service or used in an implanted infusion pump. If other, DME MAC. N/A
J2788-J2795 Injection Part B MAC if incident to a physician's service or used in an implanted infusion pump. If other, DME MAC. N/A
J2797-J2805 Injection Part B MAC if incident to a physician's service or used in an implanted infusion pump. If other, DME MAC. N/A
J2807-J2919 Injection Part B MAC if incident to a physician's service or used in an implanted infusion pump. If other, DME MAC. N/A
J2921 -J2929 Injection Part B MAC if incident to a physician's service or used in an implanted infusion pump. If other, DME MAC. N/A
J2931-J3356 Injection Part B MAC if incident to a physician's service or used in an implanted infusion pump. If other, DME MAC. N/A
J3360-J3365 Injection Part B MAC if incident to a physician's service or used in an implanted infusion pump. If other, DME MAC. N/A
J3373-J3400 Injection Part B MAC if incident to a physician's service or used in an implanted infusion pump. If other, DME MAC. J3370-J3372 have been terminated as of 7/1/25
J3401 Topical Part B MAC if incident to a physician's service If other, DME MAC. N/A
J3402 Injection

Part B MAC if incident to a physician's service or used in an implanted infusion pump. 

If other, DME MAC.

 N/A
J3410 - J3570 Injection Part B MAC if incident to a physician's service or used in an implanted infusion pump. If other, DME MAC. N/A
J7030 - J7131 Miscellaneous Drugs and Solutions Part B MAC if incident to a physician's service or used in an implanted infusion pump. If other, DME MAC. N/A
J7165 Injection Part B MAC if incident to a physician's service or used in an implanted infusion pump. If other, DME MAC. N/A
J7171-J7172 Injection Part B MAC if incident to a physician's service or used in an implanted infusion pump. If other, DME MAC. N/A
J7340 Carbidopa/Levodopa Part B MAC if incident to a physician's service or used in an implanted infusion pump. If other, DME MAC. N/A
J7356 Injection Part B MAC if incident to a physician's service or used in an implanted infusion pump. If other, DME MAC. N/A
J7500 - J7599 Immunosuppressive Drugs Part B MAC if incident to a physician's service or used in an implanted infusion pump. If other, DME MAC. N/A
J7601 Inhalation Suspension Part B MAC if incident to a physician's service. If other, DME MAC. N/A
J7604 - J7699 Inhalation Solutions Part B MAC if incident to a physician's service. If other, DME MAC. N/A
J7799 -J7999 NOC Drugs, Other than Inhalation Drugs Part B MAC if incident to a physician's service or used in an implanted infusion pump. If other, DME MAC. N/A
J8498 Anti-emetic Drug DME MAC N/A
J8499 Prescription Drug, Oral, Non Chemotherapeutic Part B MAC if incident to a physician's service. If other, DME MAC. N/A
J8501 - J8519 Oral Anti-Cancer Drugs DME MAC N/A
J8522 - J8999 Oral Anti-Cancer Drugs DME MAC N/A
J9000 - J9036 Chemotherapy Drugs Part B MAC if incident to a physician's service or used in an implanted infusion pump. If other, DME MAC N/A
J9038 - J9057 Chemotherapy Drugs Part B MAC if incident to a physician's service or used in an implanted infusion pump. If other, DME MAC N/A
J9060 - J9065 Chemotherapy Drugs Part B MAC if incident to a physician's service or used in an implanted infusion pump. If other, DME MAC N/A
J9071 - J9246 Chemotherapy Drugs Part B MAC if incident to a physician's service or used in an implanted infusion pump. If other, DME MAC N/A
J9248 - J9249 Chemotherapy Drugs Part B MAC if incident to a physician's service or used in an implanted infusion pump. If other, DME MAC N/A
J9251-J9257 Chemotherapy Drugs Part B MAC if incident to a physician's service or used in an implanted infusion pump. If other, DME MAC N/A
J9260 - J9334 Chemotherapy Drugs Part B MAC if incident to a physician's service or used in an implanted infusion pump. If other, DME MAC N/A
J9341- J9370 Chemotherapy Drugs Part B MAC if incident to a physician's service or used in an implanted infusion pump. If other, DME MAC N/A
J9372 - J9999 Chemotherapy Drugs Part B MAC if incident to a physician's service or used in an implanted infusion pump. If other, DME MAC N/A
K0001 - K0108 Wheelchairs DME MAC N/A
K0195 Elevating Leg Rests DME MAC N/A
K0455 Infusion Pump used for Uninterrupted Administration of Epoprostenal DME MAC N/A
K0462 Loaner Equipment DME MAC N/A
K0552 External Infusion Pump Supplies DME MAC N/A
K0555-K0605 External Infusion Pump Supplies DME MAC N/A
K0606 - K0609 Defibrillator Accessories DME MAC N/A
K0669 Wheelchair Cushion DME MAC N/A
K0672 Soft Interface for Orthosis DME MAC N/A
K0730 Inhalation Drug Delivery System DME MAC N/A
K0733 Power Wheelchair Accessory DME MAC N/A
K0738 Oxygen Equipment DME MAC N/A
K0739 Repair or Nonroutine Service for DME Part B MAC if implanted DME. If other, DME MAC N/A
K0740 Repair or Nonroutine Service for Oxygen Equipment DME MAC N/A
K0743 - K0746 Suction Pump and Dressings DME MAC N/A
K0800 - K0899 Power Mobility Devices DME MAC N/A
K0900 Custom DME, other than Wheelchair DME MAC N/A
K1004 Devices DME MAC when the supplier considers the item DMEPOS. Part B MAC if the supplier considers the item something other than DMEPOS (e.g., supplies furnished incident to the professional service of a physician) N/A
K1007 Devices DME MAC N/A
K1027 Devices DME MAC when the supplier considers the item DMEPOS. Part B MAC if the supplier considers the item something other than DMEPOS (e.g., supplies furnished incident to the professional service of a physician) N/A
K1035-K1037 Devices DME MAC N/A
L0112 - L4631 Orthotics & Devices DME MAC N/A
L5000 - L5999 Lower Limb Prosthetics DME MAC N/A
L6000 - L7499 Upper Limb Prosthetics DME MAC N/A
L7510 - L7520 Repair of Prosthetic Device Part B MAC if repair of implanted prosthetic device. If other, DME MAC. N/A
L7600 - L8009 Prosthetics DME MAC N/A
L8011 – L8485 Prosthetics DME MAC N/A
L8499 Unlisted Procedure for Miscellaneous Prosthetic Services Part B MAC if implanted prosthetic device. If other, DME MAC. N/A
L8500 - L8501 Artificial Larynx; Tracheostomy Speaking Valve DME MAC N/A
L8505 Artificial Larynx Accessory DME MAC N/A
L8507 Voice Prosthesis, Patient Inserted DME MAC N/A
L8509 Voice Prosthesis, Inserted by a Licensed Health Care Provider Part B MAC for dates of service on or after 10/01/2010. DME MAC for dates of service prior to 10/01/2010 N/A
L8510 Voice Prosthesis DME MAC N/A
L8511 - L8515 Voice Prosthesis Part B MAC if used with tracheoesophageal voice prostheses inserted by a licensed health care provider. If other, DME MAC N/A
L8701-L8721 Devices DME MAC N/A
L9900 Miscellaneous Orthotic or Prosthetic Component or Accessory Part B MAC if used with implanted prosthetic device. If other, DME MAC. N/A
Q0144 Azithromycin Dihydrate Part B MAC if incident to a physician's service. If other, DME MAC. N/A
Q0155 Anti-emetic DME MAC N/A
Q0161 - Q0181 Anti-emetic DME MAC N/A
Q0510 - Q0514 Drug dispensing fees DME MAC N/A
Q0516 - Q0520 Supply fee HIV prep Part B MAC if incident to a physician's Service or Part B Pharmacy Supplier, If other, DME MAC N/A
Q0521 Supply fee HIV prep Part B MAC if incident to a physician's Service, or Part B Pharmacy Supplier. If other, DME MAC N/A
Q2049-Q2050 Doxorubicin Part B MAC if incident to a physician's service or used in an implanted infusion pump. If other, DME MAC. N/A
Q2052 IVIG DME MAC N/A
Q2058 Injection Part B MAC if incident to a physician's service or used in an implanted infusion pump. If other, DME MAC. N/A
Q4074 Inhalation Drug Part B MAC if incident to a physician's service. If other, DME MAC. N/A
Q5101-Q5130 Injection Part B MAC if incident to a physician's service or used in an implanted infusion pump. If other, DME MAC. N/A
Q5133-Q5136 Injection Part B MAC if incident to a physician's service or used in an implanted infusion pump. If other, DME MAC. N/A
Q5140-Q5153 Injection Part B MAC if incident to a physician's service or used in an implanted infusion pump. If other, DME MAC. N/A
Q5155 - Q5156 Injection

Part B MAC if incident to a physician's service or used in an implanted infusion pump. 

If other, DME MAC.

 N/A
Q9991-Q9992 Injection Part B MAC if incident to a physician's service or used in an implanted infusion pump. If other, DME MAC. N/A
V2020 - V2025 Frames DME MAC N/A
V2100 - V2513 Lenses DME MAC N/A
V2520 - V2523 Hydrophilic Contact Lenses Part B MAC if incident to a physician's service. If other, DME MAC. N/A
V2524- V2526 Hydrophilic Contact Lenses DME MAC N/A
V2530 - V2531 Contact Lenses, Scleral DME MAC N/A
V2599 Contact Lens, Other Type Part B MAC if incident to a physician's service. If other, DME MAC. N/A
V2600 - V2615 Low Vision Aids DME MAC N/A
V2623 - V2629 Prosthetic Eyes DME MAC N/A
V2700 - V2780 Miscellaneous Vision Service DME MAC N/A
V2781 Progressive Lens DME MAC N/A
V2782 - V2784 Lenses DME MAC N/A
V2786 Lens DME MAC N/A
V2797 Vision Supply DME MAC N/A
V2799 Miscellaneous Vision Service Part B MAC if supply for an implanted prosthetic device. If other, DME MAC N/A
V5336 Repair/Modification of Augmentative Communicative System or Device DME MAC N/A