Patient Care Equipment - Holistic Medical Supply

DM13: INSULIN INFUSION PUMPS (BOC Category)

EXTERNAL AMBULATORY INFUSION PUMP, INSULIN

HCPCS Code

E0784

EXTERNAL AMBULATORY INFUSION PUMP, INSULIN, DOSAGE RATE ADJUSTMENT USING THERAPEUTIC CONTINUOUS GLUCOSE SENSING

HCPCS Code

E0787

DM14: INSULIN (BOC Category)

No HCPCS codes currently available in 2025 Q4 crosswalk

DM15: NEGATIVE PRESSURE WOUND THERAPY PUMPS AND/OR SUPPLIES (BOC Category)

WOUND CARE SET, FOR NEGATIVE PRESSURE WOUND THERAPY ELECTRICAL PUMP, INCLUDES ALL SUPPLIES AND ACCESSORIES

HCPCS Code

A6550

CANISTER, DISPOSABLE, USED WITH SUCTION PUMP, EACH

HCPCS Code

A7000

NEGATIVE PRESSURE WOUND THERAPY ELECTRICAL PUMP, STATIONARY OR PORTABLE

HCPCS Code

E2402

DM16: NEUROMUSCULAR ELECTRICAL STIMULATORS (NMES) AND/OR SUPPLIES (BOC Category)

CONDUCTIVE GEL OR PASTE, FOR USE WITH ELECTRICAL DEVICE (E.G., TENS, NMES), PER OZ

HCPCS Code

A4558

ELECTRICAL STIMULATOR SUPPLIES, 2 LEAD, PER MONTH, (E.G., TENS, NMES)

HCPCS Code

A4595

POWER SOURCE AND CONTROL ELECTRONICS UNIT FOR ORAL DEVICE/APPLIANCE FOR NEUROMUSCULAR ELECTRICAL STIMULATION OF THE TONGUE MUSCLE, CONTROLLED BY HARDWARE REMOTE

HCPCS Code

E0490

ORAL DEVICE/APPLIANCE FOR NEUROMUSCULAR ELECTRICAL STIMULATION OF THE TONGUE MUSCLE, USED IN CONJUNCTION WITH THE POWER SOURCE AND CONTROL ELECTRONICS UNIT, CONTROLLED BY HARDWARE REMOTE, 90-DAY SUPPLY

HCPCS Code

E0491

FORM FITTING CONDUCTIVE GARMENT FOR DELIVERY OF TENS OR NMES (WITH CONDUCTIVE FIBERS SEPARATED FROM THE PATIENT'S SKIN BY LAYERS OF FABRIC)

HCPCS Code

E0731

NON-IMPLANTED PELVIC FLOOR ELECTRICAL STIMULATOR, COMPLETE SYSTEM

HCPCS Code

E0740

NEUROMUSCULAR STIMULATOR FOR SCOLIOSIS

HCPCS Code

E0744

NEUROMUSCULAR STIMULATOR, ELECTRONIC SHOCK UNIT

HCPCS Code

E0745

FUNCTIONAL NEUROMUSCULAR STIMULATION, TRANSCUTANEOUS STIMULATION OF SEQUENTIAL MUSCLE GROUPS OF AMBULATION WITH COMPUTER CONTROL, USED FOR WALKING BY SPINAL CORD INJURED, ENTIRE SYSTEM, AFTER COMPLETION OF TRAINING PROGRAM

HCPCS Code

E0764

DM17: OSTEOGENESIS STIMULATORS (BOC Category)

COUPLING GEL OR PASTE, FOR USE WITH ULTRASOUND DEVICE, PER OZ

HCPCS Code

A4559

OSTEOGENESIS STIMULATOR, ELECTRICAL, NON-INVASIVE, OTHER THAN SPINAL APPLICATIONS

HCPCS Code

E0747

OSTEOGENESIS STIMULATOR, ELECTRICAL, NON-INVASIVE, SPINAL APPLICATIONS

HCPCS Code

E0748

OSTEOGENESIS STIMULATOR, LOW INTENSITY ULTRASOUND, NON-INVASIVE

HCPCS Code

E0760

DM18: PNEUMATIC COMPRESSION DEVICES AND/OR SUPPLIES (BOC Category)

SLEEVE FOR INTERMITTENT LIMB COMPRESSION DEVICE, REPLACEMENT ONLY, EACH

HCPCS Code

A4600

PNEUMATIC COMPRESSOR, NON-SEGMENTAL HOME MODEL

HCPCS Code

E0650

PNEUMATIC COMPRESSOR, SEGMENTAL HOME MODEL WITHOUT CALIBRATED GRADIENT PRESSURE

HCPCS Code

E0651

PNEUMATIC COMPRESSOR, SEGMENTAL HOME MODEL WITH CALIBRATED GRADIENT PRESSURE

HCPCS Code

E0652

NON-SEGMENTAL PNEUMATIC APPLIANCE FOR USE WITH PNEUMATIC COMPRESSOR, HALF ARM

HCPCS Code

E0655

SEGMENTAL PNEUMATIC APPLIANCE FOR USE WITH PNEUMATIC COMPRESSOR, TRUNK

HCPCS Code

E0656

SEGMENTAL PNEUMATIC APPLIANCE FOR USE WITH PNEUMATIC COMPRESSOR, CHEST

HCPCS Code

E0657

SEGMENTAL PNEUMATIC APPLIANCE FOR USE WITH PNEUMATIC COMPRESSOR, INTEGRATED, 2 FULL ARMS AND CHEST

HCPCS Code

E0658

SEGMENTAL PNEUMATIC APPLIANCE FOR USE WITH PNEUMATIC COMPRESSOR, INTEGRATED, HEAD, NECK AND CHEST

HCPCS Code

E0659

NON-SEGMENTAL PNEUMATIC APPLIANCE FOR USE WITH PNEUMATIC COMPRESSOR, FULL LEG

HCPCS Code

E0660

NON-SEGMENTAL PNEUMATIC APPLIANCE FOR USE WITH PNEUMATIC COMPRESSOR, FULL ARM

HCPCS Code

E0665

NON-SEGMENTAL PNEUMATIC APPLIANCE FOR USE WITH PNEUMATIC COMPRESSOR, HALF LEG

HCPCS Code

E0666

SEGMENTAL PNEUMATIC APPLIANCE FOR USE WITH PNEUMATIC COMPRESSOR, FULL LEG

HCPCS Code

E0667

SEGMENTAL PNEUMATIC APPLIANCE FOR USE WITH PNEUMATIC COMPRESSOR, FULL ARM

HCPCS Code

E0668

SEGMENTAL PNEUMATIC APPLIANCE FOR USE WITH PNEUMATIC COMPRESSOR, HALF LEG

HCPCS Code

E0669

SEGMENTAL PNEUMATIC APPLIANCE FOR USE WITH PNEUMATIC COMPRESSOR, INTEGRATED, 2 FULL LEGS AND TRUNK

HCPCS Code

E0670

SEGMENTAL GRADIENT PRESSURE PNEUMATIC APPLIANCE, FULL LEG

HCPCS Code

E0671

SEGMENTAL GRADIENT PRESSURE PNEUMATIC APPLIANCE, FULL ARM

HCPCS Code

E0672

SEGMENTAL GRADIENT PRESSURE PNEUMATIC APPLIANCE, HALF LEG

HCPCS Code

E0673

PNEUMATIC COMPRESSION DEVICE, HIGH PRESSURE, RAPID INFLATION/DEFLATION CYCLE, FOR ARTERIAL INSUFFICIENCY (UNILATERAL OR BILATERAL SYSTEM)

HCPCS Code

E0675

INTERMITTENT LIMB COMPRESSION DEVICE (INCLUDES ALL ACCESSORIES), NOT OTHERWISE SPECIFIED

HCPCS Code

E0676