Medicare DMEPOS

Question:

Are DMEPOS covered by Medicare?

Answer:

The providers documentation needs to support the following key elements about the patient’s medical condition to substantiate the necessity of the type and quantity of items ordered, and for the frequency of use or replacement. The information should include the patient’s diagnosis and other pertinent information as applicable, such as 

• duration of the patient’s condition, 

• clinical course (worsening or improving), 

• prognosis, nature, and extent of functional limitation, 

• other therapeutic interventions and results, and 

• experience (past) with related items. 

*This response is based on the best information available as of 5/9/24.