Documentation Checklists
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- Enteral Nutrition
- Glucose Monitors and Supplies
- Hospital Beds and Accessories
- Large Volume Nebulizers and Inhalation Drugs
- Lower Limb Prostheses
- Manual Wheelchairs Document Checklist
- Nebulizers and Inhalation Drugs: Iloprost and Treprostinil
- Negative Pressure Wound Therapy Pumps (NPWT)
- Oxygen and Oxygen Equipment — Beneficiaries Meeting Group I Criteria
- Oxygen and Oxygen Equipment — Beneficiaries Meeting Group II Criteria
- Positive Airway Pressure (PAP) Devices for the Treatment of OSA Qualifying Sleep Test: Type I (Facility-Based) Study
- Positive Airway Pressure (PAP) Devices for the Treatment of OSA Qualifying Sleep Test: Type II, III, IV (Home) Study
- Power Mobility: Group 1 PWCs (K0813 – K0816) & Group 2 PWCs (K0820 – K0829)
- Power Mobility: Group 2 Single Power Option PWCs (K0835 – K0840) & Group 2 Multiple Power Option PWCs (K0841 – K0843)
- Power Mobility: Group 3 No Power Option PWCs (K0848 – K0855), Group 3 Single Power Option PWCs (K0856 – K0860), & Group 3 Multiple Power Option PWCs (K0861 – K0864)
- Power Mobility: Group 5 (Pediatric) PWCs with Single (K0890) or Multiple (K0891) Power Options & Push-Rim Activated Power Assist Device (E0986) for a Manual Wheelchair
- Power Mobility: POVs (HCPCS Codes K0800 - K0808 and K0812)
- Respiratory Assist Device – E0470 Bi-Level Pressure Capacity Without Backup Rate
- Respiratory Assist Device – E0471 Bi-Level Pressure Capacity With Backup Rate
- Small Volume Nebulizers and Inhalation Drugs
- Support Surfaces: Group 1 Pressure Reducing Support Surface
- Support Surfaces: Group 2 Pressure Reducing Support Surface
- Support Surfaces: Group 3 Pressure Reducing Support Surface
- Therapeutic Shoes for Persons with Diabetes
