The list is NOT all inclusive and that while every effort is made to keep it current, there may be relationships that might trigger a denial that are not listed.

To avoid a same or similar denial, suppliers should use the Interactive Voice Response (IVR) or Noridian Medicare Portal (NMP) to verify that a beneficiary has not had a same or similar item within the previous five years or specific reasonable useful lifetime (RUL) for the item.

• Same or Similar Denials
• Same or Similar and Advance Beneficiary Notice of Noncoverage (ABN) Documentation

Item	Item Type	Same HCPCS Category	Similar HCPCS Category
AFO/KAFO - Knee/Ankle/Foot Orthosis	O&P	L2000, L2005, L2010, L2020, L2030, L2034, L2035, L2036, L2037, L2038, L2126, L2128, L2132, L2134, L2136
AFO/KAFO - Ankle Orthosis	O&P	L1902, L1904, L1907, L4350
AFO/KAFO - Ankle/Foot Orthosis	O&P	L1900, L1906, L1910, L1920, L1930, L1932, L1940, L1945, L1950, L1951, L1960, L1970, L1971, L1980, L1990, L2106, L2108, L2112, L2114, L2116
AFO/KAFO - Ankle/Foot Orthosis-Non ambulatory	O&P	L4396, L4397, L4398
AFO/KAFO - Walking Boot	O&P	L4360, L4361, L4370, L4386, L4387, L4631
Bed Side Rails	DME	E0305, E0310
Blood Glucose Monitors	DME	E0607, E2100, E2101, K0554
Canes and Crutches	DME	E0100, E0105, E0110, E0111, E0112, E0113, E0114, E0116, E0117, E0118	Manual Wheelchairs - E1031, E1037, E1038, E1039, E1161, E1229, E1231, E1232, E1233, E1234, E1235, E1236 , E1237, E1238, E1239, K0001, K0002, K0003, K0004, K0005, K0006, K0007, K0009 Power Wheelchairs - E1035, E1036, E1230, K0013, K0800, K0801, K0802, K0806, K0807, K0808, K0812, K0813, K0814, K0815, K0816, K0820, K0821, K0822, K0823, K0824, K0825, K0826, K0827, K0828, K0829, K0830, K0831, K0835, K0836, K0837, K0838, K0839, K0840, K0841, K0842, K0843, K0848, K0849, K0850, K0851, K0852, K0853, K0854, K0855, K0856, K0857, K0858, K0859, K0860, K0861, K0862, K0863, K0864, K0868, K0869, K0870, K0871, K0877, K0878, K0879, K0880, K0884, K0885, K0886, K0890, K0891, K0898 Walkers - E0130, E0135, E0140, E0141, E0143, E0144, E0147, E0148, E0149
Commodes	DME	E0163, E0164, E0165, E0166, E0168, E0169, E0170, E0171
Compressor/Nebulizer NOTE: When used with Intermittent Positive Pressure Breathing (IPPB) treatments or oxygen delivery	DME	E0565, E0572, E0575, E0585
Enteral Pumps	DME	B9000, B9002
External Breast Prosthesis	O&P	L8015, L8020, L8030, L8031, L8032, L8035, L8039
Functional Electrical Stimulator	DME	E0764, E0770	Crutches - E0110, E0111, E0112, E0113, E0114, E0116, E0117, E0118 Walkers - E0130, E0135, E0140, E0141, E0143, E0144, E0147, E0148, E0149
Heat Lamps	DME	E0200, E0205
Heat Pads	DME	E0210, E0215, E0217, E0220, E0221, E0225, E0236, E0238, E0239
High Frequency Chest Wall Oscillation Devices	DME	E0480, E0482, E0483
Hospital Beds	DME	E0250, E0251, E0255, E0256, E0260, E0261, E0265, E0266, E0290, E0291, E0292, E0293, E0294, E0295, E0296, E0297, E0301, E0302, E0303, E0304, E0328, E0329
Humidifiers NOTE: When used with a positive airway pressure (PAP) device	DME	E0561, E0562
Infusion Pumps	DME	E0779, E0780, E0781, E0791
Knee Orthoses	O&P	K0901, K0902, L1810, L1812, L1820, L1830, L1831, L1832, L1833, L1834, L1836, L1840, L1843, L1844, L1845, L1846, L1847, L1848, L1850, L1851, L1852, L1860
Manual Wheelchairs	DME	E1037, E1038, E1039,	Canes and Crutches - E0100, E0105, E0110, E0111, E0112, E0113, E0114, E0116, E0117, E0118 Manual Wheelchair - E1031, E1161, E1229, E1231, E1232, E1233, E1234, E1235, E1236, E1237, E1238, E1239, K0001, K0002, K0003, K0004, K0005, K0006, K0007, K0009 Power Wheelchairs - E1035, E1036, E1230, K0013, K0800, K0801, K0802, K0806, K0807, K0808, K0812, K0813, K0814, K0815, K0816, K0820, K0821, K0822, K0823, K0824, K0825, K0826, K0827, K0828, K0829, K0830, K0831, K0835, K0836, K0837, K0838, K0839, K0840, K0841, K0842, K0843, K0848, K0849, K0850, K0851, K0852, K0853, K0854, K0855, K0856, K0857, K0858, K0859, K0860, K0861, K0862, K0863, K0864, K0868, K0869, K0870, K0871, K0877, K0878, K0879, K0880, K0884, K0885, K0886, K0890, K0891, K0898 Walkers - E0130, E0135, E0140, E0141, E0143, E0144, E0147, E0148, E0149
Manual Wheelchairs	DME	E1031, E1161, E1229, E1231, E1232, E1233, E1234, E1235, E1236, E1237, E1238, E1239, K0001, K0002, K0003, K0004, K0005, K0006, K0007, K0009	Canes and Crutches - E0100, E0105, E0110, E0111, E0112, E0113, E0114, E0116, E0117, E0118 Power Wheelchairs - E1035, E1036, E1230, K0013, K0800, K0801, K0802, K0806, K0807, K0808, K0812, K0813, K0814, K0815, K0816, K0820, K0821, K0822, K0823, K0824, K0825, K0826, K0827, K0828, K0829, K0830, K0831, K0835, K0836, K0837, K0838, K0839, K0840, K0841, K0842, K0843, K0848, K0849, K0850, K0851, K0852, K0853, K0854, K0855, K0856, K0857, K0858, K0859, K0860, K0861, K0862, K0863, K0864, K0868, K0869, K0870, K0871, K0877, K0878, K0879, K0880, K0884, K0885, K0886, K0890, K0891, K0898 Walkers - E0130, E0135, E0140, E0141, E0143, E0144, E0147, E0148, E0149
Mechanical In-exsufflation Devices	DME	E0480, E0482, E0483
Nebulizers and Compressors	DME	E0570, E0571, E0574, E0580
Oxygen Contents (Portable)	DME	E0443, E0444
Oxygen Contents (Stationary)	DME	E0441, E0442
Oxygen, Portable Equipment	DME	E0430, E0431, E0433, E0434, E0435, E1392, K0738
Oxygen, Stationary Equipment	DME	E0424, E0425, E0439, E0440, E1353, E1390, E1391, E1405, E1406
Parenteral Pumps	DME	B9004, B9006
Patient Lifts	DME	E0630, E0635, E0636, E0639, E0640
Patient Lifts	DME	E1035, E1036	Canes and Crutches - E0100, E0105, E0110, E0111, E0112, E0113, E0114, E0116, E0117, E0118 Manual Wheelchairs - E1031, E1037, E1038, E1039, E1161, E1229, E1231, E1232, E1233, E1234, E1235, E1236, E1237, E1238, E1239, K0001, K0002, K0003, K0004, K0005, K0006, K0007, K0009 Power Wheelchairs - E1035, E1036, E1230, K0013, K0800, K0801, K0802, K0806, K0807, K0808, K0812, K0813, K0814, K0815, K0816, K0820, K0821, K0822, K0823, K0824, K0825, K0826, K0827, K0828, K0829, K0830, K0831, K0835, K0836, K0837, K0838, K0839, K0840, K0841, K0842, K0843, K0848, K0849, K0850, K0851, K0852, K0853, K0854, K0855, K0856, K0857, K0858, K0859, K0860, K0861, K0862, K0863, K0864, K0868, K0869, K0870, K0871, K0877, K0878, K0879, K0880, K0884, K0885, K0886, K0890, K0891, K0898 Walkers - E0130, E0135, E0140, E0141, E0143, E0144, E0147, E0148, E0149
Percussors	DME	E0480, E0482
Pneumatic Appliances-Arm	DME	A4600, E0655, E0665, E0668, E0672
Pneumatic Appliances-Leg	DME	A4600, E0660, E0666, E0667, E0669, E0671, E0673
Pneumatic Compressors	DME	E0650, E0651, E0652, E0656, E0657, E0670, E0676
Power Wheelchairs	DME	E1035, E1036, E1230, K0013, K0800, K0801, K0802, K0806, K0807, K0808, K0812, K0813, K0814, K0815, K0816, K0820, K0821, K0822, K0823, K0824, K0825, K0826, K0827, K0828, K0829, K0830, K0831, K0835, K0836, K0837, K0838, K0839, K0840, K0841, K0842, K0843, K0848, K0849, K0850, K0851, K0852, K0853, K0854, K0855, K0856, K0857, K0858, K0859, K0860, K0861, K0862, K0863, K0864, K0868, K0869, K0870, K0871, K0877, K0878, K0879, K0880, K0884, K0885, K0886, K0890, K0891, K0898	Canes and Crutches - E0100, E0105, E0110, E0111, E0112, E0113, E0114, E0116, E0117, E0118 Manual Wheelchairs - E1031, E1037, E1038, E1039, E1161, E1229, E1231, E1232, E1233, E1234, E1235, E1236, E1237, E1238, E1239, K0001, K0002, K0003, K0004, K0005, K0006, K0007, K0009 Walkers - E0130, E0135, E0140, E0141, E0143, E0144, E0147, E0148, E0149
Respiratory Assist Devices	DME	E0450, E0454, E0460, E0461, E0463, E0464, E0465, E0466, E0470, E0471, E0472, E0601
Seat Lift Mechanisms	DME	E0627, E0628, E0629
Speech Generating Devices	DME	E2500, E2502, E2504, E2506, E2508, E2510, E2511
Spinal Orthoses - Lumbar Orthoses	O&P	L0625, L0626, L0627, L0641, L0642
Spinal Orthoses - Lumbar Sacral Orthoses	O&P	L0628, L0629, L0630, L0631, L0632, L0633, L0634, L0635, L0636, L0637, L0638, L0639, L0640, L0643, L0648, L0649, L0650, L0651
Spinal Orthoses - Sacral Orthoses	O&P	L0621, L0623
Spinal Orthoses - Thoracic Lumbar Sacral Orthosis	O&P	L0450, L0452, L0454, L0455, L0456, L0457, L0458, L0460, L0462, L0464, L0466, L0467, L0468, L0469, L0470, L0472, L0480, L0482, L0484, L0486, L0488, L0490, L0491, L0492
Stimulators	DME	E0747, E0760
Support Surfaces	DME	E0181, E0182, E0184, E0185, E0186, E0187, E0188, E0189, E0193, E0194, E0196, E0197, E0198, E0199, E0277, E0371, E0372, E0373
Therapeutic Shoes for Persons with Diabetes	O&P	A5500, A5501
Traction Frames	DME	E0840, E0850, E0855, E0856, E0860, E0947, E0849
Transcutaneous, Electrical Nerve Stimulators (TENS)	DME	E0720, E0730
Trapeze Bars	DME	E0910, E0911, E0912, E0940
Walkers	DME	E0130, E0135, E0140, E0141, E0143, E0144, E0147, E0148, E0149	Canes and Crutches - E0100, E0105, E0110, E0111, E0112, E0113, E0114, E0116, E0117, E0118 Manual Wheelchairs - E1031, E1037, E1038, E1039, E1161, E1229, E1231, E1232, E1233, E1234, E1235, E1236, E1237, E1238, E1239, K0001, K0002, K0003, K0004, K0005, K0006, K0007, K0009 Power Wheelchairs - E1035, E1036, E1230, K0013, K0800, K0801, K0802, K0806, K0807, K0808, K0812, K0813, K0814, K0815, K0816, K0820, K0821, K0822, K0823, K0824, K0825, K0826, K0827, K0828, K0829, K0830, K0831, K0835, K0836, K0837, K0838, K0839, K0840, K0841, K0842, K0843, K0848, K0849, K0850, K0851, K0852, K0853, K0854, K0855, K0856, K0857, K0858, K0859, K0860, K0861, K0862, K0863, K0864, K0868, K0869, K0870, K0871, K0877, K0878, K0879, K0880, K0884, K0885, K0886, K0890, K0891, K0898
Wheelchair Back Cushions	DME	E2611, E2612, E2613, E2614, E2615, E2616, E2617, E2620, E2621
Wheelchair Seat Cushions	DME	E2601, E2602, E2603, E2604, E2605, E2606, E2607, E2608, E2609, E2610, E2622, E2623, E2624, E2625, K0734, K0735, K0736, K0737

The Same and Similar Reference Chart content was last updated May 17, 2017.