View documentation checklists created to help suppliers ensure all applicable documentation is readily available as part of Medicare claims payment and processing activities.

Standard Documentation Checklists

General Documentation Requirements apply to all DMEPOS categories. These checklists include the documentation required for payment and retention of that payment in the event of a review by entities looking at documentation today and in the future.

1. General Documentation Requirements Checklist - Online Version [PDF] - Snapshot view of all requirements
2. General Documentation Requirements Checklist - Printable Version [PDF] - Full listing of all general documentation requirements

DMEPOS Categories Documentation Checklists

• Ankle-Foot/Knee-Ankle-Foot Orthosis [PDF]
• Automatic External Defibrillators [PDF]
• Canes and Crutches [PDF]
• Enteral Nutrition [PDF]
• External Breast Prostheses [PDF]
• External Infusion Pumps [PDF]
• Glucose Monitors and Supplies [PDF]
• Hospital Beds and Accessories [PDF]
• Immunosuppressive Drugs [PDF]
• Knee Orthosis [PDF]
• Knee Orthoses - Custom Fabricated [PDF]
• Knee Orthoses - Prefabricated [PDF]
• Lower Limb Prostheses [PDF]
• Manual Wheelchairs [PDF]
• Nebulizers and Respiratory Drugs [PDF]
• Negative Pressure Wound Therapy Checklist [PDF]
• Negative Pressure Wound Therapy - Continuous Coverage [PDF]
• Negative Pressure Wound Therapy - Home Setting [PDF]
• Negative Pressure Wound Therapy - In Patient Setting [PDF]
• Oral Anticancer Drugs [629]
• Osteogenesis Stimulators [PDF]
• Ostomy Supplies [PDF]
• Oxygen and Oxygen Equipment [PDF]
• Parenteral Nutrition [PDF]
• Patient Lifts [PDF]
• Positive Airway Pressure (PAP) Devices [PDF]
• Power Wheelchair: Group 1 and 2 No Power Option and Custom [PDF]
• Power Wheelchair: Group 2 Single/Multiple Power Options [PDF]
• Power Wheelchair: Group 3 Single/Multiple Power Options [PDF]
• Power Wheelchair: Group 3 No Power Options [PDF]
• Power Operated Vehicles and Push-rim Activated Power Assist Device [PDF]
• Pressure Reducing Support Surfaces - Continued Coverage [PDF]
• Pressure Reducing Support Surfaces - Group 1 [PDF]
• Pressure Reducing Support Surfaces - Group 3 [PDF]
• Refractive Lenses [PDF]
• Respiratory Assist Devices - E0470 and E0471 [PDF]
• Spinal Orthoses [PDF]
• Suction Pumps [PDF]
• Support Surfaces: Group 1 [PDF]
• Support Surfaces: Group 2 [PDF]
• Support Surfaces: Group 3 [PDF]
• Therapeutic Shoes [PDF]
• Therapeutic Shoes for Persons with Diabetes [PDF]
• Tracheostomy Care Supplies [PDF]
• Transcutaneous Electrical Nerve Stimulators (TENS) [PDF]
• Urological Supplies [PDF]
• Walkers [PDF]