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Same or Similar Reference Chart

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.

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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.

 

Last Updated Jun 19, 2017