Top 20 durable medical equipment procedure codes

There are over 500 Healthcare Common Procedure Coding System (HCPCS) codes for Durable Medical Equipment (DME) for patients’ every day and extended use. This equipment includes oxygen systems and accessories, canes, wheelchairs, crutches, infusion pumps and glucose monitors. As the incidence of chronic diseases increases, there will be a growing need for devices to support patients.

How many DME related procedures take place each year?

Based on data from the Definitive Healthcare ClaimsMx product, we reviewed the DME related medical procedure codes for the last two years. Between 2019 and 2020, the total number of DME procedure claims increased from about 740,000 to just under 825,000. The following are the top DME procedure codes with the highest number of claims in 2020.

DME procedure codes with most claims in 2020

Rank HCPCS Code HCPCS Description Total Procedures 2020 Total Procedures 2019
1. E0601 Continuous positive airway pressure (CPAP) Device 233,831 155,787
2. E0114 Crutches underarm, other than wood, adjustable or fixed pair, with pads, tips and handgrips 94,930 122,298
3. E0562 Humidifier, heated, used with positive airway pressure (PAP) device 62,248 56,434
4. E0700 Safety equipment, device or accessory, any type 33,412 9,051
5. E1390 Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate 28,801 41,677
6. E1399 Durable medical equipment, miscellaneous 26,512 25,663
7. E0570 Nebulizer with compression 18,653 10,384
8. E0776 Iv pole 17,909 16,415
9. E0470 Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface 17,315 12,762
10.  E0730 Transcutaneous electrical nerve stimulation (tens) device, four or more leads, for multiple nerve stimulation 15,751 23,673
11. E0431 Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing 15,478 17,539
12. E0600 Respiratory suction pump, home model, portable or stationary, electric 12,856 13,117
13. E0791 Parental infusion pump, stationary, single or multi-channel 11,160 10,8831
14.  E0780 Ambulatory infusion pump, mechanical, reusable, for infusion less than 8 hours 10,763 12,387
15. E0143 Walker folding wheeled 9,498 9,656
16. E0100 Cane adjust/fixed with tip 9,273 12,036
17. E0486 Oral device/appliance used to reduce upper airway collapsibility, adjustable or non-adjustable, custom fabricated, includes fitting and adjustment 8,636 10,255
18. E0445 Oximeter non-invasive 7,907 5,169
19. E0781 External ambulatory infusion pump 6,674 10,495
20. E0190 Positioning cushion/pillow/wedge 6,225

7,528

Fig. 1 Data from the Definitive Healthcare ClaimsMx product for calendar year 2019 and 2020. Commercial claims data is sourced from multiple medical claims clearinghouses in the United States and updated monthly. Data accurate as of October 2021.

Which DME procedure codes have the highest number of claims?

Codes for continuous positive airway pressure (CPAP) devices (E0601) tops the DME list with over 233,000 claims – a 50% increase from 2019’s total of 155,000. Crutches (E0114) and humidifiers (E0562) complete the top three. Eight of the top 20 DME codes are related to respiratory needs including oxygen concentrators (E1390), nebulizers (E0570) and portable oxygen systems (E0431).

With the exception of non-invasive oximeters (E0445), which was 21st in 2019, the same DME codes appeared in the top 20 claims for both 2019 and 2020. Safety equipment (E0700) jumped the most spots – from 18th in 2019 to 4th in 2020 – potentially due to increased patient needs during the COVID-19 pandemic.

Healthcare Insights are developed with data from the Definitive Healthcare platform. Want even more insights? Start a free trial now and get access to the highest quality data and intelligence on hospitals, physicians, and other healthcare providers.

Explore our data