--- title: "DMEPOS Definition & Meaning | MedTech Terms" description: "Medicare benefit category covering durable medical equipment, prosthetics, orthotics, and supplies, billed under HCPCS Level II codes through DME MACs." lang: en json-ld: | { "@context": "https://schema.org", "@graph": [ { "@type": "DefinedTerm", "@id": "https://medtechterms.com/terms/dmepos#term", "name": "Durable Medical Equipment, Prosthetics, Orthotics, and Supplies", "alternateName": "DMEPOS", "description": "DMEPOS is a Medicare Part B benefit category covering durable medical equipment (CPAP, oxygen, walkers, wheelchairs, hospital beds), prosthetics, orthotics, and supplies. Items are coded under HCPCS Level II, billed to one of four DME Medicare Administrative Contractors (DME MACs), and may be subject to Competitive Bidding pricing in designated areas. 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[Home](/) 2. / 3. [Terms](/terms) 4. / 5. [Reimbursement](/terms?cat=Reimbursement) 6. / 7. Durable Medical Equipment, Prosthetics, Orthotics, and Supplies [All terms](/terms) Reimbursement [Hospital Buyer & Reimbursement](/ecosystems/hospital-buyer)DMEPOS # Durable Medical Equipment, Prosthetics, Orthotics, and Supplies Medicare benefit category covering durable medical equipment, prosthetics, orthotics, and supplies, billed under HCPCS Level II codes through DME MACs. Reviewed by [Christian Espinosa, Founder, Blue Goat Cyber](/authors/christian-espinosa) Last reviewed May 9, 2026 ## Definition DMEPOS is a Medicare Part B benefit category covering durable medical equipment ( [CPAP](/terms/sleep-respiratory-devices), oxygen, walkers, wheelchairs, hospital beds), prosthetics, orthotics, and supplies. Items are coded under [HCPCS](/terms/hcpcs) Level II, billed to one of four DME Medicare Administrative Contractors (DME MACs), and may be subject to Competitive Bidding pricing in designated areas. Suppliers must be enrolled, bonded, and accredited under 42 CFR 424 Subpart D. What the regulation says Statutory authority: 42 USC 1395m. Coding: [HCPCS](/terms/hcpcs) Level II (CMS-maintained). Coverage: National Coverage Determinations and DME [MAC](/terms/mac) LCDs. Competitive Bidding: 42 CFR 414 Subpart F. ## What this means in practice DMEPOS Competitive Bidding has materially compressed pricing in covered categories and reshaped supplier-distribution economics. Surety bonds, accreditation (e.g., ACHC, BOC), and PECOS enrollment are the operational floor. Common pitfalls - • Launching a DME product without confirming HCPCS coding and DME MAC coverage path. - • Underestimating the operational burden of DMEPOS supplier accreditation and surety bond. ## Related terms Grouped by theme ### Editor's picks · Hand-selected related concepts [ Reimbursement HCPCS Codes(HCPCS) CMS-maintained codes for products, supplies, and services not in CPT. ](/terms/hcpcs)[ Reimbursement LCD and NCD Local and National Coverage Determinations from Medicare. ](/terms/lcd-ncd)[ Reimbursement Medicare Administrative Contractor(MAC) Private contractors that process Medicare Part A/B and DME claims and issue Local Coverage Determinations within their jurisdictions. ](/terms/mac)[ Market Segments Sleep & Respiratory Devices Devices for diagnosis and treatment of sleep-disordered breathing and chronic respiratory disease, CPAP, BiPAP, ventilators, and home sleep tests. ](/terms/sleep-respiratory-devices) ### More in Reimbursement · Same category [ Reimbursement 340B Drug Pricing Program(340B) Federal program providing discounted drugs to safety-net providers. ](/terms/340b)[ Reimbursement Ambulatory Payment Classification(APC) The Medicare grouping system that determines hospital outpatient payment amounts under OPPS, analogous to MS-DRGs for inpatient. ](/terms/apc)[ Reimbursement ASC Site-of-Service Shift Migration of procedures from hospitals to ambulatory surgery centers. ](/terms/asc-shift)[ Reimbursement Budget Impact Model(BIM) Financial model that estimates the total cost consequences of adopting a new technology to a payer's budget over a defined horizon. ](/terms/budget-impact-model) Cited by Where this term appears across MedTech Terms. Ecosystems (1) - [Hospital Buyer & Reimbursement](/ecosystems/hospital-buyer) ## Primary references 3 sources Link health: 3 verified · last checked 2026-06-20 CMS· 1 Cornell LII· 1 AMA· 1 1. [1 CMS, DMEPOS Verified CMS · cms.gov ](https://www.cms.gov/medicare/payment/fee-schedules/durable-medical-equipment-prosthetic-devices-prosthetics-orthotics-supplies/payment-policies-dmepos-items-services) 2. [2 42 USC 1395m, Special payment rules for DMEPOS Verified Cornell LII · law.cornell.edu ](https://www.law.cornell.edu/uscode/text/42/1395m) 3. [3 AMA CPT Resources Verified AMA · ama-assn.org ](https://www.ama-assn.org/practice-management/cpt) Inline markers like \[1\] jump to the matching reference above. Sponsor note ### Need cybersecurity expertise on a connected-device launch? Blue Goat Cyber helps MedTech teams ship connected products that hospital security teams will actually procure. [Book a 30-minute discovery session](https://go.bluegoatcyber.com/meetings/blue-goat-cyber/discovery-session) - No obligation - Expert-led from minute one - NDA available on request MedTech Terms is a community resource sponsored by [Blue Goat Cyber](https://bluegoatcyber.com). Definitions are independent of any vendor. On this term Category Reimbursement Acronym DMEPOS Sources 3 Updated 5/9/2026 [Compare with another term](/compare?a=dmepos) Learn in 60 seconds Card Lesson Quiz Medicare benefit category covering durable medical equipment, prosthetics, orthotics, and supplies, billed under HCPCS Level II codes through DME MACs. - · DMEPOS Competitive Bidding has materially compressed pricing in covered categories and reshaped supplier-distribution economics. - · Surety bonds, accreditation (e.g., ACHC, BOC), and PECOS enrollment are the operational floor. - · Items are coded under HCPCS Level II, billed to one of four DME Medicare Administrative Contractors (DME MACs), and may be subject to Competitive Bidding pricing in designated areas. Remember this Watch out: Launching a DME product without confirming HCPCS coding and DME MAC coverage path. Related terms - [HCPCS Codes(HCPCS) ](/terms/hcpcs) - [Medicare Administrative Contractor(MAC) ](/terms/mac) - [LCD and NCD ](/terms/lcd-ncd) - [Sleep & Respiratory Devices ](/terms/sleep-respiratory-devices) You may also need Auto-suggested from Reimbursement and shared keywords. - [CMS IDE Coverage (Category A & B) ](/terms/ide-coverage) - [Coverage with Evidence Development(CED) ](/terms/ced) - [Proprietary Laboratory Analyses Codes(PLA) ](/terms/pla-codes) - [Ambulatory Payment Classification(APC) ](/terms/apc) - [National and Local Coverage Determinations(NCD / LCD) ](/terms/ncd-lcd) - [Outpatient Prospective Payment System(OPPS) ](/terms/opps) [All Reimbursement terms](/terms?cat=Reimbursement) MedTech Terms An authoritative, plain-language reference for the regulatory, quality, cybersecurity, and software terms that shape modern medical devices. 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