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DME Categories, Definitions and Delivery Timeframes

DME Category/Items Medicare Coverage Criteria Definition Timeframe Delivery Target

Routine (Light) Needed to improve patient’s condition and/or Within 1 day 90%
(all other items that cost $100.00 safety/general well-being/quality of life
or less.) Note: Per VNS policy suppliers instructed to deliver
these items without waiting for LMN and VNS
guarantees payment if LMN can’t be obtained despite
the best efforts of the vendor.
Routine (Heavy) Needed to improve patient’s condition and/or Within 3 days 90%
(all other items that cost over safety/general well-being/quality of life.
$100.00.)

Note: Medicare requires MD
Letter of Medical Necessity
(LMN) in order to bill all
items

1. Admission DME Categories