| Description | DMERC Form # |
HCFA Form # |
| Continuous Positive Airway Pressure (CPAP) Devices | 03.02 | 845 |
| Enteral Nutrition | 10.02B | 853 |
| Hospital Beds | 01.02A | 841 |
| Immunosuppressive Drugs | 08.02 | N/A |
| Infusion Pumps | 09.02 | 851 |
| Lymphedema Pumps (Pneumatic Compression Devices) | 04.03B | 846 |
| Osteogenesis Stimulators | 04.03C | 847 |
| Oxygen | 484.2 | 484 |
| Parenteral Nutrition | 10.02A | 852 |
| Power Operated Vehicles | 07.02B | 850 |
| Seat Lift Mechanisms | 07.02A | 849 |
| Support Surfaces | 01.02B | 842 |
| Transcutaneous Electrical Nerve Stimulators (TENS) | 06.02B | 848 |
| Wheelchairs, Manual | 02.03B | 844 |
| Wheelchairs, Motorized | 02.03A | 843 |
| Wheelchairs, Section C Continuation Form | 11.01 | 854 |