Code of Federal Regulations > Title 42 > Chapter IV > Part 414 > Subpart D - Subpart D—Payment for Durable Medical Equipment and Prosthetic and Orthotic Devices

U.S. Code of Federal Regulations

Regulations most recently checked for updates: Aug 27, 2025

§ 414.200 - Purpose.

§ 414.202 - Definitions.

§ 414.210 - General payment rules.

§ 414.220 - Inexpensive or routinely purchased items.

§ 414.222 - Items requiring frequent and substantial servicing.

§ 414.224 - Customized items.

§ 414.226 - Oxygen and oxygen equipment.

§ 414.228 - Prosthetic and orthotic devices.

§ 414.229 - Other durable medical equipment—capped rental items.

§ 414.230 - Determining a period of continuous use.

§ 414.234 - Prior authorization for items frequently subject to unnecessary utilization.

§ 414.236 - Continuity of pricing when HCPCS codes are divided or combined.

§ 414.238 - Establishing fee schedule amounts for new HCPCS codes for items and services without a fee schedule pricing history.

§ 414.240 - Procedures for making benefit category determinations and payment determinations for new durable medical equipment, prosthetic devices, orthotics and prosthetics, surgical dressings, and therapeutic shoes and inserts.