Durable Medical Equipment (DME)
Definition
Medical devices and equipment prescribed for ongoing use by injured workers, including braces, orthotics, wheelchairs, TENS units, and assistive devices. DME is reimbursed under the Official Medical Fee Schedule and may require prior authorization through the utilization review process for items exceeding fee schedule thresholds.
Related Terms
Frequently Asked Questions
What is a Durable Medical Equipment (DME)?
Medical devices and equipment prescribed for ongoing use by injured workers, including braces, orthotics, wheelchairs, TENS units, and assistive devices. DME is reimbursed under the Official Medical Fee Schedule and may require prior authorization through the utilization review process for items exceeding fee schedule thresholds.
Is durable medical equipment covered under workers' compensation in California?
Durable Medical Equipment may be authorized as part of a workers' compensation treatment plan in California, subject to utilization review (UR) and the Medical Treatment Utilization Schedule (MTUS). The primary treating physician must request authorization through the appropriate channels.