---
kind: "section"
citation: "42 C.F.R. § 414.202"
title: "42"
number: "414.202"
heading: "Definitions."
url: "https://uscodex.org/cfr/42/414.202"
---

# §414.202. Definitions.


For purposes of this subpart, the following definitions apply:

Complex rehabilitative power-driven wheelchair means a power-driven wheelchair that is classified as—

- (1) Group 2 power wheelchair with power options that can accommodate rehabilitative features (for example, tilt in space); or
- (2) **Group 3 power wheelchair.** Covered item update means the percentage increase in the consumer price index for all urban consumers (U.S. city average) (CPI-U) for the 12-month period ending with June of the previous year.

  Durable medical equipment means equipment, furnished by a supplier or a home health agency that meets the following conditions:

- (1) **Can withstand repeated use.**
- (2) Effective with respect to items classified as DME after January 1, 2012, has an expected life of at least 3 years.
- (3) **Is primarily and customarily used to serve a medical purpose.**
- (4) **Generally is not useful to an individual in the absence of an illness or injury.**
- (5) **Is appropriate for use in the home.** Prosthetic and orthotic devices means—
- (1) Devices that replace all or part of an internal body organ, including ostomy bags and supplies directly related to ostomy care, and replacement of such devices and supplies;
- (2) One pair of conventional eyeglasses or contact lenses furnished subsequent to each cataract surgery with insertion of an intraocular lens; and
- (3) Leg, arm, back, and neck braces, and artificial legs, arms, and eyes, including replacements if required because of a change in the beneficiary's physical condition.
- (1) Parenteral and enteral nutrients, supplies, and equipment;
- (2) Intraocular lenses;
- (3) Medical supplies such as catheters, catheter supplies, ostomy bags, and supplies related to ostomy care that are furnished by an HHA as part of home health services under [§ 409.40(e)](/cfr/42/409.40.md?p=e) of this chapter;
- (4) **Dental prostheses.** Region means, for the purpose of implementing [§ 414.210(g)](/cfr/42/414.210.md?p=g), geographic areas defined by the Bureau of Economic Analysis in the United States Department of Commerce for economic analysis purposes, and, for the purpose of implementing [§ 414.228](/cfr/42/414.228.md), those contractor service areas administered by CMS regional offices.

  Rural area means, for the purpose of implementing [§ 414.210(g)](/cfr/42/414.210.md?p=g), a geographic area represented by a postal zip code if at least 50 percent of the total geographic area of the area included in the zip code is estimated to be outside any metropolitan area (MSA). A rural area also includes a geographic area represented by a postal zip code that is a low population density area excluded from a competitive bidding area in accordance with the authority provided by section 1847(a)(3)(A) of the Act at the time the rules at [§ 414.210(g)](/cfr/42/414.210.md?p=g) are applied.


## Notes

### Amendments

[57 FR 57689, Dec. 7, 1992, as amended at 75 FR 73622, Nov. 29, 2010; 76 FR 70314, Nov. 10, 2011; 79 FR 66262, Nov. 6, 2014]

### Authority

Authority: 42 U.S.C. 1302, 1395hh, and 1395rr(b)(l).

### Source

Source: 55 FR 23441, June 8, 1990, unless otherwise noted.

### Amendments

[57 FR 57689, Dec. 7, 1992, as amended at 75 FR 73622, Nov. 29, 2010; 76 FR 70314, Nov. 10, 2011; 79 FR 66262, Nov. 6, 2014]