A commode is covered when the beneficiary is physically
incapable of utilizing regular toilet facilities, which would occur in the following situations:
- The beneficiary is confined to a single room, or
- The beneficiary is confined to one level of the residing home and there is no toilet on that
- The beneficiary is confined to the home and there are no toilet facilities in the
- Bedside commodes are not covered if they are placed over the toilet in the
- Extra wide / heavy duty commode chairs may be covered if the beneficiary weighs 300 pounds or
- A commode chair with detachable arms may be covered if the detachable arms feature is
- to facilitate transferring the beneficiary, or
- If the beneficiary has a body configuration that requires extra
A commode chair with a seat lift mechanism may
be covered if the beneficiary has a medical necessity for a commode AND meets the criteria for a seat lift mechanism. The seat lift mechanism is intended for the beneficiary to walk
PLEASE NOTE: If the beneficiary can walk they rarely meet the criteria for a commode.
Required Documentation for
- Prescription – Must be signed and dated by treating physician or supplier
signature if dispensing orders.
- Detailed Written
Order – Must be signed and dated by physician.
Notes – Including information stating why a bedside commode is medically necessary (must comply with
Qualifications listed above).
- Medical need must be documented in patient’s
- DME supplier must have documentation on file detailing why
patient is room-confined or unable to access toilet facilities.
If you are in need of more detailed information please
click the link below to access the LCD.
Bedside Commode LCD