| S5136 | Companion care, adult (e.g., iadl/adl); per diem |
| T4521 | Adult sized disposable incontinence product, brief/diaper, small, each |
| T4522 | Adult sized disposable incontinence product, brief/diaper, medium, each |
| T4523 | Adult sized disposable incontinence product, brief/diaper, large, each |
| E1161 | Manual adult size wheelchair, includes tilt in space |
| S5135 | Companion care, adult (e.g., iadl/adl); per 15 minutes |
| G0530 | Adult day center, 8-hour unit, for use in cmmi model |
| Q4005 | Cast supplies, long arm cast, adult (11 years +), plaster |
| Q4017 | Cast supplies, long arm splint, adult (11 years +), plaster |
| Q4029 | Cast supplies, long leg cast, adult (11 years +), plaster |
| Q4041 | Cast supplies, long leg splint, adult (11 years +), plaster |
| Q4033 | Cast supplies, long leg cylinder cast, adult (11 years +), plaster |
| Q4009 | Cast supplies, short arm cast, adult (11 years +), plaster |
| Q4021 | Cast supplies, short arm splint, adult (11 years +), plaster |
| Q4037 | Cast supplies, short leg cast, adult (11 years +), plaster |
| Q4045 | Cast supplies, short leg splint, adult (11 years +), plaster |
| Q4003 | Cast supplies, shoulder cast, adult (11 years +), plaster |
| Q4025 | Cast supplies, hip spica (one or both legs), adult (11 years +), plaster |
| Q4026 | Cast supplies, hip spica (one or both legs), adult (11 years +), fiberglass |
| Q4006 | Cast supplies, long arm cast, adult (11 years +), fiberglass |
| Q4018 | Cast supplies, long arm splint, adult (11 years +), fiberglass |
| Q4030 | Cast supplies, long leg cast, adult (11 years +), fiberglass |
| Q4042 | Cast supplies, long leg splint, adult (11 years +), fiberglass |
| Q4034 | Cast supplies, long leg cylinder cast, adult (11 years +), fiberglass |
| Q4010 | Cast supplies, short arm cast, adult (11 years +), fiberglass |
| Q4022 | Cast supplies, short arm splint, adult (11 years +), fiberglass |
| Q4038 | Cast supplies, short leg cast, adult (11 years +), fiberglass |
| Q4046 | Cast supplies, short leg splint, adult (11 years +), fiberglass |
| Q4004 | Cast supplies, shoulder cast, adult (11 years +), fiberglass |
| M1068 | Adults who are not ambulatory |
| M1035 | Adults who are deliberately phased out of medication assisted treatment (mat) prior to 180 days of continuous treatment |
