These items consist of all prosthetic and orthotic devices excluding:

• Items requiring frequent and substantial servicing;
• Certain customized items;
• Transcutaneous electrical nerve stimulators (TENS);
• Parenteral/enteral nutritional supplies and equipment; and,
• Intraocular lenses.

Other than these exceptions, prosthetic and orthotic devices will be paid on a lump-sum purchase basis.

The date of service for custom-made orthotics and prosthetics is the actual date the beneficiary receives the item. Do not use the date the item was ordered when billing Medicare.