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Other Prosthetic and Orthotic Devices - JA DME

Other Prosthetic and Orthotic Devices

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.


Last Updated Fri, 12 Aug 2022 13:00:43 +0000