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Medicare DME Reimbursement to Increase in 2017

Good news!

On January 1, 2017, the amount Medicare pays for diabetic shoes, Moore Balance Brace and Arizona custom AFOs will increase.

While the amount reimbursed may vary slightly by state, the National Fee Schedule is as follows:

Depth Shoes (A5500), pair                                                            $141.56

Prefabricated, Heat Molded Inserts (A5512), pair                         $57.74

Custom Molded Inserts (A5513), pair                                            $86.18

Depth Shoes w/ 3 pr. Prefab, Heat Molded Inserts                       $314.78

Depth Shoes w/ 3 pr. Custom Molded Inserts                               $400.10

Custom Molded Shoes w/ offset heels and rocker bottoms          $564.26

Arizona AFO, Standard (L1940, L2330, L2820), each  – Ceiling $1171.79      Floor  $874.33

Moore Balance Brace (L1940, L2330, L2820), pair       – Ceiling $2343.58    Floor  $1748.66

For a complete listing of updated DME allowables, including prefabricated and custom ankle foot orthoses, go to:

https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/DMEPOSFeeSched/DMEPOS-Fee-Schedule-Items/DME17-A.html?DLPage=1&DLEntries=10&DLSort=2&DLSortDir=descending