Medicare DME Reimbursement Increases in 2022

Posted on January 13, 2022 by Primary Admin

2022 Updated reimbursements:

Depth Shoes (A5500): pair $186.72 (Ceiling)
Prefabricated, Heat Molded Inserts (A5512): pair $76.16 (Ceiling)
Custom Milled Inserts (A5514): pair $113.64 (Ceiling)
Depth Shoes w/3 pr. Prefab, Heat Molded Inserts: $415.20 (Ceiling)
Depth Shoes w/3 pr. Custom Milled Inserts: $527.64 (Ceiling)
Custom Molded Shoes (A5501): $560.00 (Ceiling)
Arizona AFO, Standard (L1940, L2330, L2820): each – Ceiling $1281.17, Floor $960.88
Arizona Balance Brace (L1940, L2330, L2820): pair – Ceiling $2562.34, Floor $1921.76

Medicare DME Reimbursement Increases in 2020

Posted on December 18, 2019 by Alea Becwar

Good news!

On January 1, 2020, Medicare increased the amount it pays for diabetic shoes, Moore Balance Brace and Arizona custom AFOs.

While the amounts paid may vary slightly by state, the National Fee Schedule is as follows:

Depth Shoes (A5500): pair $147.74
Prefabricated, Heat Molded Inserts (A5512): pair $60.26
Custom Milled Inserts (A5514): pair $89.92

Depth Shoes w/3 pr. Prefab, Heat Molded Inserts: $328.52
Depth Shoes w/3 pr. Custom Molded Inserts: $417.50

Custom Molded Shoes w/offset heels and rocker bottoms: $585.26

Arizona AFO, Standard (L1940, L2330, L2820): each – Ceiling $1216.57, Floor $912.42
Moore Balance Brace (L1940, L2330, L2820): pair – Ceiling $2433.14, Floor $1824.84

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

https://www.cms.gov/medicaremedicare-fee-service-paymentdmeposfeescheddmepos-fee-schedule/dme20a

Medicare DME Reimbursement Increases in 2019

Posted on December 20, 2018 by Alea Becwar

Good news!
On January 1, 2019, Medicare increased the amount it pays for diabetic shoes, Moore Balance Brace and Arizona custom AFOs.

While the amounts paid may vary slightly by state, the National Fee Schedule is as follows:
Depth Shoes (A5500): pair $146.42
Prefabricated, Heat Molded Inserts (A5512): pair $59.72
Custom Milled Inserts (A5514): pair $89.12
Depth Shoes w/3 pr. Prefab, Heat Molded Inserts: $325.36
Depth Shoes w/3 pr. Custom Molded Inserts: $413.78
Custom Molded Shoes w/offset heels and rocker bottoms: $656.62
Arizona AFO, Standard (L1940, L2330, L2820): each – Ceiling $1178.61, Floor $904.29
Moore Balance Brace (L1940, L2330, L2820): pair – Ceiling $2357.22, Floor $1808.58

For a complete listing of updated DME allowables, including prefabricated and custom ankle-foot orthoses, visit:
https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/DMEPOSFeeSched/DMEPOS-Fee-Schedule-Items/DME19-A.html?DLPage=1&DLEntries=10&DLSort=2&DLSortDir=descending

Medicare DME Reimbursement Increases in 2018

Posted on January 2, 2018 by Alea Becwar

Good news!
On January 1, 2018, Medicare increased the amount it pays for diabetic shoes, Moore Balance Brace and Arizona custom AFOs.

While the amounts paid may vary slightly by state, the National Fee Schedule is as follows:
Depth Shoes (A5500): pair $143.12
Prefabricated, Heat Molded Inserts (A5512): pair $58.38
Custom Molded Inserts (A5513): pair $87.12
Depth Shoes w/3 pr. Prefab, Heat Molded Inserts: $318.26
Depth Shoes w/3 pr. Custom Molded Inserts: $404.48
Custom Molded Shoes w/offset heels and rocker bottoms: $570.38
Arizona AFO, Standard (L1940, L2330, L2820): each – Ceiling $1178.61 Floor $883.96
Moore Balance Brace (L1940, L2330, L2820): pair – Ceiling $2357.22 Floor $1767.92

For a complete listing of updated DME allowables, including prefabricated and custom ankle-foot orthoses, visit:
https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/DMEPOSFeeSched/DMEPOS-Fee-Schedule-Items/DME18-A.html?DLPage=1&DLEntries=10&DLSort=2&DLSortDir=descending

2016 Patient Brochure Helps Ensure That Patients With Diabetes Get Evaluated For Annual Shoe Fitting

Posted on September 26, 2016 by Sherry Azzarella

More than 75% of patients with diabetes that are fit with shoes covered by Medicare are only fit one year and not the next. Despite the American Diabetes Association recommending that patients be evaluated annually to determine their level of ulcerative risk, and the annual coverage that offers podiatrists very reasonable reimbursement, patients are still not receiving the attention they deserve. SafeStep has created a brochure for podiatrists to give to patients with Medicare and diabetes when scheduling an annual Comprehensive Diabetic Foot Exam. The brochure explains to patients the importance of the annual exam as well as qualifications for shoes under the Therapeutic Shoe Program.

Increased Medicare DME Reimbursement for 2015

Posted on January 28, 2015 by Josh White

Good news!! On January 1, 2015, the Medicare fee schedule for diabetic shoes, Moore Balance Brace and Arizona custom AFOs increased. While the amount reimbursed by each DME MAC may vary slightly, the National Fee Schedule allowables are as follows:

Depth Shoes (A5500) $141.14
Prefabricated, Heat Molded Inserts (A5512) $57.58
Custom Molded Inserts (A5513) $85.92

Depth Shoes w/ 3 pr. Prefab, Heat Molded Inserts $313.88
Depth Shoes w/ 3 pr. Custom Molded Inserts $398.90
Custom Molded Shoes w/ Custom Molded Inserts $586.42

Arizona AFO, Standard (L1940, L2330, L2820) $1162.23
Moore Balance Brace (L1940, L2330, L2820) $1162.23

For a complete listing of updated DME prices, including prefabricated and custom ankle foot orthoses, go to:
http://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/DMEPOSFeeSched/DMEPOS-Fee-Schedule.html.