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