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Thread: orthodics

  1. #1

    Default orthodics

    AAPC: Back to School
    I'm sure the answer to this is no, but does Medicare cover foot casting to make orthodics for a patient with bone spurs and plantar fascitis? And do they ever cover them for any diagnosis given?

    Thanks for any feedback.


  2. #2
    Join Date
    Apr 2007
    High Point, NC


    The CMS website has a policy article that addresses this - "Orthopedic Footwear". But bascially no, Medicare does not cover foot Orthotics (shoe and related modifications, inserts, and heel/sole replacements) unless it is an integral part of a brace and it is medically necessary for the proper functioning of the brace.

    I was going to include the link on the CMS website, but I am unable to get anything to load on the CMS site this afternoon. Try searching under Coverage Determination for Orthopedic Footwear.

    I hope this is helpful.
    Cindy Gallimore, CPC, CENTC

  3. #3


    It really depends on where you are located. I know in Florida they do as long as the patient has cetain dx. You need to check your Medicare LCD's on foot orthotics.

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