Are prosthetics and orthotics considered to be DME for billing purposes?
A. Typically no. Although prosthetics and orthotics meet many of the criteria to be considered durable medical equipment, the rule specifically excludes braces, prosthetic devices and artificial limbs and eyes. However, some items that might be perceived as orthotics or prosthetics may be included under DME reimbursement including dialysis machines, which are considered to be prosthetics but are specifically included under DME reimbursement.
Related Questions
- Are there any extra requirements that I need to fulfil when applying for the Bachelor of Health Sciences and Master of Clinical Prosthetics and Orthotics?
- Which Part B carrier processes claims for durable medical equipment (DME), prosthetics and orthotics?
- How do I obtain Durable Medical Equipment (DME), Prosthetics, Orthotics and Diabetic Supplies?
