CMS Pub. 100-02, ch. 15, § 130

Arms, and Eyes

(Rev. 1, 10-01-03)

B3-2133, A3-3110.5, HO-228.5, AB-01-06 dated 1/18/01

These appliances are covered under Part B when furnished incident to physicians’

services or on a physician’s order. A brace includes rigid and semi-rigid devices which

are used for the purpose of supporting a weak or deformed body member or restricting or

eliminating motion in a diseased or injured part of the body. Elastic stockings, garter

belts, and similar devices do not come within the scope of the definition of a brace. Back

braces include, but are not limited to, special corsets, e.g., sacroiliac, sacrolumbar,

dorsolumbar corsets, and belts. A terminal device (e.g., hand or hook) is covered under

this provision whether an artificial limb is required by the patient. Stump stockings and

harnesses (including replacements) are also covered when these appliances are essential

to the effective use of the artificial limb.

Adjustments to an artificial limb or other appliance required by wear or by a change in

the patient’s condition are covered when ordered by a physician.

Adjustments, repairs and replacements are covered even when the item had been in use

before the user enrolled in Part B of the program so long as the device continues to be

medically required.