US · guidance
CMS Pub. 100-03, ch. 1, § 280.10
Prosthetic Shoe
CIM 70-3
A prosthetic shoe (a device used when all or a substantial portion of the front part of the foot is
missing) can be covered as a terminal device; i.e., a structural supplement replacing a totally or
substantially absent hand or foot. The coverage of artificial arms and legs includes payment for
terminal devices such as hands or hooks even though the patient may not require an artificial
limb. The function of the prosthetic shoe is quite distinct from that of excluded orthopedic shoe
and supportive foot devices which are used by individuals whose feet, although impaired, are
essentially intact. (Section 1862(a)(8) of the Act excludes payment for orthopedic shoes or other
supportive devices for the feet.) See the Medicare Benefit Policy Manual, Chapter 15, “Covered
Medical and Other Services,” §130.
History
(Rev. 1, 10-03-03)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
4ee074e85bd1738dba02c64d6007ec5a1a74824089877e3950aa507abaa7867f
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