US · guidance
CMS Pub. 100-04, ch. 20, § 10.1.3
Prosthetics and Orthotics (Leg, Arm, Back, and Neck Braces,
Trusses, and Artificial Legs, Arms, and Eyes) - Coverage Definition
(Rev. 1, 10-01-03)
These appliances are covered under Part B as a medical or other health service
(§1861(s)(9) of the Act) when furnished incident to physicians' services or on a
physician's order. A brace includes rigid and semi-rigid devices that 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.
For detailed coverage requirements (including definitions and discussion) associated with
the following terms and circumstances see the Medicare Benefit Policy Manual, Chapter
15:
"Leg, Arm, Back, and Neck Braces, Trusses, and Artificial Legs, Arms, and
Eyes"
"Adjustments and Replacement of Artificial Limbs"
For coverage information on specific situations, braces, trusses, and artificial limbs and
eyes, see the Medicare National Coverage Determinations Manual.
History
(Rev. 1, 10-01-03)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
913a1c22d0ff6b11bfa5743343cf9371ae1341e90b04cfeed9d15225c892065e
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