National Coverage Determination (NCD)

Prosthetic Shoe


Expand All | Collapse All

Tracking Information

Publication Number
Manual Section Number
Manual Section Title
Prosthetic Shoe
Version Number
Effective Date of this Version
This is a longstanding national coverage determination. The effective date of this version has not been posted.

Description Information

Benefit Category
Artificial Legs, Arms, and Eyes

Please Note: This may not be an exhaustive list of all applicable Medicare benefit categories for this item or service.

Indications and Limitations of Coverage

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.)

Cross Reference
See the Medicare Benefit Policy Manual, Chapter 15 ยง130.

Transmittal Information

Transmittal Number
Revision History

5/1989 - Added statutory authority citation. Effective date NA. (TN 36)

Additional Information

Other Versions
Title Version Effective Between
Prosthetic Shoe 1 01/01/1966 - N/A You are here