Medicare restricts DME coverage of hand/finger orthoses

Why This Topic Matters

The policy updates affect whether certain orthotic products remain coverable under Medicare, how claims are categorized, and which items require product verification through the PDAC process. Providers and suppliers need to know which general product categories are addressed so they can review coverage status and billing workflow changes.

Article Sections

1. Hand and finger orthotic coverage update

   This section covers Medicare’s revised DME coverage approach for hand and finger orthoses and the related claim-processing update. It also notes the role of PDAC verification for affected products.

2. New DME restrictions on spine orthoses

   This section summarizes Medicare’s updated policy for prefabricated and custom spinal orthoses. It discusses the new classification and verification framework referenced for these items.

3. Official resources

   This section lists external resources and websites referenced for policy and product classification information.