2022 Medicare Reimbursement Rates for Diabetic Shoes and Inserts

Paperwork

The 2022 reimbursement rates have been released! We have provided the 2022 vs. 2021 A5500, A5512 and A5514 rates, as well as the exact reimbursement by state. The Medicare fee schedules published by the Centers for Medicare and Medicaid Services (CMS) are linked here.

HCPCS	2022	2021	Difference
A5500	$ 155.60	$ 148.04	$ 7.56
A5512	$ 63.46	$ 60.38	$ 3.08
A5514	$ 94.70	$ 90.10	$ 4.60

Shoes w/ 3 pairs of HM	$ 345.98	$ 329.18	$ 16.80
Shoes w/ 3 pairs of CI	$ 439.70	$ 418.34	$ 21.36

*Please note reimbursement on L codes will vary based on patient’s available coverage and associated health plan.

HCPCS	L3010	L3020	L5000
Ceiling	$ 218.98	$ 249.31	$ 708.02
Floor	$ 164.23	$ 186.98	$ 531.01
AL	$ 184.82	$ 210.45	$ 556.20
AR	$ 184.81	$ 210.42	$ 708.02
AZ	$ 179.46	$ 204.29	$ 631.60
CA	$ 179.46	$ 204.29	$ 631.60
CO	$ 185.84	$ 211.60	$ 531.01
CT	$ 179.46	$ 204.29	$ 531.01
DC	$ 179.46	$ 204.29	$ 585.76
DE	$ 179.46	$ 204.29	$ 585.76
FL	$ 184.82	$ 210.45	$ 556.20
GA	$ 184.82	$ 210.45	$ 556.20
IA	$ 182.95	$ 208.29	$ 554.72
ID	$ 179.46	$ 204.29	$ 531.01
IL	$ 183.81	$ 209.32	$ 605.82
IN	$ 183.81	$ 209.32	$ 605.82
KS	$ 182.95	$ 208.29	$ 554.72
KY	$ 184.82	$ 210.45	$ 556.20
LA	$ 184.81	$ 210.42	$ 708.02
MA	$ 179.46	$ 204.29	$ 531.01
MD	$ 179.46	$ 204.29	$ 585.76
ME	$ 179.46	$ 204.29	$ 531.01
MI	$ 183.81	$ 209.32	$ 605.82
MN	$ 183.81	$ 209.32	$ 605.82
MO	$ 182.95	$ 208.29	$ 554.72
MS	$ 184.82	$ 210.45	$ 556.20
MT	$ 185.84	$ 211.60	$ 531.01
NC	$ 184.82	$ 210.45	$ 556.20
ND	$ 185.84	$ 211.60	$ 531.01
NE	$ 182.95	$ 208.29	$ 554.72
NH	$ 179.46	$ 204.29	$ 531.01
NJ	$ 179.46	$ 204.29	$ 531.01
NM	$ 184.81	$ 210.42	$ 708.02
NV	$ 179.46	$ 204.29	$ 631.60
NY	$ 179.46	$ 204.29	$ 531.01
OH	$ 183.81	$ 209.32	$ 605.82
OK	$ 184.81	$ 210.42	$ 708.02
OR	$ 179.46	$ 204.29	$ 531.01
PA	$ 179.46	$ 204.29	$ 585.76
RI	$ 179.46	$ 204.29	$ 531.01
SC	$ 184.82	$ 210.45	$ 556.20
SD	$ 185.84	$ 211.60	$ 531.01
TN	$ 184.82	$ 210.45	$ 556.20
TX	$ 184.81	$ 210.42	$ 708.02
UT	$ 185.84	$ 211.60	$ 531.01
VA	$ 179.46	$ 204.29	$ 585.76
VT	$ 179.46	$ 204.29	$ 531.01
WA	$ 179.46	$ 204.29	$ 531.01
WI	$ 183.81	$ 209.32	$ 605.82
WV	$ 179.46	$ 204.29	$ 585.76
WY	$ 185.84	$ 211.60	$ 531.01
AK	$ 179.46	$ 204.29	$ 617.83
HI	$ 179.46	$ 204.29	$ 660.70
PR	$ 197.37	$ 224.69	$ 857.91
VI	$ 197.37	$ 224.69	$ 531.01

If you have absolutely any questions, please do not hesitate to reach out!

Resource –

2022 Fee Schedule

2022 Medicare Reimbursement Rates for Diabetic Shoes and Inserts

Stay up-to-date with our blog!

Recent Posts

Posts by Tag