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2022 Medicare Reimbursement Rates for Diabetic Shoes and Inserts

Posted by Lindsey Kanter, RDN on Dec 20, 2021 1:11:49 PM
Lindsey Kanter, RDN

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 –

questions? comments? concerns?

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