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More information about reimbursement for offloading devices is at Prosthetic and Orthotic Policy Manual, Section 5.9.6.
Claim the appropriate reimbursement amount using the relevant Product Identification Number (PIN). In general, labour materials/components are accounted for in the procedure PINs and should not be claimed separately.
| PIN | Description | Maximum reimbursement | Quantity limit |
|---|---|---|---|
| 77123560 | Orthotic insert | $675.00 | One pair covered every 36 months |
| 77123561 | Orthotic footwear | $350.00 | One pair covered every 12 months |
| 77123562 | Orthotic cover | $75.00 | Four per foot every 12 months |
| PIN | Description |
|---|---|
| 77123563 | Repairs/adjustments under $400.00 |
| 77123564 | Repairs/adjustments over $400.00 |