Orthotic & Prosthetic Billing Updates And Guidelines
What if your Orthotics and Prosthetics (O&P) practice was leaving 10-15 % of potential reimbursements on the table simply due to outdated billing practices? In 2025, CMS has rolled out new policies that have partially reshaped the landscape of orthotic and prosthetic billing. For Orthotics and Prosthetic practitioners and medical practice owners, understanding these shifts is mission-critical. In this post, we’ll walk through the key CMS updates that happened in 2025, spotlight how they may affect your practice, and show why leveraging expert orthotic and prosthetic b illing services from CBS Medical Billing & Consulting can give you an edge in the competitive industry. 2025 CMS & DMEPOS Updates: 1. DMEPOS Fee Schedule Adjustments & New Codes Each January, CMS revises DMEPOS payments. In 2025, the fee schedule reflects a 2.4 % increase after adjustments, including inflation and practice expense factors. (Source: ACC ) Additionally, new code...