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Ordering External Breast Prostheses and Supplies

This revised Product comprises Subregulatory Guidance for Ordering External Breast Prostheses and Supplies and its content is based on publicly available, and, and

CMS policy or operation subject matter experts also reviewed/cleared this product.

This product educates providers about improper payments for ordering post-mastectomy breast prostheses and supplies.

Revisions to this Product include following content updates:
• Information about meeting Medicare Program medical record documentation (page 2)
The previous version of this Product is available to the public and currently posted on the CMS website

Download the Guidance Document


Issued by: Centers for Medicare & Medicaid Services (CMS)

Issue Date: December 20, 2022

DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.