CG-DME-53 Biomechanical Footwear Therapy

This policy addresses biomechanical footwear therapy (for example, the Apos/AposHealth device) used to treat musculoskeletal conditions such as knee osteoarthritis, hip pain, and back pain. Anthem considers biomechanical footwear therapy not medically necessary and it is not covered for any indication—there are no covered scenarios. This noncoverage applies regardless of diagnosis, fitting/recalibration protocols, or FDA clearance, and includes related services billed under codes such as 96000, 97760, 97763, 97799, L2999, L3649, and T1999.

"Biomechanical footwear therapy is considerednot medically necessaryfor all indications."

Sign up to see full coverage criteria, indications, and limitations.