Who Can Fit a Custom-Fit Brace?
The LCDs and Policy Articles define who is qualified to fit a custom-fit brace.
What is a custom-fit brace?
- Classification as custom fitted requires more than minimal self-adjustment at the time of delivery in order to provide an individualized fit, i.e., the item must be trimmed, bent, molded (with or without heat), or otherwise modified resulting in alterations beyond minimal self-adjustment.
- This fitting at delivery does require expertise of a certified orthotist or an individual who has specialized training in the provision of orthosis to fit the item to the individual beneficiary.
More than minimal self-adjustment is defined as changes made to achieve an individualized fit of the item that requires the expertise of a certified orthotist or an individual who has specialized training in the provision of orthotics in compliance with all applicable Federal and State licensure and regulatory requirements. A certified orthotist is defined as an individual who is certified by the American Board for Certification in Orthotics and Prosthetics, Inc., or by the Board for Orthotist/Prosthetist Certification.
Individual with specialized training include certified orthotists, physicians, physical therapists, occupational therapists, and nurse practitioners or physician's assistants, acting within the scope of their practice.
For more information, go to this webpage from Noridian Medicare.