DME MACs/PDAC Releases Positive 3D Printing Guidance

On February 1, 2024 the Durable Medicare Equipment Medicare Administrative Contractors (DME MACs) and the Pricing Data Analysis & Coding (PDAC) contractor released long awaited guidance from the Centers for Medicare and Medicaid Services (CMS) on the use of 3D printing and digital scanning for custom fabricated orthoses. They state that 3D printing, or additive manufacturing, can be an acceptable alternative to traditional custom fabrication, if the method used meets the definition of custom fabricated in the DMEPOS Quality Standards, Appendix C.

This new correct coding reminder is consistent with AOPA’s position that 3D printing/additive manufacturing should be considered a valid custom fabrication method. This is another positive step in CMS, DME MACs and PDAC accepting the newer orthotic technologies.

Questions? Contact Joe McTernan at or Devon Bernard at