A5500 – For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe

Long description

For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe

Short description

Diab shoe for density insert

Pricing indicator

38 Orthotics, prosthetics, prosthetic devices & vision services

Medicare coverage

D Special coverage instructions apply

BETOS category

D1F Prosthetic/Orthotic devices

Added

January 1, 1995

Last change

January 1, 2005 – No change

Nearby A codes

• A5113 – Leg strap; latex, replacement only, per set
• A5114 – Leg strap; foam or fabric, replacement only, per set
• A5120 – Skin barrier, wipes or swabs, each
• A5121 – Skin barrier; solid, 6 x 6 or equivalent, each
• A5122 – Skin barrier; solid, 8 x 8 or equivalent, each
• A5126 – Adhesive or non-adhesive; disk or foam pad
• A5131 – Appliance cleaner, incontinence and ostomy appliances, per 16 oz.
• A5200 – Percutaneous catheter/tube anchoring device, adhesive skin attachment
• A5501 – For diabetics only, fitting (including follow-up), custom preparation and supply of shoe molded from cast(s) of patient's foot (custom molded shoe), per shoe
• A5503 – For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with roller or rigid rocker bottom, per shoe
• A5504 – For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with wedge(s), per shoe
• A5505 – For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with metatarsal bar, per shoe
• A5506 – For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with off-set heel(s), per shoe
• A5507 – For diabetics only, not otherwise specified modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe, per shoe
• A5508 – For diabetics only, deluxe feature of off-the-shelf depth-inlay shoe or custom-molded shoe, per shoe
• A5510 – For diabetics only, direct formed, compression molded to patient's foot without external heat source, multiple-density insert(s) prefabricated, per shoe