A5513 – For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer (or higher), includes arch filler and other shaping material, custom fabricated, each

Long description

For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer (or higher), includes arch filler and other shaping material, custom fabricated, each

Short description

Multi den insert custom mold

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, 2006

Last change

January 1, 2019 – No change

Nearby A codes

• 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
• A5512 – For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or 3/16 inch material of shore a 40 durometer (or higher), prefabricated, each
• A5514 – For diabetics only, multiple density insert, made by direct carving with cam technology from a rectified cad model created from a digitized scan of the patient, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer (or higher), includes arch filler and other shaping material, custom fabricated, each
• A6000 – Non-contact wound warming wound cover for use with the non-contact wound warming device and warming card
• A6010 – Collagen based wound filler, dry form, sterile, per gram of collagen
• A6011 – Collagen based wound filler, gel/paste, per gram of collagen
• A6021 – Collagen dressing, sterile, size 16 sq. in. or less, each
• A6022 – Collagen dressing, sterile, size more than 16 sq. in. but less than or equal to 48 sq. in., each
• A6023 – Collagen dressing, sterile, size more than 48 sq. in., each
• A6024 – Collagen dressing wound filler, sterile, per 6 inches