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
Short Description
-
Multi den insert custom mold
HCPCS Coverage Code
-
D = Special coverage instructions apply
HCPCS Action Code
-
N = No maintenance for this code
HCPCS Action Effective Date
-
January 01, 2019
HCPCS Code Added Date
-
January 01, 2006
HCPCS Pricing Indicator Code
-
38 = Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)
HCPCS Multiple Pricing Indicator Code
-
A = Not applicable as HCPCS priced under one methodology
HCPCS Medicare Carriers Manual Reference Section Number
-
2134
HCPCS Type Of Service Code
-
J = Diabetic shoes (eff 04/95)
HCPCS Anesthesia Base Unit Quantity
-
0