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