WebDec 9, 2024 · This article is intended to educate manufacturers and suppliers on required characteristics of diabetic shoes to be assigned code A5500 and to clarify each of the requirements stated in the policy article. Requirement 1: Has a full length, heel-to-toe filler that when removed provides a minimum of 3/16” of additional depth used to … WebApr 12, 2024 · Therapeutic shoe insert for people with diabetes described by HCPCS code A5512: A total contact, multiple density, prefabricated, removable inlay that is directly …
Diabetic Footwear A5500-A5514 - HCPCS Codes - Codify by AAPC
WebDec 11, 2024 · Certain products require coding verification review (CVR) by the Pricing, Data Analysis and Coding (PDAC) contractor. The PDAC has published an article to assist manufacturers who are required to submit CVRs for therapeutic shoes for persons with diabetes. Read more here. WebDec 22, 2024 · The Medicare Benefit Policy Manual (CMS Pub. 100-02), Chapter 15, Section 140 allows for a pair of shoes for a person with diabetes. The therapeutic shoes that are provisioned in the management of the individual's diabetes provides for a pair of diabetic shoes even if only one foot suffers from diabetic foot disease. all灰观影体
PDAC Coding Guidelines for Off-the-Shelf Diabetic Shoes (A5500)
WebWho’s Eligible for Diabetic Shoes? Coverage is for anyone with Medicare Part B (or other qualified insurance) who has diabetes, has appropriate documentation from a qualified physician, and: Previous amputation of the foot, or part of either foot, or History of ulcers, or History of pre-ulcerative calluses, or WebNov 16, 2024 · MLN909471 - Provider Compliance Tips for Diabetic Shoes Author: Centers for Medicare & Medicaid Services (CMS) Medicare Learning Network (MLN) … WebAug 6, 2024 · On average, diabetic shoes can range in cost from $50-$200 per pair . Your out-of-pocket costs may depend on several factors: Any … all炭团厌梗