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A5508
For diabetics only, deluxe feature of off-the-shelf depth-inlay shoe or custom-molded shoe, per shoe
HCPCS code
Medical Policies and Guidelines for For diabetics only, deluxe feature of off-the-shelf depth-inlay shoe or custom-molded shoe, per shoe
Related policies from health plans
CIGNA
Orthotic Devices and Shoes - (0543)
HUMANA
Orthotics - Medicare Advantage
Similar Codes
ICD10CM codes
E11.621
- Type 2 diabetes mellitus with foot ulcer
E13.621
- Other specified diabetes mellitus with foot ulcer
E10.621
- Type 1 diabetes mellitus with foot ulcer
E08.621
- Diabetes mellitus due to underlying condition with foot ulcer
E09.621
- Drug or chemical induced diabetes mellitus with foot ulcer
Z86.31
- Personal history of diabetic foot ulcer
E13.610
- Other specified diabetes mellitus with diabetic neuropathic arthropathy
E11.618
- Type 2 diabetes mellitus with other diabetic arthropathy
E13.618
- Other specified diabetes mellitus with other diabetic arthropathy
E13.61
- Other specified diabetes mellitus with diabetic arthropathy
HCPCS codes
A5508
- For diabetics only, deluxe feature of off-the-shelf depth-inlay shoe or custom-molded shoe, per shoe
A5506
- For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-mol
A5507
- For diabetics only, not otherwise specified modification (including fitting) of off-the-shelf depth-
A5500
- For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf de
A5504
- For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-mol
A5505
- For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-mol
A5503
- For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-mol
A5501
- For diabetics only, fitting (including follow-up), custom preparation and supply of shoe molded from
A5510
- For diabetics only, direct formed, compression molded to patient's foot without external heat source
A5513
- For diabetics only, multiple density insert, custom molded from model of patient's foot, total conta
CPT4 codes
3754F
- Screening tests for diabetes mellitus reviewed, requested, or ordered (DSP)
28810
- Amputation, metatarsal, with toe, single
28805
- Amputation, foot; transmetatarsal
28899
- Unlisted procedure, foot or toes
83525
- Insulin; total
83527
- Insulin; free
28150
- Phalangectomy, toe, each toe
97762
- Checkout for orthotic/prosthetic use, established patient, each 15 minutes
28003
- Incision and drainage below fascia, with or without tendon sheath involvement, foot; multiple areas
4305F
- Patient education regarding appropriate foot care and daily inspection of the feet received (CWC)