For diabetics only, deluxe feature of off-the-shelf depth-inlay shoe or custom-molded shoe, per shoe
HCPCS code
Name of the Procedure:
Common Name(s): Deluxe Depth-Inlay Shoe, Custom-Molded Shoe
Technical/Medical Term: HCPCS Code A5508 - For diabetics only, deluxe feature of off-the-shelf depth-inlay shoe or custom-molded shoe, per shoe
Summary
In layman's terms, this procedure involves the fitting and provision of specialized shoes designed specifically for diabetics. These shoes come with deluxe features and can either be off-the-shelf with a depth-inlay or custom-molded to fit the patient's foot, providing better support and minimizing the risk of foot injuries.
Purpose
These shoes are created to prevent and manage foot conditions commonly associated with diabetes, such as ulcers, sores, and deformities. The primary goal is to provide comfort, reduce pressure and friction, and avoid complications that could lead to severe issues like infections or amputations.
Indications
Symptoms or Conditions:
- Diabetic Neuropathy
- Peripheral Artery Disease
- History of foot ulcers or sores
- Foot deformities (e.g., hammertoes, bunions)
Patient Criteria:
- A confirmed diagnosis of diabetes
- Physician's prescription for therapeutic footwear
- Prior history or high risk of developing foot-related complications
Preparation
Pre-Procedure Instructions:
- Obtain a prescription from a healthcare provider
- Schedule a comprehensive foot examination
- May need to bring previous medical records related to foot health
Diagnostic Tests:
- Foot assessment for pressure points and areas of concern
Procedure Description
- Foot Examination: A thorough foot examination is conducted to evaluate the patient's specific needs and conditions.
- Measurements: Detailed measurements of the foot are taken to ensure proper fit.
- Selection: Based on the examination, the patient selects either an off-the-shelf depth-inlay shoe or opts for a custom-molded shoe.
- Fitting: Shoes are fitted to ensure optimal comfort and efficacy.
- Adjustments: Any necessary adjustments are made to ensure a perfect fit.
Tools and Equipment:
- Measurement tools (rulers, tracers)
- Molding materials if custom shoes are selected
Duration
The fitting and selection process typically takes about 30 minutes to an hour.
Setting
This procedure is usually performed in a specialized outpatient clinic, podiatric office, or any facility equipped to handle diabetic foot care.
Personnel
- Podiatrist
- Orthotist or specialized healthcare provider
- Support personnel for assistance
Risks and Complications
Common Risks:
- Initial discomfort as the foot adapts to the new shoes
- Mild skin irritation
Rare Risks:
- Poor fit leading to increased pressure points and potential sores
- Allergic reactions to materials used
Management:
- Regular follow-ups to assess fit and effectiveness
- Immediate reporting of any discomfort or issues
Benefits
Expected Benefits:
- Reduced risk of foot ulcers and sores
- Improved foot comfort and mobility
- Better overall foot health
Time to Realize Benefits:
- Immediate comfort improvement
- Long-term benefits with consistent use
Recovery
Post-Procedure Care:
- Regularly inspect feet for any signs of irritation or sores
- Follow guidelines for wearing and caring for diabetic shoes
Recovery Time:
- No recovery time; immediate use is expected
- Regular follow-ups for adjustments if necessary
Alternatives
Other Treatment Options:
- Standard diabetic shoes without deluxe features
- Custom orthotic inserts
- Regular foot care and monitoring without specialized shoes
Pros and Cons of Alternatives:
- Standard Diabetic Shoes: More affordable but less tailored comfort
- Orthotic Inserts: Useful but may not offer full foot protection
- Regular Monitoring: Necessary but cannot replace the benefits of specialized footwear
Patient Experience
During the Procedure:
- Minimal discomfort during foot measurements and fitting
After the Procedure:
- Possible initial adjustment period with new shoes
- Improved comfort and reduced foot complications with consistent use
Pain Management and Comfort Measures:
- Padded interiors and custom fits provide enhanced comfort
- Any discomfort should be reported for timely adjustments
By following the prescribed use and care instructions, these specialized shoes can significantly improve foot health and quality of life for diabetic patients.