What is Hcpcs code a5500?

What is Hcpcs code a5500?

Short Description: Diab shoe for density insert. Long Description: FOR DIABETICS ONLY, FITTING (INCLUDING FOLLOW-UP), CUSTOM PREPARATION AND SUPPLY OF OFF-THE-SHELF DEPTH-INLAY SHOE MANUFACTURED TO ACCOMMODATE MULTI- DENSITY INSERT(S), PER SHOE.

What is HCPCS code a5500?

What is CPT code L5000?

HCPCS code L5000 for Partial foot, shoe insert with longitudinal arch, toe filler as maintained by CMS falls under Partial Foot Prosthetics .

Does Medicare pay for shoe orthotics?

Orthotics are devices used to treat injured muscles and joints. Medicare will typically cover 80 percent of the costs for orthotic devices under Medicare Part B if they are deemed medically necessary by a doctor. You are still responsible for 20 percent of the cost after you meet your deductible.

What is CPT code a5513?

Code A5513 describes a total contact, custom fabricated, multiple density, removable inlay that is molded to a model of the beneficiary’s foot so that it conforms to the plantar surface and makes total contact with the foot, including the arch.

What products can be billed using a5512 codes?

The only products that may be billed using codes A5512 are those that are specified in the Product Classification List (PCL) on the Pricing, Data Analysis, and Coding (PDAC) contractor web site. Inserts that are custom fabricated by a manufacturer/central fabrication facility and then sent to someone other than the beneficiary.

Why was my a5510 claim denied?

Items represented by code A5510 reflect compression molding to the beneficiary’s foot over time through the heat and pressure generated by wearing a shoe with the insert present. Since these inserts are not considered total contact at the time of dispensing, they do not meet the requirements of the benefit category and will be denied as noncovered.

What is the DMEPOS quality standards for foot inserts?

The DMEPOS Quality Standards Appendix C (42 CFR 424.57) defines custom fabrication for these items and requires that custom fabricated inserts be made to a physical model of the individual beneficiary’s foot. Appendix C says, in relevant part: 1. Custom Fabricated: A custom fabricated item is one that is individually made for a specific Patient.