2021/2022 HCPCS Code A5504

For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with wedge(s), per shoe
Short Description Diabetic shoe with wedge
HCPCS Coverage Code D = Special coverage instructions apply
HCPCS Action Code N = No maintenance for this code
HCPCS Action Effective Date January 01, 2005
HCPCS Code Added Date January 01, 1995
HCPCS Pricing Indicator Code 38 = Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)
HCPCS Multiple Pricing Indicator Code A = Not applicable as HCPCS priced under one methodology
HCPCS Medicare Carriers Manual Reference Section Number 2134
HCPCS Type Of Service Code J = Diabetic shoes (eff 04/95)
HCPCS Anesthesia Base Unit Quantity 0