Partial Foot, Shoe Insert (Toe Fillers), and Shoe Inserts for Diabetics - Coding Based on Benefit Category - Correct Coding


Questions have arisen about the correct coding of devices used by beneficiaries who need accommodation for missing digits (toes). Correct coding is determined by which benefit category is used for reimbursement. Beneficiaries who are diabetic and receive therapeutic footwear and shoe inserts for the protective function related the management of the individual's diabetes, would be coded utilizing HCPCS codes such as A5512, A5513, or A5514. 

Read the complete advisory article, Partial Foot, Shoe Insert (Toe Fillers), and Shoe Inserts for Diabetics – Coding Based on Benefit Category – Correct Coding.



Last Updated: 12/22/2021

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