2024年12月17日 · It is inappropriate to bill the HCPCS Level II code on 1 line appended by both anatomical modifiers (ie. RT, LT). Therefore, it is correct to bill the HCPCS Level II codes on 1 line appended by only one anatomical modifier, either RT or LT. The coding scenario would be the following: L1940 – KX, RT L2330 – KX, RT L2820 – KX, RT L1940 ...

A5500 is a valid 2025 HCPCS code for 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 or just “ Diab shoe for density insert ” for short, used in Diabetic shoes.

2015年10月1日 · For the items addressed in this LCD, the “reasonable and necessary” criteria, based on Social Security Act § 1862 (a) (1) (A) provisions, are defined by the following …

2015年10月1日 · One pair of depth shoes (A5500) and 3 pairs of inserts (A5512, A5513, or A5514) (not including the non-customized removable inserts provided with such shoes). A modification of a custom molded or depth shoe may be covered as a substitute for an insert.

2022年6月17日 · 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. The appropriate coding scenario would be the following: A5500 - RT, KX. A5500 – LT, KX.

Code A5500 is reserved for patients diagnosed with diabetes mellitus, particularly in cases where the patient is at risk of developing foot ulcers, infections, or deformities. The primary clinical indication for this code involves patients who exhibit neuropathy, severe callus formations, foot deformities, or poor circulation.

2020年12月9日 · This article is intended to educate manufacturers and suppliers on required characteristics of diabetic shoes to be assigned code A5500 and to clarify each of the requirements stated in the policy article.

HCPCS code A5500 for 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 as maintained by CMS falls under Diabetic Footwear .

HCPCS code A5500 describes a specific type of shoe that is designed for individuals with diabetes. This code is used to identify the fitting, custom preparation, and supply of off-the-shelf depth-inlay shoes that are manufactured to accommodate multi-density inserts.

2009年10月28日 · We have been billing diabetic shoes and inserts as A5500-KX (2 units), and A5513-KX (6 units). Apparently, now DMERC wants us to add LT and RT modifiers to these.