Table of content for "Diabetic custom molded shoe" (HCPCS A5501)
General information on the “A5501” code
HCPCS Code: A5501
Long Description: For diabetics only, fitting (including follow-up), custom preparation and supply of shoe molded from cast(s) of patient's foot (custom molded shoe), per shoe
Short Description: Diabetic custom molded shoe
Original information is taken from A5501 page
Pricing indicators
Pricing Indicator Code 1: 38 – Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings) . Durable Medical Equipment, Prosthetics, Orthotics, Supplies And Surgical Dressings
Multiple Pricing Indicator Code A : Not applicable as HCPCS priced under one methodology
Certification and additional reference information
Coverage
Coverage: D – Special coverage instructions apply
Type of service
Berenson-Eggers Type of Service (BETOS): D1F – Prosthetic/Orthotic devices
Type Of Service 1: J – Diabetic shoes (eff 04/95)
Misc information
Anesthesia Base Unit Quantity: 0
Code Added Date: 19950101
Code Effective Date: 20050101
Action Code: N – No maintenance for this code