Table of content for "Diabetic shoe with wedge" (HCPCS A5504)
General information on the “A5504” code
HCPCS Code: A5504
Long Description: 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
Original information is taken from A5504 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