HCPCS A5513 Code. Multi den insert custom mold

HCPCS Code: A5513
Long Description: For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer (or higher), includes arch filler and other shaping material, custom fabricated, each
Short Description: Multi den insert custom mold

Original information is taken from A5513 page

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

Coverage: D – Special coverage instructions apply

Berenson-Eggers Type of Service (BETOS): D1F – Prosthetic/Orthotic devices
Type Of Service 1: J – Diabetic shoes (eff 04/95)

Anesthesia Base Unit Quantity: 0
Code Added Date: 20060101
Code Effective Date: 20190101
Action Code: N – No maintenance for this code