HCPCS K0903 Code. Mult den insert dir carv/cam

HCPCS Code: K0903
Long Description: For diabetics only, multiple density insert, made by direct carving with cam technology from a rectified cad model created from a digitized scan of the patient, 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: Mult den insert dir carv/cam

Original information is taken from K0903 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: C – Carrier judgment

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: 20180401
Code Effective Date: 20190101
Termination Date: 20181231
Action Code: N – No maintenance for this code