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 A5500
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 .
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Here is the scenario:
I have a patient that is non-diabetic. This patient has Medicare and has decided to purchase a pair of shoes from our practice. Once again, he is not a diabetic; however, the sh... [ Read More ]
We have a Nurse that does the measuring for shoes for diabetic patients. Normally, I would charge the A5500 "For diabetics only, fitting (including follow-up), custom preparation and supply of off-the... [ Read More ]
Can a podiatrist bill a separate visit for the sizing of A5500 prior to ordering the shoes or is this included in the reimbursement for the code? Does fitting in the description mean before and after... [ Read More ]
If you are supplying one pair of shoes, it will be A5500-KXRTLT with 2 units. If three pair of inserts are being dispensed it will be A5512-KXRTLT with 6 units. I have been doing billing to CGS for th... [ Read More ]
Hi everyone! I am trying to bill to CGS Medicare for DME. The doc did 1 pair of shoes A5500 and 3 pairs of inserts A5512 for a diabetic patient. I am new to DME billing and I heard so many different v... [ Read More ]
I recently submitted claim to anthem medicare. I talked to someone at anthem and he just read policy from cms but did not understand why L5000 was denied for MUE. the MUE for L5000 is 0.
I submitted A... [ Read More ]
herer is what my claim looked like and i believe we submitted correctly but they are using MUE that was triggered in suystem not to pay the claim, even though documentation shows that th... [ Read More ]
I am new to the Podiatry billing and have been having difficulties getting our claims paid for Diabetic shoes, CPT A5512 with Modifiers KX, LT, RT & CPT A5500 with Modifiers KX, LT, RT. We usually bil... [ Read More ]
Our podiatrist is the "supplier". She will measure for shoes and do impressions for inserts during a visit, then places the order with Dr Comfort. Sometimes this [measuring for shoes] is done during a... [ Read More ]
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On Jan. 3 2011 the Centers for Medicare 38 Medicaid Services CMS intends to implement changes to the Medicareclaimsprocessing system that would enda temporary provision that allows suppliers to use th... [ Read More ]