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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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Official Long Descriptor

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

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Diabetic Shoes provided to a patient that is non-diabetic
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 ]
Diabetic Shoe Measuring diabetes diabetic shoes measurements nursing visits
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 ]
diabetic shoes
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 ]
Billing for shoes and inserts to Medicare (ING)
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 ]
Billing for shoes and inserts to Medicare (ING) dme dme billing dme podiatry units
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 ]
Anyone know the proper way to bill Diabetic Orthotics and Inserts to Medicare?
Anyone know the proper way to bill Diabetic Orthotics and Inserts to Medicare? Is it - A5500 KX,RT,LT Qty 2 A5512 KX,RT Qty 3 A5512 KX,LT Qty 3 If you have any documentatio... [ Read More ]
L5000 amputation insert for diabetic shoes
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 ]
L5000
[b]l5000[/b] 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 ]
BCBS denials for duplication on Diabetic shoes bcbs modifiers pairs shoes units
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 ]
Diabetic shoe fitting
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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