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HCPCS Code for For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees Fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or 3/16 inch material of shore a 40 durometer (or higher), prefabricated, each A5512

HCPCS code A5512 for For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees Fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or 3/16 inch material of shore a 40 durometer (or higher), prefabricated, each as maintained by CMS falls under Diabetic Footwear .

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Official Long Descriptor

For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees Fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or 3/16 inch material of shore a 40 durometer (or higher), prefabricated, each

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Orthotic coding for medicare
[QUOTE="TammyHF, post: 91823, member: 2386"] HCPC L3000 through L3030 for custom orthotics which are not covered by Medicare unless it is part of a medically necessary brace. Since they are not cover ... [ 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 ]
BCBS denials for duplication on Diabetic shoes
[b]BDBS Denials[/b] I had tried coding the A5512 and 5500 every way I can think, using modifiers KX,RT, LT and even 50 ( per suggestion of BC representative) and have not had any luck. I changed the ... [ 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 ]
Orthotics/Inserts
My docs want to use a diabetic insert A5512 for non diabetic patients because they and the patient like the insert. I told them there is an extensive LCD on this insert. They want to code it as a re... [ Read More ]
Orthotic coding for medicare
HCPC L3000 through L3030 for custom orthotics which are not covered by Medicare unless it is part of a medically necessary brace. Since they are not cover by Medicare they would need to be submitted w... [ Read More ]
Dmerc
Any help on this would be appreciated. My office (podiatry) supplies patients with a5500 and a5512, but where do i bill it to? the previous biller sent it to Palmetto GBA, but everything I've read... [ Read More ]
A5512 molded insert billing
For HCPC A5512 6 units are allowed per year to be billed to Medicare. Be sure to have "Statement of Certifying Physician From Diabetes Doctor" from the physician treating the patient's diabetes, the t... [ Read More ]
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