HCPCS Code A5504
For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with wedge(s), per shoe
Basic Information
- Added:
- 1/1/1995
- HCPCS Action Effective Date
- 1/1/2005
- Termination Date
- 1/1/0001
- HCPCS Action Code/Description
- N / No maintenance for this code
- Short Description
- Diabetic shoe with wedge
- Long Description
- For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with wedge(s), per shoe
- HCPCS Statute
- Anesthesia Base Unit Quantity
- 0
- Processing Note Number
Service Code Information
- HCPCS Berenson-Eggers Type Of Service Code/Description
- D1F / Prosthetic/Orthotic devices
- HCPCS Type Of Service Code #1
- Type Of Service Code #1 Description
- Diabetic shoes (eff 04/95)
- HCPCS Type Of Service Code #2
- Type Of Service Code #2 Description
- HCPCS Type Of Service Code #3
- Type Of Service Code #3 Description
- HCPCS Type Of Service Code #4
- Type Of Service Code #4 Description
Laboratory Information
- Laboratory Certification Code #1
- Description
- Laboratory Certification Code #2
- Description
- Laboratory Certification Code #3
- Description
- Laboratory Certification Code #4
- Description
- Laboratory Certification Code #5
- Description
- Laboratory Certification Code #6
- Description
- Laboratory Certification Code #7
- Description
- Laboratory Certification Code #8
- Description
Pricing/Coverage Information
- Coverage Code
- D
- Description
- Special coverage instructions apply
- ASC Payment Group Code
- ASC Payment Group Effective Date
- 1/1/0001
- Pricing Indicator Code #1
- 38
- Pricing Indicator Code #1 Type
- Durable Medical Equipment, Prosthetics, Orthotics, Supplies And Surgical Dressings
- Pricing Indicator Code #3
- Pricing Indicator Code #3 Type
- Pricing Indicator Code #4
- Pricing Indicator Code #4 Type
- Multi-Pricing Indicator Code
- A
- Coverage Issues Manual Reference Section #1
- Coverage Issues Manual Reference Section #2
- Coverage Issues Manual Reference Section #3
- Medicare Carriers Manual Reference Section #1
- 2134
- Medicare Carriers Manual Reference Section #2
- Medicare Carriers Manual Reference Section #3
HCPCS Cross Reference Codes for A5504
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