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

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
Anesthesia Base Unit Quantity

0

Service Code Information

HCPCS Berenson-Eggers Type Of Service Code/Description:

D1F / Prosthetic/Orthotic devices

HCPCS Type Of Service Code #1 J
Type Of Service Cod #1 Description Diabetic shoes (eff 04/95)

Pricing/Coverage Information

Coverage Code D
Description Special coverage instructions apply
Pricing Indicator Code #1 38
Pricing Indicator Code #1 Description Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)
Pricing Indicator Code #1 Type Durable Medical Equipment, Prosthetics, Orthotics, Supplies And Surgical Dressings
Multi-Pricing Indicator Code A
Description Not applicable as HCPCS priced under one methodology
Medicare Carriers Manual Reference Section #1 2134
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