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

Pricing/Coverage Information

Coverage CodeD
Description Special coverage instructions apply
Pricing Indicator Code #138
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 CodeA
Description Not applicable as HCPCS priced under one methodology
Medicare Carriers Manual Reference Section #12134