WebFor diabetics only, deluxe feature of off-the-shelf depth-inlay shoe or custom-molded shoe, per shoe Short description: Diabetic deluxe shoe HCPCS Modifier 1: HCPCS Pricing indicator 38 - Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings) Multiple pricing indicator WebNov 2, 2009 · Oct 28, 2009. #1. We have been billing diabetic shoes and inserts as A5500-KX (2 units), and A5513-KX (6 units). Apparently, now DMERC wants us to add LT and …
A5501 - HCPCS Code for Diabetic custom molded shoe
WebJun 24, 2024 · Therapeutic Shoes for Diabetes . Note on Diabetic Shoe Benefit: Medically necessary foot orthotics may be covered for diabetic members of Aetna HMO plans with a diabetic shoe benefit, and for diabetic members of traditional plans without an exclusion for orthopedic shoes and supportive devices for the feet. WebClaims for codes on the “Diabetes Shoes” list should be submitted with a diagnosis from the “Diabetes Diagnosis” list in the attachments section. Diabetic Shoes HCPCS codes … department of veterans affairs edi
Correct Coding – RT and LT Modifier - SafeStep
WebDec 2, 2024 · Suppliers should append the KE modifier to the HCPCS code for the accessory for patients ... • Former CBA National Mail Order diabetic testing supply fee schedule • Former CBA ZIP Code These updates will be available as . ... Therapeutic Shoe Modification Codes. We annually adjust the fee schedule amounts for shoe modification … Webindustry standard coding guidelines for a complete list of ICD, CPT/HCPCS, revenue codes, modifiers, and their usage. Providers may only bill the procedure code(s) in accordance with the applicable financial ... • July 2024: Added edits for breast prostheses and mastectomy bras, diabetic shoes, knee orthoses effective for dates of service on ... WebOct 1, 2015 · For these codes, one unit of service is each shoe. Oxford shoes that are not part of a leg brace must be billed with codes L3215 or L3219 without a KX modifier. Other shoes (e.g., high top, depth inlay or custom shoes for non-diabetics, etc.) that are an integral part of a brace are billed using code L3649 with a KX modifier. department of veterans affairs deto policy