HCPCS code A5504 — Diabetic shoe with wedge.
Status: Active.
Effective Jan 1, 2005.
Source: CMS HCPCS Level II.
A5504
ActiveDiabetic shoe with wedge
For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with wedge(s), per shoe
Category:
Transportation & Supplies
Section:
A-codes: Transportation, Medical & Surgical Supplies
Effective:
Jan 1, 2005
Code type:
alphanumeric
OPPS Status:
Y
— Non-implantable durable medical equipment
MUE — Medically Unlikely Edits
Maximum units of A5504 Medicare will pay for one beneficiary on one date of service. Claims exceeding the MUE are denied or returned for review.
| Service Type | Max Units / Day |
|---|---|
| DME Supplier | 2 |
| Outpatient Hospital | 0 |
| Practitioner Services | 0 |
Source: CMS Medicare NCCI Medically Unlikely Edits