For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer (or higher), includes arch filler and other shaping material, custom fabricated, each

A5513
HCPCS Code

2023 HCPCS
Billable/Valid Code

A5513 is a valid 2023 HCPCS Code that could be used to indicate For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer (or higher), includes arch filler and other shaping material, custom fabricated, each for reimbursement purposes.

A5513 belongs to Diabetic Shoes Type of Service and has been in effect since Jan 01, 2019.

Short description for A5513 HCPCS code:

Multi den insert custom mold

HCPCS A5513

A5513 code information

HCPCS code:	A5513
Description:	FOR DIABETICS ONLY, MULTIPLE DENSITY INSERT, CUSTOM MOLDED FROM MODEL OF PATIENT'S FOOT, TOTAL CONTACT WITH PATIENT'S FOOT, INCLUDING ARCH, BASE LAYER MINIMUM OF 3/16 INCH MATERIAL OF SHORE A 35 DUROMETER (OR HIGHER), INCLUDES ARCH FILLER AND OTHER SHAPING MATERIAL, CUSTOM FABRICATED, EACH
Effective Date:	Jan 01, 2019
Added Date:	Jan 01, 2006
Termination Date:	HCPCS A5513 was terminated on Nov 30, -0001
Pricing indicator:	`38` - ORTHOTICS, PROSTHETICS, PROSTHETIC DEVICES & VISION SERVICES (PRICE SUBJECT TO FLOORS AND CEILINGS)
Multi Pricing indicator:	`A` - NOT APPLICABLE AS HCPCS PRICED UNDER ONE METHODOLOGY
Coverage code:	`D` - SPECIAL COVERAGE INSTRUCTIONS APPLY
BETOS code:	`D1F` - ORTHOTIC DEVICES
Action code:	`N` - NO MAINTENANCE FOR THIS CODE
Type of Service:	`J` - DIABETIC SHOES
Anesthesia BUQ:	0