A5501 (1353) PROSTHETIC HCPCS (661.1)
Name
Value
HCPCS
A5501
SHORT NAME
DIABETIC CUSTOM MOLDED SHOE
CPT
File: 81, IEN: 104840
ITEM
DIABETIC CUSTOM MOLDED SHO/COMMERCIAL
STATUS
ACTIVE
NPPD REPAIR CODE
R50 A
NPPD NEW CODE
500 C
DESCRIPTION
FOR DIABETICS ONLY, FITTING (INCLUDING FOLLOW-UP), CUSTOM PREPARATION AND
SUPPLY OF SHOE MOLDED FROM CAST(S) OF PATIENT'S FOOT (CUSTOM MOLDED SHOE), PER
SHOE