A5504 (1356) PROSTHETIC HCPCS (661.1)
Name
Value
HCPCS
A5504
SHORT NAME
DIABETIC SHOE WITH WEDGE
CPT
File: 81, IEN: 104840
ITEM
DIABETIC SHOE WITH WEDGE/COMMERCIAL
STATUS
ACTIVE
NPPD REPAIR CODE
R50 A
NPPD NEW CODE
500 D
DESCRIPTION
FOR DIABETICS ONLY, MODIFICATION (INCLUDING FITTING) OF OFF-THE-SHELF
DEPTH-INLAY SHOE OR CUSTOM-MOLDED SHOE WITH WEDGE(S), PER SHOE