WebMar 29, 2024 · LIMITED MOVEMENT FOR FASTER HEALING. This 1.2 mm thick rigid shoe insert limits foot movement, to keep pressure off the toes, forefoot and mid-foot … Webshoe or custom-molded shoe with roller or rigid rocker bottom, per shoe A5504* For diabetics only, modification (including fitting) of off-the-shelf depth-inlay ... A8001 Helmet, protective, hard, prefabricated, includes all components and accessories A8002 Helmet, protective, soft, custom fabricated, includes all components and accessories
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WebOct 27, 2024 · Joint DME MAC PublicationPosted on October 27, 2024. Medicare has limited coverage provisions for shoes, inserts, and shoe modifications used by beneficiaries. In order to be eligible for coverage, such items must qualify in either: (1) the benefit category for therapeutic shoes provisioned in the treatment of a diabetes-related … WebJul 6, 2024 · Medically Necessary: Shoes, inserts, and modifications are considered medically necessary only in the limited circumstances described below:. Shoes are considered medically necessary if they are an integral part of a leg brace that is medically necessary.; Heel replacements, sole replacements and shoe transfers involving shoes … WebDec 7, 2024 · Ankle-Foot Orthosis (AFO) (HCPCS L4360 and L4361) Notification of Service Specific Post-Payment Review. Noridian Jurisdiction A, DME MAC, Medical Review is initiating service specific post-payment medical record review of claims for the following HCPCS codes: L4360: WALKING BOOT, PNEUMATIC AND/OR VACUUM, WITH OR … lee wakemans cardiff