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A5513 - Multi den insert custom mold

Navigation: HCPCS Codes > Codes with Prefix: A5
Field Value
HCPCS Code: A5513
Long 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
Short Description: Multi den insert custom mold
Pricing Indicator 1: 38 (Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings))
Multiple Pricing Code: A (Not applicable as HCPCS priced under one methodology)
Statute Number:
Coverage Code: C (Carrier judgment)
ASC Payment Group Code:
Processing Note Number:
Berenson-Eggers Type of Service (BETOS) Code: D1F (Orthotic devices)
Type of Service Code 1: J (Diabetic shoes (effective 04/95))
Anesthesia Base Unit Quality: 0
Code Added: 01-01-2006
Action Effective Date: 01-01-2010
Action Code: N (No maintenance for this code)