A5504 For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with wedge(s), per shoe
Short descriptor: Diabetic shoe with wedge
Look up A5504 alongside ICD-10-CM diagnoses, the HCPCS Table of Drugs, and the AI coding assistant.
A5504 is the HCPCS Level II code for For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with wedge(s), per shoe (2026). It belongs to Section A — Transportation, Medical & Surgical Supplies. Under Medicare, its coverage status is: Special coverage instructions apply. Part B pricing methodology: Orthotics, prosthetics & vision services.
Classification & CMS Attributes
- Medicare Coverage
- Special coverage instructions apply (code D)
- Part B Pricing
- Orthotics, prosthetics & vision services (indicator 38)
- Type of Service
- Diabetic shoes
- Effective Date
- 2005-01-01
- 2026 Maintenance
- No change this year
References
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A5504 — For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with wedge(s), per shoe. ICD-10 Coding Pro (HCPCS Level II 2026). https://icd10codingpro.com/hcpcs-codes/A5504
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