A5513 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 descriptor: Multi den insert custom mold
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A5513 is the HCPCS Level II code for 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 (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
- 2019-01-01
- 2026 Maintenance
- No change this year
References
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Reference A5513 with the canonical source and edition:
A5513 — 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. ICD-10 Coding Pro (HCPCS Level II 2026). https://icd10codingpro.com/hcpcs-codes/A5513
Canonical URL: https://icd10codingpro.com/hcpcs-codes/A5513