WebTherapeutic shoes (depth or custom-molded) along with inserts are medically necessary for members with diabetes mellitus and any of the following complications involving the foot …

Therapeutic Shoes - JD DME - Noridian

WebOct 1, 2015 · 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 … WebSeparate inserts may be covered and dispensed independently of diabetic shoes if the supplier of the shoes ... Group 1 Paragraph: For ICD-10 codes relating to statutory coverage, see Policy Article Group 1 Codes: N/A ICD-10 Codes that DO NOT Support Medical Necessity highest crime rate states

Icd 10 Code For Diabetic Shoes DiabetesTalk.Net

WebDiabetic Shoes and Insert Benefit Payment Guideline 2016 ICD.10 DIAGNOSIS CODE E11.00-E11.9 TYPE 2 DIABETES MELLITUS ICD.10 DIAGNOSIS CODE E13.00-E19.9 … Webtherapeutic shoes are typically covered for the following: 1. When the patient has diabetes mellitus (see ICD-9 CM diagnosis codes below); and 2. The certifying physician has documented in the patient's medical record one or more of the following conditions: a. Previous amputation of the other foot, or part of either foot, or b. WebTherapeutic Shoes for Persons with Diabetes Order Template Draft R1.0a 6/8/2024 Page 1 ... Patient diagnosis: Diabetes Mellitus: ICD-10-CM code (see Appendix C) Other (describe) ... of therapeutic shoes and supplies (see Appendix A for specific HCPCS codes . HCPCS Code Description . Type of order: Initial Revision or change in shoes or ... highest crime rate states in usa