August 2019

Policy Article Revised for Therapeutic Shoes

The Durable Medical Equipment (DME) Medicare Administrative Contractor (MAC) Policy Article (PA) for Therapeutic Shoes for Persons with Diabetes was recently revised, as follows. The effective date is January 1, 2019:

Added: Healthcare Common Procedure Coding System A5514 (Mult den insert dir carv/cam) to the reference of “inserts” for which impressions, casts, or CAD-CAM images, of the beneficiary’s feet, are to be obtained by the supplier at the time of item selection.

This information is only a summary of revisions; complete information can be found by reviewing the Local Coverage Determination and PA.

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