A5501 Diabetic custom molded shoe
Also known as: custom-molded diabetic shoe, diabetic orthopedic shoe, bespoke diabetic shoe
Individually custom-molded diabetic shoe designed from plaster or foam casting of the patient's foot.
In Plain Language
specially made shoe for diabetic feet; custom fitted diabetic shoe
Clinical Context
Fabricated from individual foot casts for patients with diabetes and severe neuropathy, deformities, or previous ulcers. Provides maximum protection and accommodation.
RVU Information
CPT A5501 does not have a physician work RVU assigned by CMS. This is typical for supply, drug, and equipment codes — reimbursement is based on Average Sales Price (ASP), fee schedules, or payer contracts rather than the RVU system.
Billing & Documentation
HCPCS A-codes cover medical supplies, equipment, and transport services. Documentation must establish medical necessity and include a physician order. For durable medical equipment (DME), a Certificate of Medical Necessity (CMN) or detailed written order may be required.
Specialties
Frequently Asked Questions
What is CPT code A5501?
CPT A5501 (Diabetic custom molded shoe) is a A Codes code. Individually custom-molded diabetic shoe designed from plaster or foam casting of the patient's foot.
Does Medicare cover A5501?
Medicare coverage for A5501 depends on medical necessity and applicable Local Coverage Determinations (LCDs). Fabricated from individual foot casts for patients with diabetes and severe neuropathy, deformities, or previous ulcers. Provides maximum protection and accommodation. A physician order is typically required.
When is CPT A5501 used?
Fabricated from individual foot casts for patients with diabetes and severe neuropathy, deformities, or previous ulcers. Provides maximum protection and accommodation.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.