A5504 Diabetic shoe with wedge
Also known as: diabetic wedge shoe, wedged diabetic shoe
Diabetic shoe with an internal or external wedge modification to accommodate foot deformities and redistribute weight.
In Plain Language
diabetic shoe with sloped insert; wedge support diabetic shoe
Clinical Context
Prescribed for patients with diabetes experiencing varus or valgus deformities, hallux limitus, or abnormal weight distribution patterns requiring therapeutic wedge positioning.
RVU Information
CPT A5504 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 A5504?
CPT A5504 (Diabetic shoe with wedge) is a A Codes code. Diabetic shoe with an internal or external wedge modification to accommodate foot deformities and redistribute weight.
Does Medicare cover A5504?
Medicare coverage for A5504 depends on medical necessity and applicable Local Coverage Determinations (LCDs). Prescribed for patients with diabetes experiencing varus or valgus deformities, hallux limitus, or abnormal weight distribution patterns requiring therapeutic wedge positioning. A physician order is typically required.
When is CPT A5504 used?
Prescribed for patients with diabetes experiencing varus or valgus deformities, hallux limitus, or abnormal weight distribution patterns requiring therapeutic wedge positioning.
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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.