A5507 Modification diabetic shoe
Also known as: diabetic shoe modification, shoe alteration
Structural modification applied to an existing diabetic shoe to improve fit, function, or pressure distribution.
In Plain Language
changes to diabetic shoe; adjustments to special shoes
Clinical Context
Applied to previously dispensed diabetic shoes to address new areas of pressure, improve fit, or accommodate changing foot anatomy. More cost-effective than new shoe dispensing.
RVU Information
CPT A5507 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 A5507?
CPT A5507 (Modification diabetic shoe) is a A Codes code. Structural modification applied to an existing diabetic shoe to improve fit, function, or pressure distribution.
Does Medicare cover A5507?
Medicare coverage for A5507 depends on medical necessity and applicable Local Coverage Determinations (LCDs). Applied to previously dispensed diabetic shoes to address new areas of pressure, improve fit, or accommodate changing foot anatomy. More cost-effective than new shoe dispensing. A physician order is typically required.
When is CPT A5507 used?
Applied to previously dispensed diabetic shoes to address new areas of pressure, improve fit, or accommodate changing foot anatomy. More cost-effective than new shoe dispensing.
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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.