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A5512 Multi den insert direct form

A Codes

Also known as: multi-density insert, direct form insert

Shoe insert with multiple density zones fabricated using direct molding from a cast of the patient's foot.

In Plain Language

specially molded shoe insert; custom foot support

Clinical Context

Provides variable cushioning and support in high-pressure areas while maintaining support in load-bearing zones. Custom-fabricated for individual patient anatomy.

RVU Information

CPT A5512 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

PodiatryOrthotic & Prosthetic

Frequently Asked Questions

What is CPT code A5512?

CPT A5512 (Multi den insert direct form) is a A Codes code. Shoe insert with multiple density zones fabricated using direct molding from a cast of the patient's foot.

Does Medicare cover A5512?

Medicare coverage for A5512 depends on medical necessity and applicable Local Coverage Determinations (LCDs). Provides variable cushioning and support in high-pressure areas while maintaining support in load-bearing zones. Custom-fabricated for individual patient anatomy. A physician order is typically required.

When is CPT A5512 used?

Provides variable cushioning and support in high-pressure areas while maintaining support in load-bearing zones. Custom-fabricated for individual patient anatomy.

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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.