A5513 Multi den insert custom mold
Also known as: custom-molded multi-density insert, graduated insert
Custom-molded shoe insert with graduated density layers fabricated using individual plaster or foam casting of the foot.
In Plain Language
personalized protective shoe insert; custom-made foot cushion
Clinical Context
Individually fabricated to provide precise pressure accommodation for patients with complex foot pathology, severe neuropathy, or deformity requiring customized support.
RVU Information
CPT A5513 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 A5513?
CPT A5513 (Multi den insert custom mold) is a A Codes code. Custom-molded shoe insert with graduated density layers fabricated using individual plaster or foam casting of the foot.
Does Medicare cover A5513?
Medicare coverage for A5513 depends on medical necessity and applicable Local Coverage Determinations (LCDs). Individually fabricated to provide precise pressure accommodation for patients with complex foot pathology, severe neuropathy, or deformity requiring customized support. A physician order is typically required.
When is CPT A5513 used?
Individually fabricated to provide precise pressure accommodation for patients with complex foot pathology, severe neuropathy, or deformity requiring customized support.
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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.