A5503
For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with roller or rigid rocker bottom, per shoe
- Effective Date: 1995-01-01
- Medicare Coverage Status: Special coverage instructions apply
- BETOS Classification: Prosthestic/Orthotic devices
Medicare Fees (ceiling): $42.32
A5501
A5504 