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A5513 For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer (or higher), includes arch filler and other shaping material, custom fabricated, each
BackA5051Ostomy pouch, closed; with barrier attached (1 piece), each→A5052Ostomy pouch, closed; without barrier attached (1 piece), each→A5053Ostomy pouch, closed; for use on faceplate, each→A5054Ostomy pouch, closed; for use on barrier with flange (2 piece), each→A5055Stoma cap→A5056Ostomy pouch, drainable, with extended wear barrier attached, with filter, (1 piece), each→A5057Ostomy pouch, drainable, with extended wear barrier attached, with built in convexity, with filter, (1 piece), each→A5061Ostomy pouch, drainable; with barrier attached, (1 piece), each→A5062Ostomy pouch, drainable; without barrier attached (1 piece), each→A5063Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each→A5071Ostomy pouch, urinary; with barrier attached (1 piece), each→A5072Ostomy pouch, urinary; without barrier attached (1 piece), each→A5073Ostomy pouch, urinary; for use on barrier with flange (2 piece), each→A5081Stoma plug or seal, any type→A5082Continent device; catheter for continent stoma→A5083Continent device, stoma absorptive cover for continent stoma→A5093Ostomy accessory; convex insert→A5102Bedside drainage bottle with or without tubing, rigid or expandable, each→A5105Urinary suspensory with leg bag, with or without tube, each→A5112Urinary drainage bag, leg or abdomen, latex, with or without tube, with straps, each→A5113Leg strap; latex, replacement only, per set→A5114Leg strap; foam or fabric, replacement only, per set→A5120Skin barrier, wipes or swabs, each→A5121Skin barrier; solid, 6 x 6 or equivalent, each→A5122Skin barrier; solid, 8 x 8 or equivalent, each→A5126Adhesive or non-adhesive; disk or foam pad→A5131Appliance cleaner, incontinence and ostomy appliances, per 16 oz.→A5200Percutaneous catheter/tube anchoring device, adhesive skin attachment→A5500For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe→A5501For diabetics only, fitting (including follow-up), custom preparation and supply of shoe molded from cast(s) of patient's foot (custom molded shoe), per shoe→A5503For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with roller or rigid rocker bottom, per shoe→A5504For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with wedge(s), per shoe→A5505For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with metatarsal bar, per shoe→A5506For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with off-set heel(s), per shoe→A5507For diabetics only, not otherwise specified modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe, per shoe→A5508For diabetics only, deluxe feature of off-the-shelf depth-inlay shoe or custom-molded shoe, per shoe→A5510For diabetics only, direct formed, compression molded to patient's foot without external heat source, multiple-density insert(s) prefabricated, per shoe→A5512For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or 3/16 inch material of shore a 40 durometer (or higher), prefabricated, each→A5513For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer (or higher), includes arch filler and other shaping material, custom fabricated, each→A5514For diabetics only, multiple density insert, made by direct carving with cam technology from a rectified cad model created from a digitized scan of the patient, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer (or higher), includes arch filler and other shaping material, custom fabricated, each→
Procedure codeCODABLE
A5513
For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer (or higher), includes arch filler and other shaping material, custom fabricated, each
- Part
- HCPCS Level II
- A
- Transportation Services Including Ambulance, Medical and Surgical Supplies, Administrative, Miscellaneous and Investigational
- A5
- A5051–A5514
Source
CMS — ICD-10-PCS FY2026, HCPCS Level II october 2026, Procedure Codes 2026.