Question 1

What is HCPCS code A5506?

Accepted Answer

HCPCS code A5506 is "Diabetic shoe w/off set heel". For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with off-set heel(s), per shoe

Question 2

What category is A5506 in?

Accepted Answer

A5506 belongs to HCPCS Category A (Transportation, Medical/Surgical Supplies, Miscellaneous).

Question 3

When should I use HCPCS code A5506?

Accepted Answer

Use A5506 when billing for diabetic shoe w/off set heel. HCPCS Level II codes like this are used for items and services not covered by CPT codes, including medical supplies, equipment, drugs administered in clinical settings, and certain healthcare services.

Question 4

Is A5506 covered by Medicare?

Accepted Answer

Coverage for A5506 (Diabetic shoe w/off set heel) depends on medical necessity and specific Medicare guidelines. Check the applicable Local Coverage Determination (LCD) or National Coverage Determination (NCD) for detailed coverage criteria. Private insurers may have different coverage policies.

Question 5

What documentation is required for A5506?

Accepted Answer

Documentation for A5506 should include: the medical necessity for the item or service, supporting diagnosis codes (ICD-10), prescription or order from the treating physician, and proof that the item meets quality standards. Some items may require additional documentation like a Certificate of Medical Necessity (CMN).