Question 1

What is HCPCS code A5508?

Accepted Answer

HCPCS code A5508 is "Diabetic deluxe shoe". For diabetics only, deluxe feature of off-the-shelf depth-inlay shoe or custom-molded shoe, per shoe

Question 2

What category is A5508 in?

Accepted Answer

A5508 belongs to HCPCS Category A (Transportation, Medical/Surgical Supplies, Miscellaneous).

Question 3

When should I use HCPCS code A5508?

Accepted Answer

Use A5508 when billing for diabetic deluxe shoe. 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 A5508 covered by Medicare?

Accepted Answer

Coverage for A5508 (Diabetic deluxe shoe) 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 A5508?

Accepted Answer

Documentation for A5508 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).