For 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
Added on Thursday, April 01, 2004
Terminated on Saturday, December 31, 2005: do not use.
Status changed on Sunday, January 01, 2006 to: No maintenance for this code- see related codes: A5512
2008 HCPCS K0628
