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
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: A5513
2008 HCPCS K0629
