For 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
Durable Medical Equipment for Medicare Administrative Contractors (DME MACs)
HCPCS Level II Code Durable Medical Equipment for Medicare Administrative Contractors (DME MACs) |
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HCPCS Code | K0903 |
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Description |
Long description:
Short description: |
HCPCS Modifier1 | |
HCPCS Pricing indicator |
38 - Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)
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Multiple pricing indicator |
A - Not applicable as HCPCS priced under one methodology
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Coverage code | C - Carrier judgment |
BETOS2 code | D1F - Prosthetic/Orthotic devices |
HCPCS Action code | D - Discontinue procedure or modifier code |
Type of service | J - Diabetic shoes |
Effective date | Effective Jan 01, 2019 |
Date added | Added Apr 01, 2018 |
Termination date | Dec 31, 2018 |
HCPCS Coding Procedures |
In HCPCS Level II, modifiers are composed of two alpha or alphanumeric characters.
Example: E0260-NU - Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress
“NU” identifies the hospital bed as new equipment
1 Two-digit numeric codes are Level I code modifiers copyrighted© by the American Medical Association's Current Procedural Terminology (CPT).
2 BETOS stands for “Berenson-Eggers Type Of Service”