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BILLING

 

Medicare eligibility allows for the reimbursement of a pair of shoes (A5500) and three (3) pairs of inserts (either A5512 or A5514). When billing Medicare for reimbursement of Anodyne’s diabetic shoes, inserts, modifications and/or toe fillers, the following codes should be referenced:

 

Code

Description

2019 Reimbursement

(Per Pair)

2020 Reimbursement

(Per Pair)

A5500

Extra Depth Shoes

$146.42

$147.74

A5512

Heat Moldable Inserts

$59.72

$60.26

A5514

Custom Accommodative Inserts

$89.12

$89.92

L5000

Partial Foot Toe Filler

Avg: $530

Avg: $530

 

*Note: Medicare reimburses for 80% of the total reimbursement.

 

Description

2019 Reimbursement

(Per Pair)

2020 Reimbursement (Per Pair)

Extra Depth Shoes w/ 3 Pairs of Heat Moldable Inserts

$325.58

$328.52

Extra Depth Shoes w/ 3 Pairs of Custom Accommodative Inserts

$413.78

$417.50

 

*Note: Medicare reimburses for 80% of the total reimbursement.

 

For a full list of billing codes and our suggested Medicare forms, visit our Resource Center.

 

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