Article Detail - JA DME

When billing for Therapeutic Shoes for Persons with Diabetes (TSPD), the KX modifier should be applied only if:

1. The patient meets Medicare’s coverage criteria, such as:
   • Diagnosis of diabetes
   • Presence of qualifying foot conditions (e.g., neuropathy, deformity, ulceration)
2. A certifying physician must provide documentation confirming:
   • The patient’s condition
   • The medical necessity of the shoes and inserts
   • Standard Written Order

For complete details, please review our Therapeutic Shoes for Persons with Diabetes webpage.