Therapeutic Shoes for Persons with Diabetes

Coverage

Documentation

Reviews/Audits

  • Medical Review - View notifications/findings of pre/post claim reviews completed by Noridian Medical Review

Resources

  • Clarification of Criterion 5 - Per the LCD, "The in-person evaluation of the beneficiary by the supplier at the time of delivery‚Ķmust be conducted with the beneficiary wearing the shoes and inserts and must document that the shoes/inserts/modifications fit properly."
  • Toe Fillers and Diabetic Shoe Inserts - Shoe inserts for beneficiaries with missing toes or partial foot amputations who are not diabetic are considered for coverage under the prosthetic benefit

 

Last Updated Mar 29, 2018

The below are topic specific articles which have been published to "Latest Updates" and sent out in Noridian emails within the past two years. Exclusions to this include time sensitive related announcements such as: Noridian and CMS educational events, Ask-the-Contractor Teleconferences and claims processing downtime.

New K Code for Therapeutic Shoe Inserts CR10436   Feb 06, 2018