A5505

For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with metatarsal bar, per shoe

Short Description: Diab shoe w/metatarsal bar

Coverage Code: Special coverage instructions apply

Action Code: No maintenance for this code

Date Added: January 1, 1995

Effective Date: January 1, 2005

Termination Date:

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