For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient’s foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or 3/16 inch material of shore a 40 durom
Short Description: Multi den insert direct form
Coverage Code: Special coverage instructions apply
Action Code: No maintenance for this code
Date Added: January 1, 2006
Effective Date: January 1, 2019
Termination Date: