|Therapeutic Footwear Utilization - RAC Identified Issue|
Therapeutic Footwear Utilization - RAC Identified Issue
This article reviews frequency guidelines for therapeutic shoes and is a result of findings from the Recovery Audit Contractor (RAC), HealthDataInsights, as published as "New Issues Approved by CMS."
The LCD and Policy Article for Therapeutic Shoes for Diabetics limit the use of shoes and inserts as follows: For patients meeting these criteria, coverage is limited to one of the following within one calendar year (January – December): One pair of custom molded shoes (A5501) (which includes inserts provided with these shoes) and 2 additional pairs of inserts; or one pair of depth shoes (A5500) and 3 pairs of inserts.
Resources pertaining to this RAC identified issue:
NAS has created a self-paced tutorial for suppliers and their staff to receive training regarding Therapeutic Shoes for Persons with Diabetes, https://www.noridianmedicare.com/dme/train/.