Diabetic shoes HCPCS code
Diabetic shoes are usually billed under HCPCS code A5500 (For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe); related codes are A5501, A5512, A5513, A5514. The 2026 Medicare DMEPOS fee schedule pays $90.63 for A5500, depending on the state. Medicare paid for 439,506 A5500 services from 6,136 suppliers in 2024.
HCPCS codes for diabetic shoes
| Code | Description | Medicare coverage | DMEPOS fee (state range) | Medicare services |
|---|---|---|---|---|
| A5500 | For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe | Special coverage instructions apply | $90.63 | 439,506 (2024) |
| A5501 | For diabetics only, fitting (including follow-up), custom preparation and supply of shoe molded from cast(s) of patient's foot (custom molded shoe), per shoe | Special coverage instructions apply | $271.80 | 3,443 (2024) |
| A5512 | 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 durometer (or higher), prefabricated, each | Special coverage instructions apply | $36.96 | 635,763 (2024) |
| A5513 | For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer (or higher), includes arch filler and other shaping material, custom fabricated, each | Special coverage instructions apply | $55.16 | 256,912 (2024) |
| A5514 | For diabetics only, multiple density insert, made by direct carving with cam technology from a rectified cad model created from a digitized scan of the patient, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer (or higher), includes arch filler and other shaping material, custom fabricated, each | Special coverage instructions apply | $55.16 | 367,492 (2024) |
Medicare revenue estimate for A5500
Units per month × state fee = monthly Medicare revenue. At 10 units a month, A5500 pays $906.30 in AK and $906.30 in AK, before the 20% patient coinsurance.
Medicare coverage policy
Frequently asked questions
What is the HCPCS code for diabetic shoes?
A5500: For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe. Other diabetic shoes codes: A5501 (Diabetic custom molded shoe); A5512 (Multi den insert direct form); A5513 (Multi den insert custom mold); A5514 (Mult den insert dir carv/cam).
Does Medicare cover diabetic shoes?
By HCPCS coverage code — A5500: Special coverage instructions apply; A5501: Special coverage instructions apply; A5512: Special coverage instructions apply; A5513: Special coverage instructions apply; A5514: Special coverage instructions apply.
How much does Medicare pay for diabetic shoes?
Under the 2026 DMEPOS fee schedule (non-rural state fees): A5500 $90.63; A5501 $271.80; A5512 $36.96; A5513 $55.16; A5514 $55.16.
Next steps
- Run a reimbursement report for a device billed under A5500
- Watch A5500 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for A5500
Part of Diabetes devices and supplies.
Related equipment
Sources: CMS HCPCS Level II; CMS DMEPOS fee schedule 2026; CMS Medicare utilization; CMS Medicare Coverage Database. Fees are Medicare allowables (non-rural, by state), not commercial rates. Code choice depends on the exact item; check the descriptor. Not billing or legal advice.