E08.610: Diabetes mellitus due to underlying condition with diabetic neuropathic arthropathy

E08.610, diabetes mellitus due to underlying condition with diabetic neuropathic arthropathy, is listed as a covered diagnosis in 17 Medicare billing and coding articles that apply to 213 HCPCS Level II codes, including A5501 (For diabetics only, fitting (including follow-up), custom…), A5500 (For diabetics only, fitting (including follow-up), custom…), A5514 (For diabetics only, multiple density insert, made by…). 142 of these codes have a 2026 DMEPOS fee schedule amount; A5501 pays $271.80 depending on the state. The articles come from 6 Medicare contractors. A listed diagnosis supports medical necessity only; coverage still depends on the LCD's criteria and on documentation in the medical record.

HCPCS Level II codes with E08.610 as a covered diagnosis

CodeDescriptionMedicare coverageDMEPOS fee 2026 (state range)Articles listing it
A5501For diabetics only, fitting (including follow-up), custom preparation and supply of shoe molded from cast(s) of patient's foot (custom molded shoe), per shoeSpecial coverage instructions apply$271.802
A5500For 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 shoeSpecial coverage instructions apply$90.632
A5514For 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, eachSpecial coverage instructions apply$55.162
A5513For 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, eachSpecial coverage instructions apply$55.162
A5512For 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, eachSpecial coverage instructions apply$36.962
L2006Knee ankle foot device, any material, single or double upright, swing and stance phase microprocessor control with adjustability, includes all components (e.g., sensors, batteries, charger), any type activation, with or without ankle joint(s), custom fabricatedCarrier judgment$38,584.76–$44,514.911
L2005Knee ankle foot orthosis, any material, single or double upright, stance control, automatic lock and swing phase release, any type activation, includes ankle joint, any type, custom fabricatedCarrier judgment$4,915.21–$5,406.751
L2036Knee ankle foot orthosis, full plastic, double upright, with or without free motion knee, with or without free motion ankle, custom fabricatedCarrier judgment$2,131.99–$4,092.631
L2020Knee ankle foot orthosis, double upright, free ankle, solid stirrup, thigh and calf bands/cuffs (double bar 'ak' orthosis), custom fabricatedCarrier judgment$1,341.77–$3,211.791
L4631Ankle foot orthosis, walking boot type, varus/valgus correction, rocker bottom, anterior tibial shell, soft interface, custom arch support, plastic or other material, includes straps and closures, custom fabricatedCarrier judgment$1,710.05–$3,027.971
L2037Knee ankle foot orthosis, full plastic, single upright, with or without free motion knee, with or without free motion ankle, custom fabricatedCarrier judgment$1,913.97–$2,959.041
L2136Kafo, fracture orthosis, femoral fracture cast orthosis, rigid, prefabricated, includes fitting and adjustmentCarrier judgment$1,358.95–$2,855.321
L2034Knee ankle foot orthosis, full plastic, single upright, with or without free motion knee, medial lateral rotation control, with or without free motion ankle, custom fabricatedCarrier judgment$2,400.14–$2,850.681
L2128Knee ankle foot orthosis, fracture orthosis, femoral fracture cast orthosis, custom fabricatedCarrier judgment$1,808.36–$2,786.221
L2000Knee ankle foot orthosis, single upright, free knee, free ankle, solid stirrup, thigh and calf bands/cuffs (single bar 'ak' orthosis), custom fabricatedCarrier judgment$1,165.54–$2,572.501
L2010Knee ankle foot orthosis, single upright, free ankle, solid stirrup, thigh and calf bands/cuffs (single bar 'ak' orthosis), without knee joint, custom fabricatedCarrier judgment$1,062.50–$2,247.911
L2038Knee ankle foot orthosis, full plastic, with or without free motion knee, multi-axis ankle, custom fabricatedCarrier judgment$1,642.94–$2,190.581
L2030Knee ankle foot orthosis, double upright, free ankle, solid stirrup, thigh and calf bands/cuffs, (double bar 'ak' orthosis), without knee joint, custom fabricatedCarrier judgment$1,164.11–$1,944.131
L2126Knee ankle foot orthosis, fracture orthosis, femoral fracture cast orthosis, thermoplastic type casting material, custom fabricatedCarrier judgment$1,376.03–$1,834.711
L2134Kafo, fracture orthosis, femoral fracture cast orthosis, semi-rigid, prefabricated, includes fitting and adjustmentCarrier judgment$1,111.41–$1,713.201
L2108Ankle foot orthosis, fracture orthosis, tibial fracture cast orthosis, custom fabricatedCarrier judgment$999.36–$1,659.981
L1945Ankle foot orthosis, plastic, rigid anterior tibial section (floor reaction), custom fabricatedCarrier judgment$780.45–$1,589.541
L1940Ankle foot orthosis, plastic or other material, custom fabricatedCarrier judgment$568.30–$1,522.871
L1960Ankle foot orthosis, posterior solid ankle, plastic, custom fabricatedCarrier judgment$636.95–$1,522.871
L2106Ankle foot orthosis, fracture orthosis, tibial fracture cast orthosis, thermoplastic type casting material, custom fabricatedCarrier judgment$781.31–$1,468.061

188 more codes are listed. See every code with payment by region in Caduvo.

Medicare policy articles listing E08.610

2 more articles list E08.610.

A diagnosis listed as covered in a billing and coding article supports medical necessity for the article's codes; it does not guarantee payment. Coverage depends on the LCD's criteria, the contractor's jurisdiction and documentation in the medical record.

Other E08 diagnoses (Diabetes mellitus due to underlying condition)

Frequently asked questions

Does Medicare cover E08.610 (Diabetes mellitus due to underlying condition with…)?

Medicare covers items and services, not diagnoses. 17 Medicare billing and coding articles list E08.610 as a covered diagnosis for 213 HCPCS Level II codes: the diagnosis can support medical necessity for those codes, but payment still depends on the LCD's coverage criteria and the medical record.

Which HCPCS codes can be billed with ICD-10 E08.610?

The Level II codes from the policies most specific to this diagnosis are A5501 (For diabetics only, fitting (including follow-up), custom…, 2 articles); A5500 (For diabetics only, fitting (including follow-up), custom…, 2 articles); A5514 (For diabetics only, multiple density insert, made by…, 2 articles); A5513 (For diabetics only, multiple density insert, custom molded…, 2 articles); A5512 (For diabetics only, multiple density insert, direct…, 2 articles). Code choice depends on the item supplied; check each code's descriptor.

What does Medicare pay for equipment billed with E08.610?

Under the 2026 DMEPOS fee schedule (non-rural state fees): A5501 $271.80; A5500 $90.63; A5514 $55.16; A5513 $55.16. Medicare pays 80% of the allowed amount after the Part B deductible.

Which Medicare policy articles list E08.610?

A52457 (Ankle-Foot/Knee-Ankle-Foot Orthoses - Policy Article); A57759 (Billing and Coding: Routine Foot Care and Debridement of Nails); A52501 (Therapeutic Shoes for Persons with Diabetes - Policy Article), and 14 more articles.

What is ICD-10-CM code E08.610?

E08.610 is the ICD-10-CM code for diabetes mellitus due to underlying condition with diabetic neuropathic arthropathy, in category E08 (Diabetes mellitus due to underlying condition), chapter 4: Endocrine, nutritional and metabolic diseases.

Next steps

Sources: CMS Medicare Coverage Database billing and coding articles (covered ICD-10 code lists and HCPCS links); ICD-10-CM FY2026; CMS HCPCS Level II release October 2026; CMS DMEPOS fee schedule 2026 (non-rural state fees). Not billing or legal advice.

Chapter 4: Endocrine, nutritional and metabolic diseases · All diagnoses · HCPCS lookup