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HCPCS A5508 · Level II · A code

A5508: For diabetics only, deluxe feature of off-the-shelf depth-inlay shoe or custom-molded shoe, HCPCS Level II A code

Compiled from CMS files by the QuickIntell RCM Editorial Team · Data effective · Method: reference methodology · Report a data correction

Data currency: HCPCS Level II file: October 2026 (effective October 1, 2026); PFS relative value file: RVU26D, released August 26, 2026 (effective October 1, 2026); NCCI MUE tables: 2026 Q4 (effective October 1, 2026); NCCI PTP edits: v323r0 (2026 Q4) (effective October 1, 2026); OPPS Addendum B: October 2026 (effective October 1, 2026); Medicare Coverage Database LCD export: MCD release October 8, 2026 (effective October 4, 2026). Next CMS release: January 1, 2027 (quarterly update) for the HCPCS Level II file and NCCI MUE tables and NCCI PTP edits and OPPS Addendum B; RVU27A with the CY2027 PFS final rule, effective January 1, 2027 for the PFS relative value file; weekly, every Thursday for the Medicare Coverage Database LCD export.

Key facts for A5508

Medicare payment
no PFS amount
PFS status X
Coverage code
D
special coverage instructions apply
Practitioner MUE
0
MAI 3
OPPS status
SI Y
Non-implantable DME
NCCI PTP pairs
0
practitioner file
LCDs and articles
1 / 0

TL;DR

HCPCS Level II A5508 reads "For diabetics only, deluxe feature of off-the-shelf depth-inlay shoe or custom-molded shoe, per shoe" in the October 2026 file; it dates from 2000. The physician fee schedule lists A5508 with status X (statutory exclusion: not a physician service under the fee schedule), so the PFS carries no national amount for it. CMS caps A5508 at practitioner 0 (MAI 3, CMS Policy); hospital outpatient 0 (MAI 3, CMS Policy); DME supplier 0 (MAI 3, Published Contractor Policy) units per day in the 2026 Q4 MUE tables. 1 active LCD lists A5508: L33369 (Therapeutic Shoes for Persons with Diabetes). OPPS status indicator Y: Non-implantable DME. HCPCS record: BETOS D1F (prosthetic/orthotic devices); pricing indicator 38; type of service J (diabetic shoes). 11 other active codes open with "For diabetics only"; related codes: A5512, A5513, A5514, A5500.

A5508 descriptor and code status

The October 2026 HCPCS Level II file describes A5508 as “For diabetics only, deluxe feature of off-the-shelf depth-inlay shoe or custom-molded shoe, per shoe”. It sits in the A section (transportation, medical and surgical supplies, administrative, miscellaneous and investigational), listed with the other A codes.

HCPCS file attributes of A5508
FieldValue
Short descriptorDiabetic deluxe shoe
Added to HCPCS2000-01-01
Last actionN (no maintenance), effective 2005-01-01
Coverage codeD: special coverage instructions apply
Pricing indicator38: DMEPOS orthotics, prosthetics, prosthetic devices and vision services (floors and ceilings)
BETOS categoryD1F: prosthetic/orthotic devices
Type of serviceJ: diabetic shoes

Medicare payment for A5508

The physician fee schedule lists A5508 with status X (statutory exclusion: not a physician service under the fee schedule), so the PFS carries no national amount for it. The amounts below are national figures from the October 2026 CMS files; the contractor applies the locality, rural or state adjustment and the beneficiary's cost sharing.

Physician fee schedule (RVU26D)

Status X: statutory exclusion: not a physician service under the fee schedule. Global period XXX (global surgery concept does not apply); PC/TC indicator 9 (professional/technical concept does not apply).

Hospital outpatient (OPPS Addendum B)

Status indicator Y (Non-implantable DME), with no separate OPPS payment rate.

Medically Unlikely Edits for A5508

CMS caps A5508 at practitioner 0 (MAI 3, CMS Policy); hospital outpatient 0 (MAI 3, CMS Policy); DME supplier 0 (MAI 3, Published Contractor Policy) units per day in the 2026 Q4 MUE tables. The practitioner MUE is a date-of-service clinical edit: units above the limit deny but can be paid on appeal with documentation.

MUE values for A5508 by setting
SettingMUE (units/DOS)MAICMS rationale
Practitioner services03 Date of Service Edit: ClinicalCMS Policy
Facility outpatient hospital03 Date of Service Edit: ClinicalCMS Policy
DME supplier03 Date of Service Edit: ClinicalPublished Contractor Policy

The MUE lookup for A5508 shows every setting next to any other code on the same claim.

NCCI edits and add-on rules

No active practitioner PTP pair lists A5508 in v323r0.

A5508 is neither an add-on code nor a designated primary code in the 2026 Q4 NCCI add-on edit file.

Pair counts show exposure, not the answer for one claim. Check A5508 against a second code to see whether the pair bundles and whether a modifier can separate the services.

Medicare coverage policies for A5508

1 active Local Coverage Determination and 0 billing and coding articles list A5508. Each applies only in its contractor's jurisdiction, and the article carries the diagnosis codes that support the item or service.

Denials to expect on A5508

CARC 50 · N115

the diagnosis or documentation does not meet the LCD or billing article that lists A5508

CARC 151 · N362

units of A5508 exceed the practitioner MUE of 0 per date of service

CARC 4

the modifier reported is inconsistent with the code

CARC 16

the claim lacks information needed to adjudicate the line, such as an order, NPI or required modifier

Where QuickIntell fits for A5508 claims

QuickCode supports qualified coder review of units, modifiers and NCCI pairs for A5508 before the claim leaves, and QuickRCM carries claim readiness and the denial follow-up when an edit or coverage policy is missed.

See QuickCode for coder reviewSee QuickRCM for denial follow-upBook a meeting

Frequently asked questions: HCPCS A5508

What does HCPCS code A5508 describe?

"For diabetics only, deluxe feature of off-the-shelf depth-inlay shoe or custom-molded shoe, per shoe" (short descriptor "Diabetic deluxe shoe"), in the A section (transportation, medical and surgical supplies, administrative, miscellaneous and investigational). Added 2000-01-01; last action N (no maintenance) effective 2005-01-01.

Is A5508 a CPT code?

It is not. A5508 belongs to the A section (transportation, medical and surgical supplies, administrative, miscellaneous and investigational) of HCPCS Level II, the CMS code set, not to AMA CPT.

What does Medicare pay for A5508?

The physician fee schedule lists A5508 with status X (statutory exclusion: not a physician service under the fee schedule), so the PFS carries no national amount for it.

How many units of A5508 can be billed per day?

CMS caps A5508 at practitioner 0 (MAI 3, CMS Policy); hospital outpatient 0 (MAI 3, CMS Policy); DME supplier 0 (MAI 3, Published Contractor Policy) units per day in the 2026 Q4 MUE tables. For the practitioner MUE (MAI 3), units above 0 deny for the day but can be paid on appeal with documentation; denials arrive as CARC 151.

Does Medicare cover A5508?

Coverage code D (special coverage instructions apply). 1 active LCD lists A5508: L33369 (Therapeutic Shoes for Persons with Diabetes).

Sources

Every figure on this page is taken from the CMS publications below, as released by the Centers for Medicare & Medicaid Services. Projection built 2026-10-10. Verify against the primary file before billing or contracting decisions. The reference methodology explains how each figure is computed from these files.

Disclaimer

This page is an operational reference compiled from CMS publications: the HCPCS Level II file, the physician, DMEPOS and clinical laboratory fee schedules, OPPS and ASC addenda, NCCI MUE, PTP and add-on edit tables and the Medicare Coverage Database. Amounts are Medicare national figures before locality and state adjustment; Medicaid and commercial payers set their own. CPT codes are shown as numbers only; CPT descriptors are copyright AMA. Nothing here is legal, clinical or billing advice.

Found a figure that does not match the CMS file? Report a data correction with the CMS file and the value you expected; the request reaches the editorial team through the contact form.