Therapeutic Shoes without Diabetes Diagnosis - Policy Update

Policy Update: POLTHSH060125

Effective Date: June 1, 2025

Current State: N/A

Future State: Diabetic shoes and inserts are covered expenses for adults over the age of twenty-one (21) when medically necessary and submitted with an ICD-10 code for Diabetes (ICD-10 E08.00-E13.9). Please refer to the CMS policy article for a complete list of ICD-10 diagnosis codes that support medical necessity. Article - Therapeutic Shoes for Persons with Diabetes - Policy Article (A52501) (cms.gov)

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Therapeutic Shoes without Diabetes Diagnosis