Medicare Coverage Criteria for Therapeutic Shoes for Diabetics

Diabetic shoes, inserts and/or modifications to the shoes are covered if the following criteria are met:

    1) The patient has diabetes mellitus; and

    2) The patient has one or more of the following conditons:

        a) Previous amputation of the other foot, or part of either foot, or

        b) History of previous foot ulceration of either foot, or

        c) History of pre-ulcerative calluses of either foot, or

        d) Peripheral neuropathy with evidence of callus formation of either, or

        e) Foot deformity of either foot, or

        f) Poor circulation in either foot; and

    3) The certifying physician who is managing the patient's systemic diabetes condition has certified that indications (1) and (2) are met and that he/she is treating the patient under comprehensive plan of care for his/her diabetes and that the patient needs diabetic shoes.

Diabetic Shoes