SADMERC & PDAC Approved New Balance Styles

The Pricing, Data Analysis and Coding (PDAC) has reviewed the documentation and information submitted for  HCPCS Coding. The  PDAC conducts reviews of products to determine the correct HCPCS code(s) of DMEPOS for Medicare billing.

It is our determination that the Medicare  HCPCS code(s) to bill the four Durable Medical Equipment Regional Carriers (DMERCs) is/are:

A550 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.

This HCPCS coding decision applies to the submitted products(s) as presented to and reviewed by the PDAC. Any modifications to the products(s) could change the  HCPCS code and would need to be reviewed for coding verification. The assignment of a HCPCS code the product(s) should in no way be construed as an approval or endorsement of the product(s) by PDAC or Medicare, nor does it imply or guarantee claim reimbursement or coverage. For questions regarding claim coverage or reimbursement please contact your regional DMERC here.

View all Diabetic New Balance Styles


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