Lansdowne Foot & Ankle Center is a certified supplier of shoes for the Medicare Therapeutic Shoe Program. We offer a wide choice of styles and with the help of Dr. Kugler and our staff we will make sure that you find the most comfortable and biomechanically appropriate shoes for you.

About the program

Medicare covers 80% of the cost of the following (per year):

One pair of Depth Shoes.
3 pair of inserts.

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

1) Patients who have diabetes mellitus (ICD-9-CM diagnosis code 250.00-250.91) and:

2) This patient has one or more of the following conditions:
a. History of partial or complete amputation of the foot.
b. History of previous foot ulceration.
c. History of pre-ulcerative callus.
d. Peripheral Neuropathy with evidence of callus formation.
e. Foot deformity.
f. Poor circulation.

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 a comprehensive plan of care for his/her diabetes and that the patient needs diabetic shoes. The certifying physician must be an M.D. or D.O.

This policy requires that the certifying physician, providing the medical care for the diabetic condition must sign a statement that the conditions stated above are met.

The prescribing physician may be a podiatrist, M.D. or D.O. and should write the order for the therapeutic shoes, modifications, and inserts.

The supplier, the person or entity furnishing the shoes, modifications, or inserts may be a podiatrist, pedorthist, orthotist, prosthetist, or other qualified individual. The supplier should bill Medicare for the service.


 

 

© 2008, Lansdowne Foot & Ankle Center.