Pedorthics

ABC Prosthetics & Orthotics Practitioners provide expert solutions for people suffering from a wide range of foot and ankle problems including: plantar fasciitis, heel pain, heel spurs, bunions, knee pain (like patellofemoral pain syndrome), general foot pain and many other conditions associated with flat feet, high arched feet and over-pronating feet. We specialize in complex foot and ankle pathologies whether they are a result of athletic injury, arthritis, diabetes, disease or trauma.  We work directly with physicians, surgeons, podiatrists and therapists to coordinate the best pedorthic care possible for our patients' needs.

Diabetic & Orthopedic Footwear

 

  • Extra-depth shoes

  • Custom molded shoes

  • Orthopedic Shoes

  • Pediatric Corrective Shoes

  • Corrective shoe modifications

    • Shoe lifts

    • Heel wedges

    • Outflare wedges

    • Rocker Bottoms

Custom & Prefabricated Insoles
 
  • Bi- and tri-laminate heat moldable inserts

  • Custom-made fitted diabetic inserts 

  • Arch supports: flexible, semi-rigid, rigid

  • UCBL foot orthosis

  • Corrective Insert Modifications

    • Metarsal Pads

    • Toe fillers

    • Partial Foot Prosthesis

 

 

Pedorthic Bracing
 
  • Richie-Style AFOs

  • Ankle Gauntlet AFOs

  • Multi Podus Boots

  • Pneumatic Walking Boots with Offloading Insoles

  • Post-Op Surgical Shoes

  • Forefoot Relief Shoes

Pedorthic Supplies

 

  • Diabetic Slippers

  • Diabetic Socks

  • Compression Stockings

  • Heel Cups

  • Toe Separators

  • Bunion Splints

  • Internal Heel Lifts

  • Diabetic Foot Care Products

    • Diabetic Basics Foot Lotion

    • Diabetic Basics Foot Powder

ABC P&O now offers 3D foot scans with the Dr. Comfort Scan, which allows for quicker, more in-depth pictures of patients’ feet. The scanner operates on a digital mapping process that takes into account the entire foot, not just the sole. It connects wirelessly to a handheld tablet and uploads directly to the fabrication facility for custom orthotic manufacturing.  In addition, the 3D scanner can give people a more precise idea of their foot size. Shoe sizing used to be done with a metal slide tool that measured the length and width of the foot, but couldn’t accurately account for girth. The new scanner accounts for all three, quickly and automatically, with less room for human error.  This technology is offered to our Pedorthic patients free of charge.

Medicare Diabetic Shoe Program

Program Eligibility

Medicare covers diabetic shoes, inserts and modifications for Medicare beneficiaries only if the following criteria are met:

 

(a) The Patient has diabetes and one or more of the following conditions:

  • Previous amputation of the other foot, or part of either foot, or

  • History of previous foot ulceration of either foot, or

  • History of pre-ulcerative calluses of either foot, or

  • Peripheral neuropathy with evidence of callus formation of either foot, or

  • Foot deformity of either foot, or

  • Poor circulation in either foot; and

(b) The certifying physician who is managing the patient's systemic diabetes condition has certified that:

(1) one or more of the indications required by (a) above are present,

(2) he or she is treating the patient under a comprehensive plan of care for his or her diabetes,

(3) The patient needs diabetic shoes, inserts or modifications.

 

Coverage Limitations

For Medicare beneficiaries meeting criteria described above, coverage is limited to one of the following within 1 calendar year:

 

  • 1 pair of off-the-shelf depth shoes and 3 additional pairs of multi-density inserts.

  • 1 pair of off-the-shelf depth shoes including a modification, and 2 additional pairs of multi-density inserts.

  • 1 pair of custom-molded shoes and 2 additional pair of multi-density inserts.

 

Documentation Requirements

The following documentation requirements must be met before reimbursement will be made for shoes, inserts or modifications furnished to a program beneficiary:

 

  • A Certification of Medical Necessity from the physician who manages the patient's diabetes, which certifies that the patient (a) has diabetes mellitus, (b) has at least one of the qualifying conditions, (c) is being treated under a comprehensive plan of care for his or her diabetes, and (d) needs diabetic shoes.

  • A prescription for a particular type of footwear (e.g., shoes, inserts, modifications) from a podiatrist, or physician who is knowledgeable in the fitting of diabetic shoes and inserts. Suppliers are required to keep file copies of signed and dated physician prescriptions.

  • Clinical Records provided by the Certifying Physician (who must be an MD or DO) documenting that an in-person visit occurred within 6 months prior to the delivery of the shoes or inserts, and detailing the evaluation of the eligibility requirements above have been met, or the indication of agreement (signified by initialing and dating) with information from the medical records of an in-person visit with a podiatrist, another M.D or D.O., physician assistant, nurse practitioner, or clinical nurse specialist that is within 6 months prior to delivery of the shoes/inserts. 

 

ABC Prosthetics & Orthotics has developed the following documentation packet for patients to bring to their physician treating their diabetes for completion prior to their Initial Evaluation for shoes and/or inserts.  If you have any questions regarding this documentation, please feel free to contact one of our Patient Care Coordinators for further assistance.

 

Click here to download Medicare Documentation
Forms for Therapeutic Shoes for Diabetics

**Forms are in .pdf format and will require a .pdf reader to view and print.