A guideline informs coders that Medicare requires documentation from the prescribing physician showing that certain conditions have been met in order for a patient to receive Medicare-covered:

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Medicare has specific documentation requirements for diabetic shoes, inserts, and modifications to ensure that these items are medically necessary. This includes a certification from the prescribing physician that the patient has diabetes and meets certain conditions related to their feet, such as previous amputations, past foot ulcers, or neuropathy with evidence of callus formation, among others. This is to ensure that the provision of these items is appropriately justified and to prevent unnecessary costs.

A Guideline Informs Coders That Medicare Requires Documentation from the Prescribing