HCPCS Level II A5514: Diabetic Custom Multiple-Density Foot Insert

HCPCS Level II code A5514 describes a diabetic-only, custom-fabricated multiple-density foot insert made by direct carving with CAM technology from a rectified CAD model created from a digitized scan of the patient; the device provides total contact with the patient’s foot including the arch, includes an arch filler and shaping materials, and has a base layer of at least 3/16 inch of Shore A 35 (or higher); service type: custom therapeutic orthotic fabrication; typical site of service: outpatient prosthetics/orthotics clinic or specialty durable medical equipment facility.

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HCPCS Level II A5514: Diabetic Custom Multiple-Density Foot Insert

Customize your policy alerts

Sign up for hcpcs A5514 policy alerts

Get alerted when payer policies referencing A5514 are released or updated.

Monitor payer policy activity

Receive email alerts as soon as relevant payer policies are published or updated.

Clinical & Coding Specifications

Clinical Context

A typical patient is a person with diabetes mellitus who presents to a podiatry or orthotics clinic with foot pain, plantar ulcer risk, neuropathy, or abnormal foot biomechanics requiring custom-molded, total-contact insoles. The clinician (podiatrist, orthotist, or prosthetist) evaluates the patient, documents diabetes diagnosis and foot exam findings (callus, prior ulcer, deformity, Charcot foot, or sensory loss), and determines medical necessity for a custom diabetic insert. A digitized 3D scan of the patient’s foot is obtained, a rectified CAD model is produced, and a multiple-density insert is fabricated by direct carving with CAM technology to provide total contact including arch support and a minimum 3/16" base layer of Shore A 35 (or higher). The device is custom fabricated and fitted; the clinician documents fabrication details, materials, total contact design, and patient-specific indications. Follow-up includes fitting adjustments and monitoring for pressure areas or skin breakdown.

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`99203`	Office or other outpatient visit for evaluation and management, new patient, typically 30 minutes	Initial physician or podiatry evaluation that documents medical necessity before ordering the custom insert
`99213`	Office or other outpatient visit for evaluation and management, established patient, typically 15 minutes	Follow-up visit to assess fit, function, and skin integrity after dispensing the custom insert
`97760`	Orthotic management and training; initial issue of a prefabricated orthosis	Related orthotic management code when training or adjustment services are provided with orthoses
`97763`	Orthotic and prosthetic supply; fitting and adjustment of orthotic/prosthetic device	Used for fitting and adjustment services associated with custom-fabricated foot inserts

Related Modifiers

5 rows

Modifier	Description	When to Use
57	CPT® modifier -57 (“Decision for Surgery”) is appended to an Evaluation and Management (E/M) service when that encounter results in the initial decision to perform a major surgery (a procedure with a…	- Use modifier 57 when an E/M service provided by the same provider (or same tax ID) on the day of or the day before a major surgical procedure (90‑day global period) results in the initial decision…
74	Modifier ‑74 indicates an outpatient hospital or ASC procedure that was discontinued after anesthesia was administered and after the procedure had begun. Use this modifier when anesthesia (local,…	- Use modifier -74 when a procedure in an outpatient hospital or ASC setting is terminated after anesthesia has been administered and after the procedure has commenced (for example, after incision,…
23	Modifier -23 (Unusual Anesthesia) is used on anesthesia service CPT codes when a procedure that normally requires no anesthesia or only local anesthesia must be performed under general anesthesia…	- Use modifier -23 only on anesthesia CPT codes (00100–01999) when a procedure that normally requires no anesthesia or only local anesthesia must be performed under general anesthesia because of…
8P	Modifier 8P—Performance Measure Reporting Modifier – Action Not Performed, Reason Not Otherwise Specified— is appended only to CPT Category II quality-reporting codes to indicate that the specified…	- Use modifier -8P only with CPT Category II codes when the quality-measure action was not performed for an eligible patient and there is no documented reason in the medical record for omitting the…
50	Modifier –50 (Bilateral Procedure) is appended to a CPT code when an identical procedure is performed on paired anatomical structures during the same operative session. The AMA states to add…	- Use modifier -50 when the same CPT surgical, diagnostic, or radiology procedure is performed on paired anatomical structures (both sides of the body) during the same operative/session by the same…

Related Provider Taxonomies

8 rows

Taxonomy Code	Specialty	Notes
2080P0208X	Pediatric Infectious Diseases Physician	A pediatrician trained to care for children in the diagnosis, treatment and prevention of infectious diseases. This specialist can apply specific know…
363A00000X	Physician Assistant	A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and…
133VN1004X	Pediatric Nutrition Registered Dietitian	An individual who is a Board Certified Specialist in Pediatric Nutrition and applies evidence-based nutrition knowledge in providing medical nutrition…
156FC0800X	Contact Lens Technician/Technologist	An optician or other ancillary support staff person who, where authorized by state law and trained or certified to do so, may fit or dispense contact …
342000000X	Transportation Network Company	A ride-sharing company that provides prearranged or contracted non-emergency medical transportation services to patients through mobile or online tech…
111NN1001X	Nutrition Chiropractor	Chiropractic Nutrition is that specialty within the chiropractic profession that deals with the overall factors that affect the patient's ability to m…
225B00000X	Pulmonary Function Technologist	An individual who is trained and qualified to perform pulmonary diagnostic tests. In the course of conducting these tests, the Pulmonary Function Tec…
2251C2600X	Cardiopulmonary Physical Therapist	A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Cardiovascular & Pulmonary Physical T…

Related ICD-10-CM Codes

24 rows

ICD-10-CM Code	Description
E10.51	Type 1 diabetes mellitus with diabetic peripheral angiopathy without gangrene
E10.621	Type 1 diabetes mellitus with foot ulcer
E10.622	Type 1 diabetes mellitus with other skin ulcer
E11.51	Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene
E11.52	Type 2 diabetes mellitus with diabetic peripheral angiopathy with gangrene
E11.621	Type 2 diabetes mellitus with foot ulcer
E11.622	Type 2 diabetes mellitus with other skin ulcer
G62.9	Polyneuropathy, unspecified
I83.90	Asymptomatic varicose veins of unspecified lower extremity
L03.311	Cellulitis of abdominal wall

Showing 1–10 of 24

Related Codes

HCPCS-A4206-STERILE-SYRINGE-1CC-NEEDLE

HCPCS A4206: Syringe with Needle, 1 cc or Less, Sterile

HCPCS-A4207-STERILE-2CC-SYRINGE-WITH-NEEDLE

HCPCS Level II A4207: Syringe with Needle, Sterile 2 cc

HCPCS-A4208-STERILE-3CC-SYRINGE-WITH-NEEDLE

HCPCS Level II A4208: Syringe with Needle, Sterile 3 cc

HCPCS-A4209-STERILE-SYRINGE-WITH-NEEDLE-5CC-OR-GREATER

HCPCS Level II A4209: Syringe with Needle, Sterile 5 cc or Greater

HCPCS-A4210-NEEDLE-FREE-INJECTION-DEVICE

HCPCS Level II A4210: Needle-free Injection Device, Each

HCPCS-A4211-SUPPLIES-SELF-ADMINISTERED-INJECTIONS

HCPCS Level II A4211: Supplies for Self-Administered Injections

HCPCS-A4212-NON-CORING-NEEDLE-STYLET-CATHETER-ACCESS-SUPPLY

HCPCS Level II A4212: Non-coring Needle or Stylet with/without Catheter

HCPCS-A4213-STERILE-SYRINGE-20CC-OR-GREATER

HCPCS Level II A4213: Syringe, Sterile, 20 cc or Greater, Each

HCPCS-A4215-STERILE-NEEDLE-SINGLE-EACH

HCPCS Level II A4215: Needle, Sterile, Any Size

HCPCS-A4216-STERILE-DILUENT-FLUSH-10ML

HCPCS Level II A4216: Sterile Diluent/Flush, 10 ml

Showing 1–10 of 633

Frequently Asked Questions

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.

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Clinical & Coding Specifications

Clinical Context

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`99203`	Office or other outpatient visit for evaluation and management, new patient, typically 30 minutes	Initial physician or podiatry evaluation that documents medical necessity before ordering the custom insert
`99213`	Office or other outpatient visit for evaluation and management, established patient, typically 15 minutes	Follow-up visit to assess fit, function, and skin integrity after dispensing the custom insert
`97760`	Orthotic management and training; initial issue of a prefabricated orthosis	Related orthotic management code when training or adjustment services are provided with orthoses
`97763`	Orthotic and prosthetic supply; fitting and adjustment of orthotic/prosthetic device	Used for fitting and adjustment services associated with custom-fabricated foot inserts

Related Modifiers

5 rows

Modifier	Description	When to Use
57	CPT® modifier -57 (“Decision for Surgery”) is appended to an Evaluation and Management (E/M) service when that encounter results in the initial decision to perform a major surgery (a procedure with a…	- Use modifier 57 when an E/M service provided by the same provider (or same tax ID) on the day of or the day before a major surgical procedure (90‑day global period) results in the initial decision…
74	Modifier ‑74 indicates an outpatient hospital or ASC procedure that was discontinued after anesthesia was administered and after the procedure had begun. Use this modifier when anesthesia (local,…	- Use modifier -74 when a procedure in an outpatient hospital or ASC setting is terminated after anesthesia has been administered and after the procedure has commenced (for example, after incision,…
23	Modifier -23 (Unusual Anesthesia) is used on anesthesia service CPT codes when a procedure that normally requires no anesthesia or only local anesthesia must be performed under general anesthesia…	- Use modifier -23 only on anesthesia CPT codes (00100–01999) when a procedure that normally requires no anesthesia or only local anesthesia must be performed under general anesthesia because of…
8P	Modifier 8P—Performance Measure Reporting Modifier – Action Not Performed, Reason Not Otherwise Specified— is appended only to CPT Category II quality-reporting codes to indicate that the specified…	- Use modifier -8P only with CPT Category II codes when the quality-measure action was not performed for an eligible patient and there is no documented reason in the medical record for omitting the…
50	Modifier –50 (Bilateral Procedure) is appended to a CPT code when an identical procedure is performed on paired anatomical structures during the same operative session. The AMA states to add…	- Use modifier -50 when the same CPT surgical, diagnostic, or radiology procedure is performed on paired anatomical structures (both sides of the body) during the same operative/session by the same…

Related Provider Taxonomies

8 rows

Taxonomy Code	Specialty	Notes
2080P0208X	Pediatric Infectious Diseases Physician	A pediatrician trained to care for children in the diagnosis, treatment and prevention of infectious diseases. This specialist can apply specific know…
363A00000X	Physician Assistant	A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and…
133VN1004X	Pediatric Nutrition Registered Dietitian	An individual who is a Board Certified Specialist in Pediatric Nutrition and applies evidence-based nutrition knowledge in providing medical nutrition…
156FC0800X	Contact Lens Technician/Technologist	An optician or other ancillary support staff person who, where authorized by state law and trained or certified to do so, may fit or dispense contact …
342000000X	Transportation Network Company	A ride-sharing company that provides prearranged or contracted non-emergency medical transportation services to patients through mobile or online tech…
111NN1001X	Nutrition Chiropractor	Chiropractic Nutrition is that specialty within the chiropractic profession that deals with the overall factors that affect the patient's ability to m…
225B00000X	Pulmonary Function Technologist	An individual who is trained and qualified to perform pulmonary diagnostic tests. In the course of conducting these tests, the Pulmonary Function Tec…
2251C2600X	Cardiopulmonary Physical Therapist	A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Cardiovascular & Pulmonary Physical T…

Related ICD-10-CM Codes

24 rows

ICD-10-CM Code	Description
E10.51	Type 1 diabetes mellitus with diabetic peripheral angiopathy without gangrene
E10.621	Type 1 diabetes mellitus with foot ulcer
E10.622	Type 1 diabetes mellitus with other skin ulcer
E11.51	Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene
E11.52	Type 2 diabetes mellitus with diabetic peripheral angiopathy with gangrene
E11.621	Type 2 diabetes mellitus with foot ulcer
E11.622	Type 2 diabetes mellitus with other skin ulcer
G62.9	Polyneuropathy, unspecified
I83.90	Asymptomatic varicose veins of unspecified lower extremity
L03.311	Cellulitis of abdominal wall

Showing 1–10 of 24

Related Codes

HCPCS-A4206-STERILE-SYRINGE-1CC-NEEDLE

HCPCS A4206: Syringe with Needle, 1 cc or Less, Sterile

HCPCS-A4207-STERILE-2CC-SYRINGE-WITH-NEEDLE

HCPCS Level II A4207: Syringe with Needle, Sterile 2 cc

HCPCS-A4208-STERILE-3CC-SYRINGE-WITH-NEEDLE

HCPCS Level II A4208: Syringe with Needle, Sterile 3 cc

HCPCS-A4209-STERILE-SYRINGE-WITH-NEEDLE-5CC-OR-GREATER

HCPCS Level II A4209: Syringe with Needle, Sterile 5 cc or Greater

HCPCS-A4210-NEEDLE-FREE-INJECTION-DEVICE

HCPCS Level II A4210: Needle-free Injection Device, Each

HCPCS-A4211-SUPPLIES-SELF-ADMINISTERED-INJECTIONS

HCPCS Level II A4211: Supplies for Self-Administered Injections

HCPCS-A4212-NON-CORING-NEEDLE-STYLET-CATHETER-ACCESS-SUPPLY

HCPCS Level II A4212: Non-coring Needle or Stylet with/without Catheter

HCPCS-A4213-STERILE-SYRINGE-20CC-OR-GREATER

HCPCS Level II A4213: Syringe, Sterile, 20 cc or Greater, Each

HCPCS-A4215-STERILE-NEEDLE-SINGLE-EACH

HCPCS Level II A4215: Needle, Sterile, Any Size

HCPCS-A4216-STERILE-DILUENT-FLUSH-10ML

HCPCS Level II A4216: Sterile Diluent/Flush, 10 ml

Showing 1–10 of 633

Frequently Asked Questions

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.

Published by

Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.

HCPCS Level II A5514: Diabetic Custom Multiple-Density Foot Insert

Sign up for hcpcs A5514 policy alerts

HCPCS Level II A5514: Diabetic Custom Multiple-Density Foot Insert

Sign up for hcpcs A5514 policy alerts

Clinical & Coding Specifications

Clinical Context

Related CPT Codes

Related Modifiers

Related Provider Taxonomies

Related ICD-10-CM Codes

Related Codes

What does HCPCS code A5514 represent?

When is A5514 clinically appropriate to use?

Which modifiers are commonly associated with billing A5514?

What other CPT codes are commonly linked to services involving A5514?

Which payers and coverage considerations are referenced for A5514?

References

Clinical & Coding Specifications

Clinical Context

Related CPT Codes

Related Modifiers

Related Provider Taxonomies

Related ICD-10-CM Codes

Related Codes

What does HCPCS code A5514 represent?

When is A5514 clinically appropriate to use?

Which modifiers are commonly associated with billing A5514?

What other CPT codes are commonly linked to services involving A5514?

Which payers and coverage considerations are referenced for A5514?

References