Statement of Certifying Physician for Therapeutic Shoes Patient Name: MBI: I certify that all of the following statements are true: 1. This patient has diabetes mellitus. 2. This patient has one or more of the following conditions. (Circle all that apply): a) History of partial or complete amputation of the foot
diabetic shoe form for medicare 2019. PDF download: R241BP – CMS. Feb 2, 2018 … SUBJECT: New “K” Code for Therapeutic Shoe Inserts … Medicare Administrative Contractors (MACs) to correctly adjudicate …. the size and width of the upper portions of the shoes according to the American standard last. Medicare Podiatry Services – CMS Medicare Approved Sale: Save Up to 50% Off! Shop Shoes.com's huge selection of Medicare Approved - Over 340 styles available. FREE Shipping & Exchanges, and a 100% price guarantee!