With patient's foot, including arch, base layer minimum of 1/4 inch material of for diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact shore a 35 durometer or 3/16 inch material of shore a 40 durometer (or higher), prefabricated, each
This is the 2007 version of HCPCS K0628 - please refer to the 2016 HCPCS code set for the latest version.
