L300X for Diabetics

I am not sure where you read that or who said this, but it is definitely incorrect. A diabetic, when medically necessary may require a functional foot orthotic, for a wide variety of reasons. Thi is particularly true if they have neuropathy.

One example is a neuropathic diabetic with a significant rearfoot and forefoot varus. Placing them in a functional device which reduces their position to close to or to neutral, can alleviate the excess stress to the lateral side of their foot. By doing so one can effectively reduce or even eliminate the direct peak plantar or shear forces to the lateral side of the foot. By doing so, one can provide an effective treatment to off load an ulcer or pre ulcerative area.

There are of course dozens of other examples. This and other similar scenarios are also true for L3000 and all the custom fabricated L300X devices (L3000-L3030).

The contrary can be said for the A5512-A5514. These codes can ONLY be used for diabetic patients, because the narrative says, "For Diabetics Only". Hence the device dispensed to a non-diabetic patient requiring this type of device, such as a neuropathic patient with RA or spinal stenosis, should not be billed using these A codes.

Whether or not the devices described above are covered by the patient's insurance plan is another matter entirely, as coding and reimbursement are not always the same.