CUSTOM MADE FOOT ORTHOTICS

CUSTOM MADE FOOT ORTHOTICS

Benefit Code Number
508010
Program of Choice
11 - Prosthetics and orthotics
Province
Alberta
Prescriber Required
Podiatrist
Nurse practitioner
Medical Doctor
Chiropodist
Recommender Required
No
Preauthorization Required
No
Limit
$500.00 PER PAIR
Frequency
2/24CM
Provincial Coverage
No
Comments
SEE NOTE 6
Notes
GENERAL NOTES COMMAS APPEARING IN THE "PRESCRIBER REQUIRED" AND "RECOMMENDER REQUIRED" COLUMNS INDICATE OR, EG. "MD", "RN" MEANS "MD" OR "RN". SPECIAL NOTES NOTE 6 - IF CLIENT'S NEEDS CAN BE MET USING BENEFIT CODE 508010, BENEFIT CODES 503713 AND 504373 SHOULD NOT BE APPROVED. IF MEDICAL NEED FOR BENEFIT CODES 503713 AND 504373 HAS BEEN ESTABLISHED, BENEFIT CODE 508010 SHOULD NOT BE APPROVED