CommercialCoverageMedium impact
05.00.11l, Therapeutic Shoes and Orthopedic Shoes
Independence Blue Cross·Podiatry, Endocrinology, Family Medicine +2 more·Medical Policy
Effective date
Nov 1, 2025
We identified it
Jun 19, 2026
Summary
Updated medical policy for therapeutic shoes and orthopedic shoes with changes to medical necessity criteria and general guidelines. This affects coverage determination and documentation requirements for diabetic footwear and orthopedic shoe benefits.
Action Required
By November 1, 2025: Billing team must review updated medical necessity criteria for therapeutic and orthopedic shoes. Update documentation requirements and coverage determination processes for diabetic footwear claims. Ensure providers are aware of revised guidelines for orthopedic shoe prescriptions.