Soft Line Silicone Foot Orthotics - Full Insole

SKU #: 0814 0852; 0814 0853; 0814 0854; 0814 0855; 0814 0856; 5000 0852; 5000 0853; 5000 0854; 5000 0855; 5000 0856

  • Designed to reduce pressure, strain, shock, and vibration to joints
  • Helps relieve lower extremity fatigue through shock absorption
  • Made of 100% medical-grade silicone for durability against wear and perspiration
  • Color-coded dual-density design provides additional pressure relief to strike areas
  • Inserts are washable and fit into most athletic, dress or walking shoes
  • Reduces shock and redistributes pressure throughout the entire length of the insole
  • Relieves discomfort from plantar fasciitis, metatarsal pain, and heel spurs
HCPCS Code: L3003*
Reorder No. Size Men’s US
Shoe Size
Women‘s US
Shoe Size
Unit
0814 0852 Small 4-5.5 5-7 Pair
0814 0853 Medium 6-7.5 7.5-9.5 Pair
0814 0854 Large 8-9 10-12 Pair
0814 0855 X-Large 9.5-11 Pair
0814 0856 2X-Large 11.5-12.5 Pair
 Physician’s Choice®
Packaging
5000 0852 Small 4-5.5 5-7 Pair
5000 0853 Medium 6-7.5 7.5-9.5 Pair
5000 0854 Large 8-9 10-12 Pair
5000 0855 X-Large 9.5-11 Pair
5000 0856 2X-Large 11.5-12.5 Pair
*It is the Patient Care Facility’s responsibility to determine medical necessity; ensure coverage criteria are met; and submit appropriate HCPCS codes, modifiers, and charges for provided medical devices. Bird & Cronin suggested HCPCS codes are provided as a courtesy and do not superscede the Patient Caregiver’s full responsibility for the accurate billing of services and medical devices provided