HCPCS Coding

Post-Op/Cast Shoes

  Darco Original Med-Surg™ Shoe
  • Patented metatarsal shank provides control of forefoot motion to protect surgery to the metatarsal head area of the forefoot.
  • Semi-rigid sole, lightweight.

Male
Order #
Female
Order #
Size Male Shoe Female Shoe
MSPN MSPN Pediatric 12 - 1 12 - 1
MSM1N MSW1N Small 6 - 8 4 - 6
MSM2N MSW2N Medium 8 1/2 - 10 6 1/2 - 8
MDM3N MSW3N Large 10 1/2 - 12 8 1/2 - 10
MSM4N MSW4N X-Large 12 1/2 - 14 N/A



  Med-Surg Shoe
  • Rocker sole reduces plantar pressure on the forefoot and heel by over 25 percent.
  • Unique forefoot closure provides uniform security without the pressure points of buckles and straps.
  • The square toe design provides additional protection and better left/right fit.

Male
Order #
Female
Order #
Size Male Shoe Female Shoe
MQPB MQPB Pediatric 12 - 1 12 - 1
MQM1B MQW1B Small 6 - 8 4 - 6
MQM2B MQW2B Medium 8 1/2 - 10 6 1/2 - 8
MQM3B MQW3B Large 10 1/2 - 12 8 1/2 - 10
MQM4B MQW4B X-Large 12 1/2 - 14 N/A



  Classic Post-OP Shoe
  • Flared, semi-rigid outsole provides medial and lateral stability.
  • Breathable nylon mesh upper.
  • Simple, one buckle closure on each strap.

Order # Size (Unisex) Male Shoe Female Shoe
CL1 Pediatric 10 - 12 10 - 12
CL2 Women’s Small 6 - 8 4 - 6
CL3 Women’s Medium N/A 6 1/2 - 8
CL4 Women’s Large N/A 8 1/2 - 10
CL5 Men’s Small 6 - 8 N/A
CL6 Men’s Medium 8 1/2 - 10 10 1/2 -12
CL7 Men’s Large 10 1/2 - 12 12 1/2 - 14
CL8 Men’s X-Large 12 1/2 - 14 N/A
CL9 Men’s 2X-Large 14 - 16 N/A



  Post-Operative Shoe-Adjustable Heel
  • Back has adjustable hook and loop flap for snug fit around heel.
  • Soft foam outer liner for greater patient comfort.
  • Slip resistant, ribbed molded, plastic sole.

Male
Order #
Female
Order #
Size Male Shoe Female Shoe
MSM1E MSW1E Small 5 - 7 6 - 8
MSM2E MSW2E Medium 7 - 9 8 - 10
MSM3E MSW3E Large 9 - 11 10 - 12
MSM4E N/A X-Large 11 - 13 N/A



  Strapless Shoe
  • Features the same sole and upper as the original Med-Surg Shoe with fold over closure to eliminate pressure points.
  • Available in 5 sizes to reduce inventory.

Order # Size (Unisex) Male Shoe Female Shoe
SRO X-Small N/A 3 - 6 1/2
SR1 Small 5 - 6 7 - 9 1/2
SR2 Medium 7 - 8 1/2 N/A
SR3 Large 9 - 11 N/A
SR4 X-Large 11 1/2 - 14 N/A



  Darco Softie™ Shoe
  • Semi-Rigid metatarsal shank provides control of forefoot motion to protect surgery to the metatarsal head area of the forefoot.
  • Tissue-friendly, upper material conforms to bony abnormalities and breathable.
  • Easy to fasten hook and loop straps.

Male
Order #
Female
Order #
Size Male Shoe Female Shoe
STM1B STW1B Small 6 - 8 4 - 6
STM2B STW2B Medium 8 1/2 - 10 6 1/2 - 8
STM3B STW3B Large 10 1/2 - 12 8 1/2 - 10
STM4B N/A X-Large 12 1/2 - 14 N/A



  All Purpose Boot
  • The removable EVA insole is fully customizable to offload pressure points if needed.
  • Can be used as a post operative shoe or a cast boot.
  • Closed toe design allows dressings to be kept clean.
  • Rocker bottom allows smooth roll through gait pattern.

Order # Size (Unisex) Male Shoe Female Shoe
APQ0B X-Small N/A 4 - 7
APQ1B Small 6 - 8 7 1/2 - 10
APQ2B Medium 8 1/2 - 10 10 1/2 - 13
APQ3B Large 10 1/2 - 12 N/A
APQ4B X-Large 12 1/2 - 14 N/A



  ORTHOWEDGE™ Shoe
  • The ORTHOWEDGE™ Shoe has been clinically proven to effectively reduce weight bearing pressure from the forefoot to promote proper healing.
  • The square toe design provides additional protection and improves left/right fit.
  • The ankle strap seats the foot firmly in the sole and eliminates heel friction.

Order # Size (Unisex) Male Shoe Female Shoe
OQ0B X-Small N/A 4 - 7
OQ1B Small 6 - 8 7 1/2 - 10
OQ2B Medium 8 1/2 - 10 10 1/2 - 13
OQ3B Large 10 1/2 - 12 N/A
OQ4B X-Large 12 1/2 - 14 N/A



  HEELWEDGE™ Shoe
  • The HEELWEDGE™ off-loads the heel by shifting weight to the mid-foot to promote faster healing after surgery, trauma, or when wounds are present on the heel.
  • The modified rocker bottom encourages a smooth toe-off while maintaining a stable mid-foot base.
  • The ankle strap seats the foot firmly in the sole and eliminates heel friction.
  • Unique forefoot closure provides uniform security without the pressure points of buckles and straps. The cloth toe protector keeps toes warm and dressings clean and dry.

Order # Size (Unisex) Male Shoe Female Shoe
HQ0B X-Small N/A 4 - 7
HQ1B Small 6 - 8 7 1/2 - 10
HQ2B Medium 8 1/2 - 10 10 1/2 - 13
HQ3B Large 10 1/2 - 12 N/A
HQ4B X-Large 12 1/2 - 14 N/A



  Slimline Cast Boot
  • Excellent for use with fiberglass casts or bulky compression bandages.
  • The stretchable upper material conforms to the cast for a better fit.
  • Rocker sole allows for a natural gait pattern.

Order # Size (Unisex) Male Shoe Female Shoe
SLQ0B X-Small N/A 3 - 5
SLQ1B Small N/A 5 1/2 - 8
SLQ2B Medium 6 - 8 8 1/2 - 10
SLQ3B Large 8 1/2 - 11 10 1/2 - 13
SLQ4B X-Large 11 1/2 - 14 13 1/2 +


  Pediatric Slimline Cast Boot
Order # Size (Unisex) Child Shoe
SLO1NP Small 8 - 10 1/2
SLO2NP Medium 11 - 1 1/2
SLO3NP Large 2 - 4



  Open Toe Cast Boot
  • Rocker bottom with three layers of EVA foam provides shock absorption.
  • Canvas upper.

Order # Size (Unisex) Male Shoe Female Shoe
CBO P Pediatric N/A N/A
CBO 0 X-Small N/A N/A
CBO 1 Small N/A 5 1/2 - 7 1/2
CBO 2 Medium 6 - 8 1/2 8 - 10
CBO 3 Large 9 - 11 N/A
CBO 4 X-Large 12 - 14 N/A



  Vinyl Rocker Bottom Cast Shoe (Closed Toe)
  • Durable Vinyl Upper.
  • Uniquely designed slip resistant rocker sole.

Order # Size (Unisex) Length
CBC1 Small 9 3/8"
CBC2 Small 11"
CBC3 Small 12 5/8"
CBC4 X-Large 13 1/2"



  Wound Care Shoe System
  • The ultimate for off-loading lesions of the foot to permit healing of diabetic foot ulcers and infections. The deep rocker sole contains 4 layers of differing density insoles that may be altered or off-loading. Leather upper lined with Plastazote® material. Sections may be removed from the leather upper without disturbing the liner to remove pressure.
  • Sold in pairs to avoid sole height problems with the unaffected foot.
  • Permits off-loading ulcers, infected areas, bony prominences on both the plantar surface of the foot and protection of other areas of the foot.
  • Allows health provider to off-load areas of the foot while the patient remains ambulatory.
  • Rocker sole provides easy ambulation.
  • Easy hook and loop closure.

Order # Size (Unisex) Male Shoe Female Shoe
WCS0B X-Small N/A 4 - 5 1/2
WCS1B Small 6 - 7 1/2 6 - 8 1/2
WCS7B Small/Medium 8 - 8 1/2 9 - 9 1/2
WCS2B Medium 9 - 9 1/2 10 - 10 1/2
WCS3B Large 10 - 11 1/2 11 - 12 1/2
WCS4B X-Large 12 - 13 1/2 13 - 14 1/2
WCS5B 2X-Large 14 - 16 15 - 17



  Recovery Insole
  • Designed to fit into a post-op shoe.
  • Allows for site-specific relief.
  • Ideal for treatment of diabetic ulcers.
  • Pressure relief is accomplished by removal of the hexagonal shaped plugs.

Order # Size Male Shoe Female Shoe
RI1 X-Small Pediatric Pediatric
RI3 Small 6 - 8 7 - 9
RI5 Medium 8 - 10 9 - 11
RI7 Large 10 - 12 11 - 13
RI8 X-Large 12 - 14 N/A