You are correct in that Medicare’s LCD and PA most often do not cover devices to offload ulcers other than diabetic shoes or crow boots. This seems archaic to cover nothing between a $300 pair of shoes with inserts and a $2,000 Crow boot. But this is the policy. CAM boots (e.g. L4361/L4387) if used to treat and stabilize a foot deformity ( e.g. Charcot) or fracture (often associated with Charcot) no doubt would qualify for coverage. So might a plantarflexed metatarsal, but you would need to be able to establish medical necessity for whatever you are providing.
You are correct in that Medicare’s LCD and PA most often do not cover devices to offload ulcers other than diabetic shoes or crow boots. This seems archaic to cover nothing between a $300 pair of shoes with inserts and a $2,000 Crow boot. But this is the policy. CAM boots (e.g. L4361/L4387) if used to treat and stabilize a foot deformity ( e.g. Charcot) or fracture (often associated with Charcot) no doubt would qualify for coverage. So might a plantarflexed metatarsal, but you would need to be able to establish medical necessity for whatever you are providing.