EVA shell topped with 1/16” soft midlayer and pseudo suede top
Casual Shoes or Depth Shoes, Walkers, Less Control
- Top cover – 1/16” Soft midlayer / pseudo suede
- Shell – EVA – full length
- Bottom – Pseudo suede
Standard Modifications/ Accommodations Available:
Met pads, 1st ray cut out, heel skives
EXOS® Functional Orthoses
All styles in the Standard Functional Orthoses Collection are also available with the reformable EXOS® nano-tube shell which allows for easier reformability than the traditional Polypro shell. This gives you the same support platform with the adjustability of more flexible materials.
Dr. Comfort® EXOS functional inserts technology with the use of an exothermix heat patch:
Specialty Functional Orthoses
Polypropylene shell with narrow width, minimal heel cup and traditional Cobra trim lines. Cover with 1/16” soft midlayer and leather top to sulcus
Dress shoes and slip-ons, Dance shoes, Thinnest profile
- Top cover – Leather to sulcus
- Midlayer – Soft EVA
- Shell – Polypro – ball length
- Bottom – Pseudo suede
Total Contact Orthoses
If you are looking for less rigidity, then a Total Contact design might better fit your patient’s needs. The Dr. Comfort® TCO line of Functional Orthoses allow for greater flexibility in comparison to a traditional functional orthoses while using more semi-rigid types of materials. Molded Total Contact orthoses are also available when a very high heel cup or added reinforcements are needed. These styles of Custom Functional Orthoses are designed with a fuller, more intimate fit which may result in the need for a depth-style shoe to accommodate the finished product. The TCO line is customizable to specific biomechanical and or accommodative needs. See the Special Accommodations and Modifications for Inserts/Orthoses chart for further detail.
Molded Total Contact Orthoses
Depth shoes, Added medial and lateral control
Top Cover Materials
Choose from a variety of EVAs to fit specific needs. Dr. Comfort® utilizes different durometers of EVAs in this style of orthosis
- 3/16” EVA
- Sport Trilam
- Soft Trilam
Reinforcement Materials can be added to strengthen the device
Choose from a semi rigid EVA or a more dense cork material
- 55 durometer EVA
- 70 durometer Cork
Custom Toe Fillers – L5000
Toe fillers provide proper biomechanical balance, support and protection for patients who have had partial foot amputations.4,5 Each toe filler device is designed specifically for the patient and to fit into your patient’s footwear in an aesthetically pleasing manner. Toe fillers provide medial and lateral stability with distal stump protection and biomechanical balance to help provide the most natural ambulation. They are constructed of durable materials and have a semi-rigid prosthetic filler that maintains a soft accommodative surface for the foot.
Coding for Toe Fillers
Two separate benefit categories exist for shoe inserts used to accommodate missing digits (toes) for beneficiaries with and without diabetes. The codes L5000 and A5513 of the Healthcare Common Procedure Coding System (HCPCS) are used for these categories.
Please refer to: https://med.noridianmedicare.com/web/jadme/article-detail/-/view/2230703/toe-fillers-and-diabetic-shoe-inserts-coding-clarification for full clarification of this coding.
L5000 for Hallux Amputation
Provides medial and lateral stability with an EVA* fill in the hallux position to provide natural spring and biomechanical support. Designed to fit virtually any style of your patient’s footwear.
L5000 for Trans Metatarsal Amputation
Provides medial and lateral stability with distal stump protection and biomechanical support and natural toe spring with an EVA* fill in forefoot. Designed to fit virtually any style of your patient’s footwear.
Partial foot amputations such as toe and ray amputations and transmetatarsal amputations.4
- Soft trilament top cover with PU midlayer
- Cork post for hindfoot and midfoot stability
- Semi rigid EVA for toe filler portion
Custom Diabetic Inserts
As one of the world’s leading pedorthic laboratories, the Dr. Comfort® Custom Lab specializes in making high quality diabetic inserts. These types of inserts are often recommended to offer additional protection and accommodation of the diabetic foot from pressure, friction and skin trauma. Dr. Comfort inserts provide good arch fit and foot accommodation with a standard 15mm heel cup, minimum base thickness of 3/16” and a minimum of 35 durometer base with soft top covers. Special accommodations can be added per our accommodations and modifications chart.
Coding for Diabetic Inserts
Two separate codes exist for custom made diabetic inserts. The coding is now determined by the fabrication method of the inserts. Dr. Comfort Diabetic Inserts are primarily direct milled or carved, but we also reserve a molded technique for feet with severe deformities such as charcot joint.
Please refer to https://www.cgsmedicare.com/jc/pubs/news/2018/0218/cope6148.html for clarification of this coding.
The Pricing, Data Analysis and Coding (PDAC) contractor maintains the Durable Medical Equipment Coding System (DMECS). For more information on coding for Custom Diabetic Inserts, visit www.dmepdac.com
Custom Diabetic Inserts - With Special Accommodations
An intrinsic metatarsal pad and/or metatarsal offloading helps to reduce pressure on plantar abnormalities. The met pad helps by raising the area just proximal to the metatarsal heads to transfer the load and offloading helps by creating a depression in the insert for additional offloading.
Diabetes with callus formation, history of ulcerations, peripheral neuropathy and foot deformity
- Top cover: Blue Soft top (standard), Pink/Blue bilam top
- Base: Yellow 40 durometer , White 55 durometer (recommended for patient’s over 200lbs)
Leg Brace Prep
Dr. Comfort’s leg brace prep modification includes the addition of a full-length or a 3/4-length spring steel shank and a 1/8-inch mid-sole.
Orthotic, prosthetic and pedorthic labs can request shoe prepping for stirrup attachment.
Shoes that have been modified cannot be returned to Dr. Comfort for a refund, so please confirm style and size before submitting your order.