HCPCS Code Section: HCPCS L Codes

L2650

Addition to lower extremity, pelvic and thoracic control, gluteal pad, each Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, 1986 Effective Date: …

L2640

Addition to lower extremity, pelvic control, band and belt, bilateral Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, 1986 Effective Date: January …

L2630

Addition to lower extremity, pelvic control, band and belt, unilateral Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, 1986 Effective Date: January …

L2628

Addition to lower extremity, pelvic control, metal frame, reciprocating hip joint and cables Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, 1989 …

L3050

Foot, arch support, removable, premolded, metatarsal, each Short Description: Foot arch supp premold metat Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date Added: …

L2810

Addition to lower extremity orthosis, knee control, condylar pad Short Description: Knee control condylar pad Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January …

L3040

Foot, arch support, removable, premolded, longitudinal, each Short Description: Ft arch suprt premold longit Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date Added: …

L3031

Foot, insert/plate, removable, addition to lower extremity orthosis, high strength, lightweight material, all hybrid lamination/prepreg composite, each Short Description: Foot lamin/prepreg composite Coverage Code: Carrier judgment Action Code: No …

L3030

Foot, insert, removable, formed to patient foot, each Short Description: Foot arch support remov prem Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date …

L3020

Foot, insert, removable, molded to patient model, longitudinal/ metatarsal support, each Short Description: Foot longitud/metatarsal sup Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code …