HCPCS Code Section: HCPCS L Codes

Foot, insert, removable, molded to patient model, longitudinal arch support, each Short Description: Foot longitudinal arch suppo Coverage Code: Special coverage instructions apply Action Code: No maintenance for this …

Foot, insert, removable, molded to patient model, silicone gel, each Short Description: Foot insert silicone gel eac Coverage Code: Special coverage instructions apply Action Code: No maintenance for this …

Foot, insert, removable, molded to patient model, plastazote or equal, each Short Description: Foot insert plastazote or eq Coverage Code: Special coverage instructions apply Action Code: No maintenance for …

Foot, insert, removable, molded to patient model, spenco, each Short Description: Foot insert remov molded spe Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code …

Foot, insert, removable, molded to patient model, ‘ucb’ type, berkeley shell, each Short Description: Ft insert ucb berkeley shell Coverage Code: Special coverage instructions apply Action Code: No maintenance …

Lower extremity orthoses, not otherwise specified Short Description: Lower extremity orthosis nos Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, 1982 Effective …

Addition to lower extremity joint, knee or ankle, concentric adjustable torsion style mechanism for custom fabricated orthotics only, each Short Description: Torsion mechanism knee/ankle Coverage Code: Not payable by …

Addition to lower extremity orthosis, femoral length sock, fracture or equal, each Short Description: Femoral lgth sock fx or equa Coverage Code: Carrier judgment Action Code: No maintenance for …

Foot, arch support, non-removable attached to shoe, metatarsal, each Short Description: Arch supp att to shoe metata Coverage Code: Special coverage instructions apply Action Code: No maintenance for this …

Addition to lower extremity orthosis, tibial length sock, fracture or equal, each Short Description: Tibial length sock fx or equ Coverage Code: Carrier judgment Action Code: No maintenance for …