HCPCS Code Section: HCPCS L Codes

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 …

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, adjustable shoe-styled positioning device Short Description: Shoe styled positioning dev Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, 1986 Effective Date: …

Orthopedic footwear, ladies shoe, depth inlay, each Short Description: Orthoped ladies shoes dpth i Coverage Code: Non-covered by Medicare statute Action Code: No maintenance for this code Date Added: …

Foot, abduction rotation bar, without shoes Short Description: Abduct rotation bar w/o shoe Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date Added: January …

Orthopedic footwear, ladies shoe, oxford, each Short Description: Orthopedic ftwear ladies oxf Coverage Code: Non-covered by Medicare statute Action Code: No maintenance for this code Date Added: January 1, …

Foot, abduction rotation bar, including shoes Short Description: Abduction rotation bar shoe Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date Added: January 1, …

Benesch boot, pair, junior Short Description: Benesch boot pair junior Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date Added: January 1, 1984 Effective …