HCPCS Code Section: HCPCS L Codes

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 …

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 …

Hallus-valgus night dynamic splint, prefabricated, off-the-shelf Short Description: Hallus-valgus nt dyn pre ots Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date Added: January …

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

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

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

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