HCPCS Code Section: HCPCS L Codes

L3100

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 …

L3213

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 …

L3090

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 …

L3212

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 …

L3211

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 …

L3209

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

L3208

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

L3207

Orthopedic shoe, hightop with supinator or pronator, junior Short Description: Hightop w/ supp/pronator jun Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date Added: …

L3206

Orthopedic shoe, hightop with supinator or pronator, child Short Description: Hightop w/ supp/pronator chi Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date Added: …

L3204

Orthopedic shoe, hightop with supinator or pronator, infant Short Description: Hightop w/ supp/pronator inf Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date Added: …