HCPCS Code Section: HCPCS L Codes

Foot, plastic, silicone or equal, heel stabilizer, prefabricated, off-the-shelf, each Short Description: Foot plas heel stabi pre ots 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 …

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

Orthopedic footwear, additional charge for split size Short Description: Orth foot add charge split s Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date …

Non-standard size or length Short Description: Orth foot non-standard size/ Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date Added: January 1, 1984 Effective …

Non-standard size or width Short Description: Orth foot non-stndard size/w Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date Added: January 1, 1984 Effective …

Foot, molded shoe plastazote (or similar) custom fitted, each Short Description: Shoe molded plastazote cust Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date …

Foot, shoe molded to patient model, plastazote (or similar), custom fabricated, each Short Description: Shoe molded plastazote cust Coverage Code: Special coverage instructions apply Action Code: No maintenance for …