HCPCS Code Section: HCPCS L Codes

L3217

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

L3265

Plastazote sandal, each Short Description: Plastazote sandal each Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, 1984 Effective Date: January 1, 1996 …

L3260

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: …

L3257

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 …

L3400

Metatarsal bar wedge, rocker Short Description: Shoe metatarsal bar wedge ro Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date Added: January 1, 1984 …

L3390

Outflare wedge Short Description: Shoe outflare wedge Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date Added: January 1, 1982 Effective Date: January 1, …

L3380

Clubfoot wedge Short Description: Shoe clubfoot wedge Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date Added: January 1, 1982 Effective Date: January 1, …

L3370

Sole wedge, between sole Short Description: Shoe sole wedge between sole Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date Added: January 1, 1984 …

L3360

Sole wedge, outside sole Short Description: Shoe sole wedge outside sole Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date Added: January 1, 1984 …

L3485

Heel, pad, removable for spur Short Description: Shoe heel pad removable for Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date Added: January 1, …