HCPCS Code Section: HCPCS L Codes

L3580

Orthopedic shoe addition, convert instep to velcro closure Short Description: O shoe add instep velcro clo Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code …

L3570

Orthopedic shoe addition, special extension to instep (leather with eyelets) Short Description: O shoe add instep extension Coverage Code: Special coverage instructions apply Action Code: No maintenance for this …

L3560

Orthopedic shoe addition, toe tap, horseshoe Short Description: O shoe add horseshoe toe tap Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date Added: …

L3550

Orthopedic shoe addition, toe tap standard Short Description: O shoe add standard toe tap Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date Added: …

L3540

Orthopedic shoe addition, sole, full Short Description: Ortho shoe add full sole Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date Added: January 1, …

L3670

Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf Short Description: So acro/clav can web pre ots Coverage Code: Carrier judgment Action Code: No maintenance for this code Date …

L3530

Orthopedic shoe addition, sole, half Short Description: Ortho shoe add half sole Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date Added: January 1, …

L3660

Shoulder orthosis, figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf Short Description: So 8 ab rstr can/web pre ots Coverage Code: Carrier judgment Action Code: No …

L3520

Orthopedic shoe addition, insole, felt covered with leather Short Description: O shoe add felt w leath insl Coverage Code: Special coverage instructions apply Action Code: No maintenance for this …

L3650

Shoulder orthosis, figure of eight design abduction restrainer, prefabricated, off-the-shelf Short Description: So 8 abd restraint pre ots Coverage Code: Carrier judgment Action Code: No maintenance for this code …