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: …

L3766

Elbow wrist hand finger orthosis, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment Short Description: Ewhfo w/joint(s) …

L3671

Shoulder orthosis, shoulder joint design, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment Short Description: So cap design w/o jnts cf Coverage Code: Carrier …

L3765

Elbow wrist hand finger orthosis, rigid, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment Short Description: Ewhfo rigid w/o jnts cf Coverage Code: Carrier …

L3764

Elbow wrist hand orthosis, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment Short Description: Ewho w/joint(s) cf …

L3763

Elbow wrist hand orthosis, rigid, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment Short Description: Ewho rigid w/o jnts cf Coverage Code: Carrier judgment …

L3762

Elbow orthosis, rigid, without joints, includes soft interface material, prefabricated, off-the-shelf Short Description: Eo rigid w/o joints pre ots Coverage Code: Carrier judgment Action Code: No maintenance for this …