Showing codes L2780 (Addition to lower extremity orthosis, non-corrosive finish, per bar) — L3170 (Foot, plastic, silicone or equal, heel stabilizer, prefabricated, off-the-shelf, each)
L2780 - Non-corrosive finish
Long description: Addition to lower extremity orthosis, non-corrosive finish, per bar
Code added date: 19860101.
Code effective date: 19960101.
Pricing Indicator Code(s):
38
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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L2785 - Drop lock retainer each
Long description: Addition to lower extremity orthosis, drop lock retainer, each
Code added date: 19880101.
Code effective date: 19960101.
Pricing Indicator Code(s):
38
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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L2795 - Knee control full kneecap
Long description: Addition to lower extremity orthosis, knee control, full kneecap
Code added date: 19880101.
Code effective date: 19960101.
Pricing Indicator Code(s):
38
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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L2800 - Knee cap medial or lateral p
Long description: Addition to lower extremity orthosis, knee control, knee cap, medial or lateral pull, for use with custom fabricated orthosis only
Code added date: 19880101.
Code effective date: 20050101.
Pricing Indicator Code(s):
38
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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L2810 - Knee control condylar pad
Long description: Addition to lower extremity orthosis, knee control, condylar pad
Code added date: 19880101.
Code effective date: 19960101.
Pricing Indicator Code(s):
38
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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L2820 - Soft interface below knee se
Long description: Addition to lower extremity orthosis, soft interface for molded plastic, below knee section
Code added date: 19880101.
Code effective date: 19960101.
Pricing Indicator Code(s):
38
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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L2830 - Soft interface above knee se
Long description: Addition to lower extremity orthosis, soft interface for molded plastic, above knee section
Code added date: 19880101.
Code effective date: 19960101.
Pricing Indicator Code(s):
38
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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L2840 - Tibial length sock fx or equ
Long description: Addition to lower extremity orthosis, tibial length sock, fracture or equal, each
Code added date: 19890101.
Code effective date: 19960101.
Pricing Indicator Code(s):
38
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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L2850 - Femoral lgth sock fx or equa
Long description: Addition to lower extremity orthosis, femoral length sock, fracture or equal, each
Code added date: 19890101.
Code effective date: 19960101.
Pricing Indicator Code(s):
38
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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L2861 - Torsion mechanism knee/ankle
Long description: Addition to lower extremity joint, knee or ankle, concentric adjustable torsion style mechanism for custom fabricated orthotics only, each
Code added date: 20100101.
Code effective date: 20100101.
Pricing Indicator Code(s):
00
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: I (A code denoting Medicare coverage status).
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L2999 - Lower extremity orthosis nos
Long description: Lower extremity orthoses, not otherwise specified
Code added date: 19820101.
Code effective date: 19980101.
Pricing Indicator Code(s):
46
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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L3000 - Ft insert ucb berkeley shell
Long description: Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each
Code added date: 19820101.
Code effective date: 19970101.
Pricing Indicator Code(s):
00
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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L3001 - Foot insert remov molded spe
Long description: Foot, insert, removable, molded to patient model, spenco, each
Code added date: 19840101.
Code effective date: 19970101.
Pricing Indicator Code(s):
00
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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L3002 - Foot insert plastazote or eq
Long description: Foot, insert, removable, molded to patient model, plastazote or equal, each
Code added date: 19840101.
Code effective date: 19970101.
Pricing Indicator Code(s):
00
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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L3003 - Foot insert silicone gel eac
Long description: Foot, insert, removable, molded to patient model, silicone gel, each
Code added date: 19840101.
Code effective date: 19970101.
Pricing Indicator Code(s):
00
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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L3010 - Foot longitudinal arch suppo
Long description: Foot, insert, removable, molded to patient model, longitudinal arch support, each
Code added date: 19820101.
Code effective date: 19970101.
Pricing Indicator Code(s):
00
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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L3020 - Foot longitud/metatarsal sup
Long description: Foot, insert, removable, molded to patient model, longitudinal/ metatarsal support, each
Code added date: 19860101.
Code effective date: 19970101.
Pricing Indicator Code(s):
00
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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L3030 - Foot arch support remov prem
Long description: Foot, insert, removable, formed to patient foot, each
Code added date: 19860101.
Code effective date: 19970101.
Pricing Indicator Code(s):
00
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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L3031 - Foot lamin/prepreg composite
Long description: Foot, insert/plate, removable, addition to lower extremity orthosis, high strength, lightweight material, all hybrid lamination/prepreg composite, each
Code added date: 20040101.
Code effective date: 20050101.
Pricing Indicator Code(s):
00
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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L3040 - Ft arch suprt premold longit
Long description: Foot, arch support, removable, premolded, longitudinal, each
Code added date: 19820101.
Code effective date: 19970101.
Pricing Indicator Code(s):
00
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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L3050 - Foot arch supp premold metat
Long description: Foot, arch support, removable, premolded, metatarsal, each
Code added date: 19820101.
Code effective date: 19970101.
Pricing Indicator Code(s):
00
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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L3060 - Foot arch supp longitud/meta
Long description: Foot, arch support, removable, premolded, longitudinal/ metatarsal, each
Code added date: 19820101.
Code effective date: 19970101.
Pricing Indicator Code(s):
00
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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L3070 - Arch suprt att to sho longit
Long description: Foot, arch support, non-removable attached to shoe, longitudinal, each
Code added date: 19840101.
Code effective date: 19970101.
Pricing Indicator Code(s):
00
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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L3080 - Arch supp att to shoe metata
Long description: Foot, arch support, non-removable attached to shoe, metatarsal, each
Code added date: 19840101.
Code effective date: 19970101.
Pricing Indicator Code(s):
00
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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L3090 - Arch supp att to shoe long/m
Long description: Foot, arch support, non-removable attached to shoe, longitudinal/metatarsal, each
Code added date: 19840101.
Code effective date: 19970101.
Pricing Indicator Code(s):
00
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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L3100 - Hallus-valgus nt dyn pre ots
Long description: Hallus-valgus night dynamic splint, prefabricated, off-the-shelf
Code added date: 19850101.
Code effective date: 20140101.
Pricing Indicator Code(s):
00
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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L3140 - Abduction rotation bar shoe
Long description: Foot, abduction rotation bar, including shoes
Code added date: 19820101.
Code effective date: 19970101.
Pricing Indicator Code(s):
00
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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L3150 - Abduct rotation bar w/o shoe
Long description: Foot, abduction rotation bar, without shoes
Code added date: 19840101.
Code effective date: 19970101.
Pricing Indicator Code(s):
00
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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L3160 - Shoe styled positioning dev
Long description: Foot, adjustable shoe-styled positioning device
Code added date: 19860101.
Code effective date: 19950101.
Pricing Indicator Code(s):
00
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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L3161 - Foot, adductus position, adj
Long description: Foot, adductus positioning device, adjustable
Code added date: 20240101.
Code effective date: 20240101.
Pricing Indicator Code(s):
46
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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L3170 - Foot plas heel stabi pre ots
Long description: Foot, plastic, silicone or equal, heel stabilizer, prefabricated, off-the-shelf, each
Code added date: 19840101.
Code effective date: 20140101.
Pricing Indicator Code(s):
00
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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PDF