Showing codes L3201 (Orthopedic shoe, oxford with supinator or pronator, infant) — L3300 (Lift, elevation, heel, tapered to metatarsals, per inch)

L3201 - Oxford w supinat/pronat inf
Long description: Orthopedic shoe, oxford with supinator or pronator, infant
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).
HTML    PDF

L3202 - Oxford w/ supinat/pronator c
Long description: Orthopedic shoe, oxford with supinator or pronator, child
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).
HTML    PDF

L3203 - Oxford w/ supinator/pronator
Long description: Orthopedic shoe, oxford with supinator or pronator, junior
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).
HTML    PDF

L3204 - Hightop w/ supp/pronator inf
Long description: Orthopedic shoe, hightop with supinator or pronator, infant
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).
HTML    PDF

L3206 - Hightop w/ supp/pronator chi
Long description: Orthopedic shoe, hightop with supinator or pronator, child
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).
HTML    PDF

L3207 - Hightop w/ supp/pronator jun
Long description: Orthopedic shoe, hightop with supinator or pronator, junior
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).
HTML    PDF

L3208 - Surgical boot each infant
Long description: Surgical boot, each, infant
Code added date: 19840101.
Code effective date: 19960101.
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).
HTML    PDF

L3209 - Surgical boot each child
Long description: Surgical boot, each, child
Code added date: 19840101.
Code effective date: 19960101.
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).
HTML    PDF

L3211 - Surgical boot each junior
Long description: Surgical boot, each, junior
Code added date: 19840101.
Code effective date: 19960101.
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).
HTML    PDF

L3212 - Benesch boot pair infant
Long description: Benesch boot, pair, infant
Code added date: 19840101.
Code effective date: 19960101.
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).
HTML    PDF

L3213 - Benesch boot pair child
Long description: Benesch boot, pair, child
Code added date: 19840101.
Code effective date: 19960101.
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).
HTML    PDF

L3214 - Benesch boot pair junior
Long description: Benesch boot, pair, junior
Code added date: 19840101.
Code effective date: 19960101.
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).
HTML    PDF

L3215 - Orthopedic ftwear ladies oxf
Long description: Orthopedic footwear, ladies shoe, oxford, each
Code added date: 19840101.
Code effective date: 20060101.
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: S (A code denoting Medicare coverage status).
HTML    PDF

L3216 - Orthoped ladies shoes dpth i
Long description: Orthopedic footwear, ladies shoe, depth inlay, each
Code added date: 19840101.
Code effective date: 20060101.
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: S (A code denoting Medicare coverage status).
HTML    PDF

L3217 - Ladies shoes hightop depth i
Long description: Orthopedic footwear, ladies shoe, hightop, depth inlay, each
Code added date: 19840101.
Code effective date: 20060101.
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: S (A code denoting Medicare coverage status).
HTML    PDF

L3219 - Orthopedic mens shoes oxford
Long description: Orthopedic footwear, mens shoe, oxford, each
Code added date: 19840101.
Code effective date: 20060101.
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: S (A code denoting Medicare coverage status).
HTML    PDF

L3221 - Orthopedic mens shoes dpth i
Long description: Orthopedic footwear, mens shoe, depth inlay, each
Code added date: 19840101.
Code effective date: 20060101.
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: S (A code denoting Medicare coverage status).
HTML    PDF

L3222 - Mens shoes hightop depth inl
Long description: Orthopedic footwear, mens shoe, hightop, depth inlay, each
Code added date: 19840101.
Code effective date: 20060101.
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: S (A code denoting Medicare coverage status).
HTML    PDF

L3224 - Woman's shoe oxford brace
Long description: Orthopedic footwear, woman's shoe, oxford, used as an integral part of a brace (orthosis)
Code added date: 19950101.
Code effective date: 19950101.
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: D (A code denoting Medicare coverage status).
HTML    PDF

L3225 - Man's shoe oxford brace
Long description: Orthopedic footwear, man's shoe, oxford, used as an integral part of a brace (orthosis)
Code added date: 19950101.
Code effective date: 19950101.
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: D (A code denoting Medicare coverage status).
HTML    PDF

L3230 - Custom shoes depth inlay
Long description: Orthopedic footwear, custom shoe, depth inlay, each
Code added date: 19840101.
Code effective date: 20060101.
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).
HTML    PDF

L3250 - Custom mold shoe remov prost
Long description: Orthopedic footwear, custom molded shoe, removable inner mold, prosthetic shoe, 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).
HTML    PDF

L3251 - Shoe molded to pt silicone s
Long description: Foot, shoe molded to patient model, silicone shoe, 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).
HTML    PDF

L3252 - Shoe molded plastazote cust
Long description: Foot, shoe molded to patient model, plastazote (or similar), custom fabricated, 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).
HTML    PDF

L3253 - Shoe molded plastazote cust
Long description: Foot, molded shoe plastazote (or similar) custom fitted, 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).
HTML    PDF

L3254 - Orth foot non-stndard size/w
Long description: Non-standard size or width
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).
HTML    PDF

L3255 - Orth foot non-standard size/
Long description: Non-standard size or length
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).
HTML    PDF

L3257 - Orth foot add charge split s
Long description: Orthopedic footwear, additional charge for split size
Code added date: 19880101.
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).
HTML    PDF

L3260 - Ambulatory surgical boot eac
Long description: Surgical boot/shoe, each
Code added date: 19840101.
Code effective date: 20030101.
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).
HTML    PDF

L3265 - Plastazote sandal each
Long description: Plastazote sandal, each
Code added date: 19840101.
Code effective date: 19960101.
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).
HTML    PDF

L3300 - Sho lift taper to metatarsal
Long description: Lift, elevation, heel, tapered to metatarsals, per inch
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).
HTML    PDF