Table of content for "Arch supp att to shoe long/m" (HCPCS L3090)
General information on the “L3090” code
HCPCS Code: L3090
Long Description: Foot, arch support, non-removable attached to shoe, longitudinal/metatarsal, each
Short Description: Arch supp att to shoe long/m
Original information is taken from L3090 page
Pricing indicators
Pricing Indicator Code 1: 00 – Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)
Multiple Pricing Indicator Code 9 : Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99')
Certification and additional reference information
Coverage
Coverage: D – Special coverage instructions apply
Type of service
Berenson-Eggers Type of Service (BETOS): D1F – Prosthetic/Orthotic devices
Type Of Service 1: P – Lump sum purchase of DME, prosthetics, orthotics
Misc information
Anesthesia Base Unit Quantity: 0
Code Added Date: 19840101
Code Effective Date: 19970101
Action Code: N – No maintenance for this code