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L3010
Foot, insert, removable, molded to patient model, longitudinal arch support, each
HCPCS code
Medical Policies and Guidelines for Foot, insert, removable, molded to patient model, longitudinal arch support, each
Related policies from health plans
CIGNA
Orthotic Devices and Shoes - (0543)
HUMANA
Orthotics
HUMANA
Orthotics
Similar Codes
ICD10CM codes
Z44.109
- Encounter for fitting and adjustment of unspecified artificial leg, unspecified leg
T84.223
- Displacement of internal fixation device of bones of foot and toes
T84.223A
- Displacement of internal fixation device of bones of foot and toes, initial encounter
Z44.112
- Encounter for fitting and adjustment of complete left artificial leg
Z44.119
- Encounter for fitting and adjustment of complete artificial leg, unspecified leg
Z44.111
- Encounter for fitting and adjustment of complete right artificial leg
Z44.102
- Encounter for fitting and adjustment of unspecified left artificial leg
Z44.101
- Encounter for fitting and adjustment of unspecified right artificial leg
Z44.121
- Encounter for fitting and adjustment of partial artificial right leg
Z44.10
- Encounter for fitting and adjustment of unspecified artificial leg
HCPCS codes
L3010
- Foot, insert, removable, molded to patient model, longitudinal arch support, each
L3020
- Foot, insert, removable, molded to patient model, longitudinal/ metatarsal support, each
L3040
- Foot, arch support, removable, premolded, longitudinal, each
L3060
- Foot, arch support, removable, premolded, longitudinal/ metatarsal, each
L3050
- Foot, arch support, removable, premolded, metatarsal, each
L3001
- Foot, insert, removable, molded to patient model, spenco, each
L3030
- Foot, insert, removable, formed to patient foot, each
L3002
- Foot, insert, removable, molded to patient model, plastazote or equal, each
L5000
- Partial foot, shoe insert with longitudinal arch, toe filler
L3252
- Foot, shoe molded to patient model, plastazote (or similar), custom fabricated, each
CPT4 codes
28476
- Percutaneous skeletal fixation of metatarsal fracture, with manipulation, each
97762
- Checkout for orthotic/prosthetic use, established patient, each 15 minutes
73630
- Radiologic examination, foot; complete, minimum of 3 views
28150
- Phalangectomy, toe, each toe
28810
- Amputation, metatarsal, with toe, single
28072
- Synovectomy; metatarsophalangeal joint, each
26531
- Arthroplasty, metacarpophalangeal joint; with prosthetic implant, each joint
29581
- Application of multi-layer compression system; leg (below knee), including ankle and foot
26536
- Arthroplasty, interphalangeal joint; with prosthetic implant, each joint
28070
- Synovectomy; intertarsal or tarsometatarsal joint, each