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Foot, insert, removable, molded to patient model, longitudinal/ metatarsal support, each

HCPCS code

Name of the Procedure:

Common name: Custom Orthotic Insert
Technical term: Foot, insert, removable, molded to patient model, longitudinal/metatarsal support, each (L3020)

Summary

A custom orthotic insert is a specially designed insole made from a mold of the patient's foot. It provides tailored support to the longitudinal arch and metatarsal areas, helping to mitigate pain and improve foot function.

Purpose

Custom orthotic inserts are utilized to alleviate a variety of foot problems, ranging from arch pain to walking difficulties. The primary goals are to provide proper alignment, reduce pain, and improve mobility.

Indications

  • Chronic foot pain
  • Plantar fasciitis
  • Metatarsalgia
  • Flat feet (pes planus)
  • High arches (pes cavus)
  • Post-surgical foot support

Preparation

  • No special preparation such as fasting is needed.
  • A thorough foot exam will be conducted.
  • Molding of the foot may involve plaster, foam, or a 3D scanning process.

Procedure Description

  1. Foot Examination: The podiatrist evaluates the patient's foot structure and gait.
  2. Molding: The patient's foot is molded using plaster, a foam impression box, or 3D scanning technology to capture its exact shape.
  3. Manufacturing: The mold is sent to a lab where the custom orthotic is created to the precise specifications.
  4. Fitting: Once ready, the orthotic is checked for proper fit and adjustments are made as necessary.

Duration

  • Foot molding: Approximately 15-30 minutes.
  • Manufacturing: Usually takes 1-2 weeks.

Setting

Typically performed in a podiatrist's office or an orthopedic clinic.

Personnel

  • Podiatrist (foot specialist)
  • Orthotic technician (for manufacturing)

Risks and Complications

  • Discomfort or improper fit
  • Potential for minor skin irritation
  • Rarely, may exacerbate existing conditions if not fitted correctly

Benefits

  • Pain relief
  • Improved foot function and gait
  • Custom support tailored to individual needs
  • Results are usually felt within a few days to weeks

Recovery

  • No recovery needed as it is non-invasive.
  • Patients may need a few days to adjust to wearing the orthotics.
  • Regular follow-ups may be scheduled to monitor effectiveness and fit.

Alternatives

  • Over-the-counter shoe inserts
  • Physical therapy exercises
  • Lifestyle modifications such as weight loss, proper footwear
  • Surgical interventions in severe cases

Patient Experience

Patients typically feel some relief shortly after starting to use the orthotics, though there might be an initial period of adjustment where the insert feels unusual. Any pain or discomfort should diminish as the patient gets accustomed to the added support. Regular check-ins help ensure ongoing comfort and effectiveness.

Medical Policies and Guidelines for Foot, insert, removable, molded to patient model, longitudinal/ metatarsal support, each

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