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

HCPCS code

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

Related policies from health plans

Orthotic Devices and Shoes - (0543)

Similar Codes


ICD10CM codes

S92.302A - Fracture of unspecified metatarsal bone(s), left foot, initial encounter for closed fracture
S92.302 - Fracture of unspecified metatarsal bone(s), left foot
S92.302B - Fracture of unspecified metatarsal bone(s), left foot, initial encounter for open fracture
M92.72 - Juvenile osteochondrosis of metatarsus, left foot
S92.316A - Nondisplaced fracture of first metatarsal bone, unspecified foot, initial encounter for closed fract
S92.315A - Nondisplaced fracture of first metatarsal bone, left foot, initial encounter for closed fracture
S92.302P - Fracture of unspecified metatarsal bone(s), left foot, subsequent encounter for fracture with maluni
S92.325A - Nondisplaced fracture of second metatarsal bone, left foot, initial encounter for closed fracture
S92.301A - Fracture of unspecified metatarsal bone(s), right foot, initial encounter for closed fracture
S92.302K - Fracture of unspecified metatarsal bone(s), left foot, subsequent encounter for fracture with nonuni

HCPCS codes

L3020 - Foot, insert, removable, molded to patient model, longitudinal/ metatarsal support, each
L3010 - Foot, insert, removable, molded to patient model, longitudinal arch support, each
L3060 - Foot, arch support, removable, premolded, longitudinal/ metatarsal, each
L3050 - Foot, arch support, removable, premolded, metatarsal, each
L3040 - Foot, arch support, removable, premolded, longitudinal, each
L3030 - Foot, insert, removable, formed to patient foot, each
L3002 - Foot, insert, removable, molded to patient model, plastazote or equal, each
L3001 - Foot, insert, removable, molded to patient model, spenco, each
L3252 - Foot, shoe molded to patient model, plastazote (or similar), custom fabricated, each
L3250 - Orthopedic footwear, custom molded shoe, removable inner mold, prosthetic shoe, each

CPT4 codes

28476 - Percutaneous skeletal fixation of metatarsal fracture, with manipulation, each
28810 - Amputation, metatarsal, with toe, single
28072 - Synovectomy; metatarsophalangeal joint, each
28475 - Closed treatment of metatarsal fracture; with manipulation, each
28805 - Amputation, foot; transmetatarsal
28110 - Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure)
28150 - Phalangectomy, toe, each toe
28288 - Ostectomy, partial, exostectomy or condylectomy, metatarsal head, each metatarsal head
28470 - Closed treatment of metatarsal fracture; without manipulation, each
28820 - Amputation, toe; metatarsophalangeal joint