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Orthopedic footwear, mens shoe, oxford, each

HCPCS code

Name of the Procedure:

Orthopedic Footwear, Men's Shoe, Oxford (L3219)

Common name(s): Orthopedic shoe, Medical Oxford shoe Technical term: L3219

Summary

An orthopedic Oxford shoe is specially designed to support and accommodate the structure and mechanics of the feet, ankles, and legs. These shoes are often prescribed to individuals who have specific medical conditions affecting their lower extremities.

Purpose

Orthopedic shoes are used to address various medical conditions such as arthritis, diabetes, plantar fasciitis, and deformities. The goal is to improve mobility, reduce pain, and prevent further complications by providing custom support and alignment.

Indications

  • Chronic foot pain
  • Diabetic neuropathy
  • Arthritis
  • Plantar fasciitis
  • Foot deformities (e.g., bunions, hammertoes)
  • Post-surgical recovery

Preparation

Pre-procedure instructions may include:

  • A thorough foot examination by a healthcare provider
  • Measurements of the feet to ensure proper fit
  • Discussion of current health conditions and medications No specific preparations like fasting or medication adjustments are required.

Procedure Description

  1. Consultation: Initial consultation with a podiatrist or orthopedic specialist to determine the need for orthopedic footwear.
  2. Foot Measurement: Precise measurements of the feet are taken.
  3. Shoe Fitting: Selection and fitting of the orthopedic Oxford shoe based on the patient's specific measurements and needs.
  4. Customization: In some cases, the shoe may be customized with additional supports or inserts.

Tools & Equipment: Measuring devices, sample shoes, and potentially custom orthotic inserts. Anesthesia/Sedation: Not applicable.

Duration

The fitting and customization process typically takes about 30 minutes to an hour.

Setting

This procedure is performed in a clinical setting, such as a podiatrist's office, orthopedic clinic, or a specialized footwear store.

Personnel

  • Podiatrist or Orthopedic Specialist
  • Footwear Specialist or Technician

Risks and Complications

  • Improper fit leading to discomfort or exacerbation of symptoms
  • Skin irritation or blisters
  • Allergic reaction to materials

Benefits

  • Improved foot and leg alignment
  • Reduced pain and discomfort
  • Enhanced mobility and stability
  • Prevention of further foot complications

Recovery

  • Immediate ability to walk in the new shoes
  • Follow-up appointments to assess fit and function
  • Potential need for adjustments based on initial wear

Alternatives

  • Custom orthotic inserts for regular shoes
  • Non-custom orthopedic shoes
  • Physical therapy
  • Over-the-counter pain medications

Pros and Cons:

  • Orthopedic Oxford shoes provide comprehensive support and customization but may be more expensive.
  • Custom orthotics can be used with different shoe types but may not offer the same level of support.

Patient Experience

Patients can expect a comfortable fitting session, with immediate feedback on the shoe's comfort and fit. Initially, patients may need an adjustment period to get used to the new footwear. Pain management is generally not necessary, but any discomfort should be reported for prompt adjustment.

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