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HCPCS
Orthotic Devices & Services
Orthopedic Shoes
Shoe Modification
Shoe Modification -- Heels
L3430
HCPCS Code L3430
Official Description
Heel, counter, plastic reinforced
Code Data Insights
Short Descr
Sho heel count plast reinfor
Coverage
Special coverage instructions apply
Pricing Indicator(s)
00 – Service not separately priced by part B (e.G., services not covered, bundled, used by part a only, etc.)
MPI
9 – Not applicable, as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99')
MCM
2323
BETOS
D1F – Prosthetic/Orthotic devices
TOS Code(s)
P – Lump sum purchase of DME, prosthetics, orthotics
Added Date
1/1/1985
APC Status Indicator
Service Paid under Fee Schedule or Payment System other than OPPS
MUE
0
MUE
2
IOM
100-02, 15, 290
OTS Orthotic
No
CCS Clinical Classification
243 - DME and supplies
Modifier Assist
GY
Item or service statutorily excluded, does not meet the definition of any medicare benefit or, for non-medicare insurers, is not a contract benefit
KX
Requirements specified in the medical policy have been met
LT
Left side (used to identify procedures performed on the left side of the body)
RT
Right side (used to identify procedures performed on the right side of the body)
Chapter & Section Hierarchy
L0112-L4631
Orthotic Devices & Services
L3000-L3485
Orthopedic Shoes
L3300-L3485
Shoe Modification
L3430-L3485
Shoe Modification -- Heels
L3430
Sho heel count plast reinfor
L3440
Heel leather reinforced
L3450
Shoe heel sach cushion type
L3455
Shoe heel new leather standa
L3460
Shoe heel new rubber standar
L3465
Shoe heel thomas with wedge
L3470
Shoe heel thomas extend to b
L3480
Shoe heel pad & depress for
L3485
Shoe heel pad removable for
Personal Notes
Code History
Date
Action
Notes
1985-01-01
Added
Code added 1/1/1985
NCCI Crosswalk
2
Code
Description
LT
Left side (used to identify procedures performed on the left side of the body)
RT
Right side (used to identify procedures performed on the right side of the body)
No matching codes found