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HCPCS Code L3430

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

Personal Notes

Code History

Date	Action	Notes
1985-01-01	Added	Code added 1/1/1985

NCCI Crosswalk

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