L3222 – Orthopedic footwear, mens shoe, hightop, depth inlay, each
HCPCS Level II code · L codes: Orthotic and Prosthetic Procedures and Devices
HCPCS codeL3222
- Long description
- Orthopedic footwear, mens shoe, hightop, depth inlay, each
- Short description
- Mens shoes hightop depth inl
- Pricing indicator
00Not separately priced by Part B (bundled, not covered or Part A only)- Medicare coverage
SNon-covered by Medicare statute- BETOS category
D1FProsthetic/Orthotic devices- Added
- January 1, 1984
- Last change
- January 1, 2006 – No change
Frequently asked questions
What is HCPCS code L3222?
L3222 is a HCPCS Level II code for orthopedic footwear, mens shoe, hightop, depth inlay, each.
Does Medicare cover L3222?
The HCPCS file lists coverage code S: Non-covered by Medicare statute. Coverage and payment also depend on local coverage determinations and the patient’s plan.
Nearby L codes
- L3212 – Benesch boot, pair, infant
- L3213 – Benesch boot, pair, child
- L3214 – Benesch boot, pair, junior
- L3215 – Orthopedic footwear, ladies shoe, oxford, each
- L3216 – Orthopedic footwear, ladies shoe, depth inlay, each
- L3217 – Orthopedic footwear, ladies shoe, hightop, depth inlay, each
- L3219 – Orthopedic footwear, mens shoe, oxford, each
- L3221 – Orthopedic footwear, mens shoe, depth inlay, each
- L3224 – Orthopedic footwear, woman's shoe, oxford, used as an integral part of a brace (orthosis)
- L3225 – Orthopedic footwear, man's shoe, oxford, used as an integral part of a brace (orthosis)
- L3230 – Orthopedic footwear, custom shoe, depth inlay, each
- L3250 – Orthopedic footwear, custom molded shoe, removable inner mold, prosthetic shoe, each
- L3251 – Foot, shoe molded to patient model, silicone shoe, each
- L3252 – Foot, shoe molded to patient model, plastazote (or similar), custom fabricated, each
- L3253 – Foot, molded shoe plastazote (or similar) custom fitted, each
- L3254 – Non-standard size or width
Source: CMS HCPCS Level II quarterly file, October 2026. Reference only – check payer policy before billing.