L3250 – Orthopedic footwear, custom molded shoe, removable inner mold, prosthetic shoe, each

Long description

Orthopedic footwear, custom molded shoe, removable inner mold, prosthetic shoe, each

Short description

Custom mold shoe remov prost

Pricing indicator

00 Not separately priced by Part B (bundled, not covered or Part A only)

Medicare coverage

D Special coverage instructions apply

BETOS category

D1F Prosthetic/Orthotic devices

Added

January 1, 1984

Last change

January 1, 1997 – No change

Nearby L codes

• 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
• L3222 – Orthopedic footwear, mens shoe, hightop, 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
• 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
• L3255 – Non-standard size or length
• L3257 – Orthopedic footwear, additional charge for split size
• L3260 – Surgical boot/shoe, each
• L3265 – Plastazote sandal, each