L3450 – Heel, sach cushion type
HCPCS Level II code · L codes: Orthotic and Prosthetic Procedures and Devices
HCPCS codeL3450
- Long description
- Heel, sach cushion type
- Short description
- Shoe heel sach cushion type
- Pricing indicator
00Not separately priced by Part B (bundled, not covered or Part A only)- Medicare coverage
DSpecial coverage instructions apply- BETOS category
D1FProsthetic/Orthotic devices- Added
- January 1, 1984
- Last change
- January 1, 1997 – No change
Frequently asked questions
What is HCPCS code L3450?
L3450 is a HCPCS Level II code for heel, sach cushion type.
Does Medicare cover L3450?
The HCPCS file lists coverage code D: Special coverage instructions apply. Coverage and payment also depend on local coverage determinations and the patient’s plan.
Nearby L codes
- L3370 – Sole wedge, between sole
- L3380 – Clubfoot wedge
- L3390 – Outflare wedge
- L3400 – Metatarsal bar wedge, rocker
- L3410 – Metatarsal bar wedge, between sole
- L3420 – Full sole and heel wedge, between sole
- L3430 – Heel, counter, plastic reinforced
- L3440 – Heel, counter, leather reinforced
- L3455 – Heel, new leather, standard
- L3460 – Heel, new rubber, standard
- L3465 – Heel, thomas with wedge
- L3470 – Heel, thomas extended to ball
- L3480 – Heel, pad and depression for spur
- L3485 – Heel, pad, removable for spur
- L3500 – Orthopedic shoe addition, insole, leather
- L3510 – Orthopedic shoe addition, insole, rubber
Source: CMS HCPCS Level II quarterly file, October 2026. Reference only – check payer policy before billing.