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HCPCS Procedure & Supply Codes 
  
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Orthotic Devices & Services 
          
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 This section may also have Includes, Excludes, Notes and other information for chapters, sub-chapters, sections and sub-sections. 
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| L3000 |     | Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each | 
| L3001 |     | Foot, insert, removable, molded to patient model, spenco, each | 
| L3002 |     | Foot, insert, removable, molded to patient model, plastazote or equal, each | 
| L3003 |     | Foot, insert, removable, molded to patient model, silicone gel, each | 
| L3010 |     | Foot, insert, removable, molded to patient model, longitudinal arch support, each | 
| L3020 |     | Foot, insert, removable, molded to patient model, longitudinal/ metatarsal suppo... | 
| L3030 |     | Foot, insert, removable, formed to patient foot, each | 
| L3031 |     | Foot, insert/plate, removable, addition to lower extremity orthosis, high streng... | 
       
          
          
          
      
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