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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. Access to this feature is available in the following products: - Find-A-Code Essentials
- Find-A-Code Professional/Premium/Elite
- Find-A-Code Facility Base/Plus/Complete
- HCC Standard/Pro
This section may also have Includes, Excludes, Notes and other information for chapters, sub-chapters, sections and sub-sections.
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This section may also have Includes, Excludes, Notes and other information for chapters, sub-chapters, sections and sub-sections. Access to this feature is available in the following products: - Find-A-Code Essentials
- Find-A-Code Professional/Premium/Elite
- Find-A-Code Facility Base/Plus/Complete
- HCC Standard/Pro
This section may also have Includes, Excludes, Notes and other information for chapters, sub-chapters, sections and sub-sections.
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| L3201 | | Orthopedic shoe, oxford with supinator or pronator, infant |
| L3202 | | Orthopedic shoe, oxford with supinator or pronator, child |
| L3203 | | Orthopedic shoe, oxford with supinator or pronator, junior |
| L3204 | | Orthopedic shoe, hightop with supinator or pronator, infant |
| L3206 | | Orthopedic shoe, hightop with supinator or pronator, child |
| L3207 | | Orthopedic shoe, hightop with supinator or pronator, junior |
| L3208 | | Surgical boot, each, infant |
| L3209 | | Surgical boot, each, child |
| L3211 | | Surgical boot, each, junior |
| 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 |
| L3222 | | Orthopedic footwear, mens shoe, hightop, depth inlay, each |
| L3224 | | Orthopedic footwear, woman's shoe, oxford, used as an integral part of a brace (... |
| L3225 | | Orthopedic footwear, man's shoe, oxford, used as an integral part of a brace (or... |
| 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 |
| L3255 | | Non-standard size or length |
| L3257 | | Orthopedic footwear, additional charge for split size |
| L3260 | | Surgical boot/shoe, each |
| L3265 | | Plastazote sandal, each |
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