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HCPCS Procedure & Supply Codes

Orthotic Devices & Services

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Orthopedic Shoes

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Inserts

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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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