L-code: Orthotics and prosthetics Orthotics and prosthetics

943 codes

Billing context

L-codes describe orthotic and prosthetic procedures and devices.

L-codes, page 4 of 10
Code	Long descriptor	Payment limit (Q4 2026)	Added	Status
L3160	Foot, adjustable shoe-styled positioning device	—	Jan 1, 1986	Active
L3161	Foot, adductus positioning device, adjustable	—	Jan 1, 2024	Active
L3170	Foot, plastic, silicone or equal, heel stabilizer, prefabricated, off-the-shelf, each	—	Jan 1, 1984	Active
L3201	Orthopedic shoe, oxford with supinator or pronator, infant	—	Jan 1, 1984	Active
L3202	Orthopedic shoe, oxford with supinator or pronator, child	—	Jan 1, 1984	Active
L3203	Orthopedic shoe, oxford with supinator or pronator, junior	—	Jan 1, 1984	Active
L3204	Orthopedic shoe, hightop with supinator or pronator, infant	—	Jan 1, 1984	Active
L3206	Orthopedic shoe, hightop with supinator or pronator, child	—	Jan 1, 1984	Active
L3207	Orthopedic shoe, hightop with supinator or pronator, junior	—	Jan 1, 1984	Active
L3208	Surgical boot, each, infant	—	Jan 1, 1984	Active
L3209	Surgical boot, each, child	—	Jan 1, 1984	Active
L3211	Surgical boot, each, junior	—	Jan 1, 1984	Active
L3212	Benesch boot, pair, infant	—	Jan 1, 1984	Active
L3213	Benesch boot, pair, child	—	Jan 1, 1984	Active
L3214	Benesch boot, pair, junior	—	Jan 1, 1984	Active
L3215	Orthopedic footwear, ladies shoe, oxford, each	—	Jan 1, 1984	Active
L3216	Orthopedic footwear, ladies shoe, depth inlay, each	—	Jan 1, 1984	Active
L3217	Orthopedic footwear, ladies shoe, hightop, depth inlay, each	—	Jan 1, 1984	Active
L3219	Orthopedic footwear, mens shoe, oxford, each	—	Jan 1, 1984	Active
L3221	Orthopedic footwear, mens shoe, depth inlay, each	—	Jan 1, 1984	Active
L3222	Orthopedic footwear, mens shoe, hightop, depth inlay, each	—	Jan 1, 1984	Active
L3224	Orthopedic footwear, woman's shoe, oxford, used as an integral part of a brace (orthosis)	—	Jan 1, 1995	Active
L3225	Orthopedic footwear, man's shoe, oxford, used as an integral part of a brace (orthosis)	—	Jan 1, 1995	Active
L3230	Orthopedic footwear, custom shoe, depth inlay, each	—	Jan 1, 1984	Active
L3250	Orthopedic footwear, custom molded shoe, removable inner mold, prosthetic shoe, each	—	Jan 1, 1984	Active
L3251	Foot, shoe molded to patient model, silicone shoe, each	—	Jan 1, 1984	Active
L3252	Foot, shoe molded to patient model, plastazote (or similar), custom fabricated, each	—	Jan 1, 1984	Active
L3253	Foot, molded shoe plastazote (or similar) custom fitted, each	—	Jan 1, 1984	Active
L3254	Non-standard size or width	—	Jan 1, 1984	Active
L3255	Non-standard size or length	—	Jan 1, 1984	Active
L3257	Orthopedic footwear, additional charge for split size	—	Jan 1, 1988	Active
L3260	Surgical boot/shoe, each	—	Jan 1, 1984	Active
L3265	Plastazote sandal, each	—	Jan 1, 1984	Active
L3300	Lift, elevation, heel, tapered to metatarsals, per inch	—	Jan 1, 1986	Active
L3310	Lift, elevation, heel and sole, neoprene, per inch	—	Jan 1, 1986	Active
L3320	Lift, elevation, heel and sole, cork, per inch	—	Jan 1, 1986	Active
L3330	Lift, elevation, metal extension (skate)	—	Jan 1, 1986	Active
L3332	Lift, elevation, inside shoe, tapered, up to one-half inch	—	Jan 1, 1986	Active
L3334	Lift, elevation, heel, per inch	—	Jan 1, 1986	Active
L3340	Heel wedge, sach	—	Jan 1, 1982	Active
L3350	Heel wedge	—	Jan 1, 1982	Active
L3360	Sole wedge, outside sole	—	Jan 1, 1984	Active
L3370	Sole wedge, between sole	—	Jan 1, 1984	Active
L3380	Clubfoot wedge	—	Jan 1, 1982	Active
L3390	Outflare wedge	—	Jan 1, 1982	Active
L3400	Metatarsal bar wedge, rocker	—	Jan 1, 1984	Active
L3410	Metatarsal bar wedge, between sole	—	Jan 1, 1984	Active
L3420	Full sole and heel wedge, between sole	—	Jan 1, 1984	Active
L3430	Heel, counter, plastic reinforced	—	Jan 1, 1985	Active
L3440	Heel, counter, leather reinforced	—	Jan 1, 1984	Active
L3450	Heel, sach cushion type	—	Jan 1, 1984	Active
L3455	Heel, new leather, standard	—	Jan 1, 1984	Active
L3460	Heel, new rubber, standard	—	Jan 1, 1984	Active
L3465	Heel, thomas with wedge	—	Jan 1, 1984	Active
L3470	Heel, thomas extended to ball	—	Jan 1, 1984	Active
L3480	Heel, pad and depression for spur	—	Jan 1, 1984	Active
L3485	Heel, pad, removable for spur	—	Jan 1, 1984	Active
L3500	Orthopedic shoe addition, insole, leather	—	Jan 1, 1986	Active
L3510	Orthopedic shoe addition, insole, rubber	—	Jan 1, 1986	Active
L3520	Orthopedic shoe addition, insole, felt covered with leather	—	Jan 1, 1986	Active
L3530	Orthopedic shoe addition, sole, half	—	Jan 1, 1986	Active
L3540	Orthopedic shoe addition, sole, full	—	Jan 1, 1986	Active
L3550	Orthopedic shoe addition, toe tap standard	—	Jan 1, 1986	Active
L3560	Orthopedic shoe addition, toe tap, horseshoe	—	Jan 1, 1986	Active
L3570	Orthopedic shoe addition, special extension to instep (leather with eyelets)	—	Jan 1, 1986	Active
L3580	Orthopedic shoe addition, convert instep to velcro closure	—	Jan 1, 1986	Active
L3590	Orthopedic shoe addition, convert firm shoe counter to soft counter	—	Jan 1, 1986	Active
L3595	Orthopedic shoe addition, march bar	—	Jan 1, 1986	Active
L3600	Transfer of an orthosis from one shoe to another, caliper plate, existing	—	Jan 1, 1986	Active
L3610	Transfer of an orthosis from one shoe to another, caliper plate, new	—	Jan 1, 1986	Active
L3620	Transfer of an orthosis from one shoe to another, solid stirrup, existing	—	Jan 1, 1986	Active
L3630	Transfer of an orthosis from one shoe to another, solid stirrup, new	—	Jan 1, 1986	Active
L3640	Transfer of an orthosis from one shoe to another, dennis browne splint (riveton), both shoes	—	Jan 1, 1986	Active
L3649	Orthopedic shoe, modification, addition or transfer, not otherwise specifiedNOC / NOS	—	Jan 1, 1982	Active
L3650	Shoulder orthosis, figure of eight design abduction restrainer, prefabricated, off-the-shelf	—	Jan 1, 1986	Active
L3660	Shoulder orthosis, figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf	—	Jan 1, 1982	Active
L3670	Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf	—	Jan 1, 1982	Active
L3671	Shoulder orthosis, shoulder joint design, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment	—	Jan 1, 2006	Active
L3674	Shoulder orthosis, abduction positioning (airplane design), thoracic component and support bar, with or without nontorsion joint/turnbuckle, may include soft interface, straps, custom fabricated, includes fitting and adjustment	—	Jan 1, 2011	Active
L3675	Shoulder orthosis, vest type abduction restrainer, canvas webbing type or equal, prefabricated, off-the-shelf	—	Jan 1, 1999	Active
L3677	Shoulder orthosis, shoulder joint design, without joints, may include soft interface, straps, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise	—	Jan 1, 2002	Active
L3678	Shoulder orthosis, shoulder joint design, without joints, may include soft interface, straps, prefabricated, off-the-shelf	—	Jan 1, 2014	Active
L3702	Elbow orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment	—	Jan 1, 2006	Active
L3710	Elbow orthosis, elastic with metal joints, prefabricated, off-the-shelf	—	Jan 1, 1986	Active
L3720	Elbow orthosis, double upright with forearm/arm cuffs, free motion, custom fabricated	—	Jan 1, 1984	Active
L3730	Elbow orthosis, double upright with forearm/arm cuffs, extension/ flexion assist, custom fabricated	—	Jan 1, 1982	Active
L3740	Elbow orthosis, double upright with forearm/arm cuffs, adjustable position lock with active control, custom fabricated	—	Jan 1, 1982	Active
L3760	Elbow orthosis (eo), with adjustable position locking joint(s), prefabricated, item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise	—	Jan 1, 2001	Active
L3761	Elbow orthosis (eo), with adjustable position locking joint(s), prefabricated, off-the-shelf	—	Jan 1, 2018	Active
L3762	Elbow orthosis, rigid, without joints, includes soft interface material, prefabricated, off-the-shelf	—	Jan 1, 2003	Active
L3763	Elbow wrist hand orthosis, rigid, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment	—	Jan 1, 2006	Active
L3764	Elbow wrist hand orthosis, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment	—	Jan 1, 2006	Active
L3765	Elbow wrist hand finger orthosis, rigid, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment	—	Jan 1, 2006	Active
L3766	Elbow wrist hand finger orthosis, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment	—	Jan 1, 2006	Active
L3806	Wrist hand finger orthosis, includes one or more nontorsion joint(s), turnbuckles, elastic bands/springs, may include soft interface material, straps, custom fabricated, includes fitting and adjustment	—	Jan 1, 2007	Active
L3807	Wrist hand finger orthosis, without joint(s), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise	—	Jan 1, 2000	Active
L3808	Wrist hand finger orthosis, rigid without joints, may include soft interface material; straps, custom fabricated, includes fitting and adjustment	—	Jan 1, 2007	Active
L3809	Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type	—	Jan 1, 2014	Active
L3891	Addition to upper extremity joint, wrist or elbow, concentric adjustable torsion style mechanism for custom fabricated orthotics only, each	—	Jan 1, 2010	Active
L3900	Wrist hand finger orthosis, dynamic flexor hinge, reciprocal wrist extension/ flexion, finger flexion/extension, wrist or finger driven, custom fabricated	—	Jan 1, 1986	Active