HCPCS Code Details - L3201

HCPCS Level II Code
Orthotic and Prosthetic Procedures, Devices
HCPCS Code L3201
Description

Long description:
Orthopedic shoe, oxford with supinator or pronator, infant

Short description:
Oxford w supinat/pronat inf

HCPCS Modifier1
HCPCS Pricing indicator 00 - Physician Fee Schedule And Non-Physician Practitioners - Service not separately priced by part B (e.g., services not covered, bundled, used by Part A only, etc.)
Multiple pricing indicator 9 - Not applicable as HCPCS not priced separately by part B or value is not established
Coverage code D - Special coverage instructions apply
BETOS2 code D1F - Prosthetic/Orthotic devices
HCPCS Action code N - No maintenance for this code
Type of service P - Lump sum purchase of DME, prosthetics, orthotics
Effective date Effective Jan 01, 1997
Date added Added Jan 01, 1984
HCPCS Coding Procedures

HCPCS Modifiers

In HCPCS Level II, modifiers are composed of two alpha or alphanumeric characters.

Example: E0260-NU - Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress
NU” identifies the hospital bed as new equipment

See also

  • HCPCS L3170 · Foot, plastic, silicone or equal, heel stabilizer, prefabricated, off-the-shelf, each

  • HCPCS L3202 · Orthopedic shoe, oxford with supinator or pronator, child

  • HCPCS L3203 · Orthopedic shoe, oxford with supinator or pronator, junior


1 Two-digit numeric codes are Level I code modifiers copyrighted© by the American Medical Association's Current Procedural Terminology (CPT).

2 BETOS stands for “Berenson-Eggers Type Of Service”