Orthopedic footwear, custom molded shoe, removable inner mold, prosthetic shoe, each
Code effective Jan 01, 1997
HCPCS Section
Orthotic and Prosthetic Procedures, Devices
L3250 is a valid 2026 HCPCS code meaning Orthopedic footwear, custom molded shoe, removable inner mold, prosthetic shoe, each or (Custom mold shoe remov prost) for short. HCPCS L3250 has been effective since 01/01/1997 and applies to Lump sum purchase of DME, prosthetics, orthotics.
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HCPCS Level II Code Section L - Orthotic and Prosthetic Procedures, Devices |
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| HCPCS Code | L3250 |
|---|---|
| Description |
Long description:
Short description: |
| 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 |
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”
HCPCS Level II codes and descriptors are approved and maintained jointly by the alpha-numeric editorial panel (consisting of CMS, the Health Insurance Association of America, and the Blue Cross and Blue Shield Association). — Updated 6/23/2026
CPT® is a registered trademark of the American Medical Association (AMA). All rights reserved.