HCPCS Code Details - L3250

HCPCS Level II Code
Orthotic and Prosthetic Procedures, Devices
HCPCS Code L3250
Description

Long description:
Orthopedic footwear, custom molded shoe, removable inner mold, prosthetic shoe, each

Short description:
Custom mold shoe remov prost

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 L3230 · Orthopedic footwear, custom shoe, depth inlay, each

  • HCPCS L3251 · Foot, shoe molded to patient model, silicone shoe, each


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”