HCPCS Service Codes - Lump sum purchase of DME, prosthetics, orthotics

HCPCS Service Code P for Lump sum purchase of DME, prosthetics, orthotics.

HCPCS Type of Service (TOS) code is an indicator that the contractor places on Form CMS-1500. The indicator is mainly used for data purposes, however in some instances, it affects payment. All HCPCS codes have a corresponding TOS indicator.

Below are all available HCPCS TOS codes. Find an HCPCS code based on the type of service.

HCPCS Codes for Lump sum purchase of DME, prosthetics, orthotics

  • L3340

    Heel wedge, sach

  • L3350

    Heel wedge

  • L3360

    Sole wedge, outside sole

  • L3370

    Sole wedge, between sole

  • L3380

    Clubfoot wedge

  • L3390

    Outflare wedge

  • L3400

    Metatarsal bar wedge, rocker

  • L3410

    Metatarsal bar wedge, between sole

  • L3420

    Full sole and heel wedge, between sole

  • L3430

    Heel, counter, plastic reinforced

  • L3440

    Heel, counter, leather reinforced

  • L3450

    Heel, sach cushion type

  • L3455

    Heel, new leather, standard

  • L3460

    Heel, new rubber, standard

  • L3465

    Heel, thomas with wedge

  • L3470

    Heel, thomas extended to ball

  • L3480

    Heel, pad and depression for spur

  • L3485

    Heel, pad, removable for spur

  • L3500

    Orthopedic shoe addition, insole, leather

  • L3510

    Orthopedic shoe addition, insole, rubber

  • L3520

    Orthopedic shoe addition, insole, felt covered with leather

  • L3530

    Orthopedic shoe addition, sole, half

  • L3540

    Orthopedic shoe addition, sole, full

  • L3550

    Orthopedic shoe addition, toe tap standard

  • L3560

    Orthopedic shoe addition, toe tap, horseshoe

  • L3570

    Orthopedic shoe addition, special extension to instep (leather with eyelets)

  • L3580

    Orthopedic shoe addition, convert instep to velcro closure

  • L3590

    Orthopedic shoe addition, convert firm shoe counter to soft counter

  • L3595

    Orthopedic shoe addition, march bar

  • L3600

    Transfer of an orthosis from one shoe to another, caliper plate, existing

  • L3610

    Transfer of an orthosis from one shoe to another, caliper plate, new

  • L3620

    Transfer of an orthosis from one shoe to another, solid stirrup, existing

  • L3630

    Transfer of an orthosis from one shoe to another, solid stirrup, new

  • L3640

    Transfer of an orthosis from one shoe to another, dennis browne splint (riveton), both shoes

  • L3649

    Orthopedic shoe, modification, addition or transfer, not otherwise specified

  • L3650

    Shoulder orthosis, figure of eight design abduction restrainer, prefabricated, off-the-shelf

  • L3660

    Shoulder orthosis, figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf

  • L3670

    Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf

  • L3671

    Shoulder orthosis, shoulder joint design, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment

  • 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

  • L3675

    Shoulder orthosis, vest type abduction restrainer, canvas webbing type or equal, prefabricated, off-the-shelf

  • 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

  • L3678

    Shoulder orthosis, shoulder joint design, without joints, may include soft interface, straps, prefabricated, off-the-shelf

  • L3702

    Elbow orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment

  • L3710

    Elbow orthosis, elastic with metal joints, prefabricated, off-the-shelf

  • L3720

    Elbow orthosis, double upright with forearm/arm cuffs, free motion, custom fabricated

  • L3730

    Elbow orthosis, double upright with forearm/arm cuffs, extension/ flexion assist, custom fabricated

  • L3740

    Elbow orthosis, double upright with forearm/arm cuffs, adjustable position lock with active control, custom fabricated

  • 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

  • L3761

    Elbow orthosis (eo), with adjustable position locking joint(s), prefabricated, off-the-shelf