Browse HCPCS Level II 2020 Edition

L3300 - L3334  Shoe Modification - Lifts

L3300 Lift, elevation, heel, tapered to metatarsals, per inch short Sho lift taper to metatarsal MUE Location Value Ajudication Indicator Rationale PRA 0.0 3 Date of Service Edit: Clinical CMS Policy OPH 4.0 3 Date of Service Edit: Clinical Clinical: CMS Workgroup DME 4.0 3 Date of Service Edit: Clinical Clinical: Data

L3310 Lift, elevation, heel and sole, neoprene, per inch short Shoe lift elev heel/sole neo MUE Location Value Ajudication Indicator Rationale PRA 0.0 3 Date of Service Edit: Clinical CMS Policy OPH 4.0 3 Date of Service Edit: Clinical Clinical: CMS Workgroup DME 4.0 3 Date of Service Edit: Clinical Clinical: Data

L3320 Lift, elevation, heel and sole, cork, per inch short Shoe lift elev heel/sole cor MUE Location Value Ajudication Indicator Rationale PRA 0.0 3 Date of Service Edit: Clinical CMS Policy

L3330 Lift, elevation, metal extension (skate) short Lifts elevation metal extens MUE Location Value Ajudication Indicator Rationale PRA 0.0 3 Date of Service Edit: Clinical CMS Policy OPH 2.0 2 Date of Service Edit: Policy Anatomic Consideration DME 2.0 2 Date of Service Edit: Policy Anatomic Consideration

L3332 Lift, elevation, inside shoe, tapered, up to one-half inch short Shoe lifts tapered to one-ha MUE Location Value Ajudication Indicator Rationale PRA 0.0 3 Date of Service Edit: Clinical CMS Policy OPH 2.0 2 Date of Service Edit: Policy Anatomic Consideration DME 2.0 2 Date of Service Edit: Policy Anatomic Consideration

L3334 Lift, elevation, heel, per inch short Shoe lifts elevation heel /i MUE Location Value Ajudication Indicator Rationale PRA 0.0 3 Date of Service Edit: Clinical CMS Policy OPH 4.0 3 Date of Service Edit: Clinical Clinical: Data DME 4.0 3 Date of Service Edit: Clinical Clinical: Data