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ALL MEDICAL CODES IN CATEGORY Other Orthopedic Footwear

2025 HCPCS code L3250

Supply of custom-made shoe with a removable insert; includes fitting and adjustment.

2025 HCPCS code L3260

Supply of surgical shoe to accommodate foot volume changes or postsurgical bandages, including fitting and adjustment.

2025 HCPCS code L3253

Supply of a custom-fitted soft foam shoe (Plastazote® or similar), including fitting and adjustment.

2025 HCPCS code L3254

Supply of orthotic shoes of nonstandard size or width, including fitting and adjustment.

2025 HCPCS code L3265

Supply of a single Plastazote soft foam sandal for indoor use, typically for diabetic patients with diminished foot sensation.

2025 HCPCS code L3251

Silicone shoe, molded to patient model, custom fabricated, each

2025 HCPCS code L3219

Supply of one Oxford orthopedic shoe for a male patient, including fitting and adjustment.

2025 HCPCS code L3255

Supply of custom orthotic shoes; includes fitting and adjustment.

2025 HCPCS code L3224

Orthopedic footwear, woman's shoe, Oxford, used as an integral part of a brace (orthosis).

2025 HCPCS code L3221

Orthopedic footwear, men's shoe, depth inlay, each.

2025 HCPCS code L3222

Depth inlay for a men's high-top orthopedic shoe, including fitting and adjustment.

2025 HCPCS code L3252

Supply of a soft foam shoe, molded from a 3D foot model, including fitting and adjustment.

2025 HCPCS code L3215

Supply of one Oxford orthopedic shoe for a female patient, including fitting and adjustment.

2025 HCPCS code L3217

Supply of a depth inlay for a hightop orthopedic shoe for a female patient, including fitting and adjustment.

2025 HCPCS code L3257

This HCPCS code represents an additional charge for split-size orthopedic footwear, accommodating patients with differently sized feet.

2025 HCPCS code L3216

Supply of a depth inlay for an orthopedic shoe for a female patient.

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