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2025 HCPCS code L3208

Surgical boot, each, infant.

Use L-codes for orthotics and prosthetics, including fitting and adjustments. Modifiers LT (Left side) or RT (Right side) should be appended as appropriate. Some payers may have specific policies for orthotic devices and may require additional documentation or pre-authorization. Always verify payer-specific guidelines.

Modifiers LT (Left side) and RT (Right side) are applicable to specify which foot the boot is for.

Medical necessity for L3208 must be established through documentation demonstrating a clinical need for the surgical boot related to a foot condition, surgery, or other medical reason. The documentation should clearly explain why the boot is required for the infant's treatment and how it contributes to their recovery or improved function.

In simple words: This code covers a special boot for babies after surgery. It's like a high-top sneaker with laces all the way to the toes, so it's easy to put on and adjust if the baby's foot swells.

This code represents the supply, fitting, and adjustment of a surgical boot designed specifically for infants (less than one year old). The boot is typically a high-top shoe with laces extending to the toe, allowing for adjustments to accommodate post-surgical swelling and changes in foot volume.

Example 1: A newborn undergoes a foot procedure and requires a surgical boot to protect the surgical site and provide stability during healing. Code L3208 is used to bill for the boot., An infant with a congenital foot deformity requires a surgical boot following corrective casting. Code L3208 is used for the provision of the boot., A 6-month-old infant experiences post-operative swelling after a tendon repair in the foot. The physician orders a surgical boot to manage the swelling and provide comfort. Code L3208 is billed for the boot.

Documentation should include the medical necessity for the surgical boot, the specific condition being treated, the date the boot was supplied, and any adjustments made to the boot. Any relevant diagnoses, procedure notes, and supporting clinical findings related to the foot condition should also be documented.

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