2025 HCPCS code L3550
(Active) Effective Date: N/A Orthotic Procedures and services - Other Orthopedic Shoe Additions Feed
Orthopedic shoe addition, toe tap, standard, metal
Medical necessity for an L3550 toe tap addition is based on the patient’s condition. This addition must be necessary for the patient's ambulation or mobility due to certain medical conditions.
In simple words: A small metal piece is added to the tip of a special shoe to protect it from wear and tear.
This code represents the supply of a standard toe tap made of metal as an addition to an orthopedic shoe. This code includes the fitting and adjustment of this orthosis.
Example 1: A patient with foot drop requires a standard metal toe tap on their orthopedic shoe to prevent excessive wear on the sole., A child with cerebral palsy receives a standard metal toe tap on their orthopedic shoes to assist with their gait., Following a stroke, a patient receives orthopedic shoes fitted with standard metal toe taps to help with mobility.
Documentation should support the medical necessity for the orthopedic shoe and the toe tap addition. This may include details of the patient's condition, gait analysis, and the rationale for the specific orthosis.
- Specialties: Orthopedics, Podiatry, Physical Therapy
- Place of Service:Office