2025 HCPCS code L3140
(Active) Effective Date: N/A Revision Date: N/A Orthotic - Repositioning Foot Orthotics Orthotic Procedures and services Feed
Supply of a foot abduction rotation bar with an adjustable footplate, including shoes; used to treat clubfoot in pediatric patients.
Modifiers may be applicable depending on the circumstances of service. Consult the current modifier guidelines for appropriate usage.
Medical necessity for L3140 is established by the presence of clubfoot requiring post-treatment support to maintain the corrected foot position and prevent relapse.Documentation must support this, showing the specific need based on patient's age, foot size, and deformity.
The clinical responsibility lies with the physician or other qualified healthcare provider who diagnoses the clubfoot, orders the device, and ensures proper fitting and monitoring of the patient's progress.
In simple words: This code is for a special bar and shoe that helps a baby's foot stay in the right position after treatment for clubfoot (a foot turned inward). The doctor uses it to keep the baby's feet straight. Medicare pays for it only if the doctor says it's necessary.
This HCPCS code, L3140, covers the supply of a foot abduction rotation bar fitted with shoes.The device includes an adjustable footplate that holds the foot in external rotation (60-70 degrees), preventing clubfoot relapse. This is used in pediatric patients after manipulation and casting for clubfoot treatment to maintain anatomical foot alignment.The fitting and adjustment of the bar and footplate to the shoes are included. Medicare coverage requires documentation of medical necessity.
Example 1: A 6-month-old infant is diagnosed with clubfoot. After manipulation and casting, the physician orders a foot abduction rotation bar with shoes (L3140) to maintain the corrected foot position and prevent relapse., A 3-month-old infant with congenital clubfoot undergoes surgical correction. Post-operatively, the orthotists fits the child with a foot abduction rotation bar and shoes (L3140) to maintain the achieved anatomical correction., A pediatrician refers a 9-month-old infant with persistent clubfoot to an orthotist. The orthotist assesses the foot and fabricates a custom foot abduction rotation bar with shoes (L3140) specifically designed for the infant's foot size and needs.
* Diagnosis of clubfoot (e.g., ICD-10-CM codes Q66.0, Q66.8)* Physician's order for the foot abduction rotation bar with shoes* Documentation of the need for the device, including the patient's age, foot size, and the severity of the clubfoot* Documentation of the fitting and adjustment of the device* Progress notes showing the effectiveness of the device in maintaining the corrected foot position
** Coverage policies for L3140 may vary among payers.Always check with the specific payer for their coverage criteria and any local coverage determinations (LCDs).
- Payment Status: Active
- Modifier TC rule: A technical component (TC) modifier is generally not applicable to this code as it represents the supply of a complete device.
- Fee Schedule : Data on historical fee schedules can vary depending on payer and location. Contact your payer for specific information.
- Specialties:Orthopedics, Podiatry
- Place of Service:Office, Orthotics and Prosthetics Facility