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L3253 - Shoe molded plastazote cust

Navigation: HCPCS Codes > Codes with Prefix: L3
Field Value
HCPCS Code: L3253
Long Description: Foot, molded shoe plastazote (or similar) custom fitted, each
Short Description: Shoe molded plastazote cust
Pricing Indicator 1: 00 (Service not separately priced by part B (e.G., services not covered, bundled, used by part a only, etc.))
Multiple Pricing Code: 9 (Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is 99))
MCM Reference Section Number 1: 2323
Statute Number:
Coverage Code: D (Special coverage instructions apply)
ASC Payment Group Code:
Processing Note Number:
Berenson-Eggers Type of Service (BETOS) Code: D1F (Orthotic devices)
Type of Service Code 1: P (Lump sum purchase of DME, prosthetics, orthotics)
Anesthesia Base Unit Quality: 0
Code Added: 01-01-1984
Action Effective Date: 01-01-1997
Action Code: N (No maintenance for this code)