| L3000 | Ft insert ucb berkeley shell |
| L3001 | Foot insert remov molded spe |
| L3002 | Foot insert plastazote or eq |
| L3003 | Foot insert silicone gel eac |
| L3010 | Foot longitudinal arch suppo |
| L3020 | Foot longitud/metatarsal sup |
| L3030 | Foot arch support remov prem |
| L3031 | Foot lamin/prepreg composite |
| L3040 | Ft arch suprt premold longit |
| L3050 | Foot arch supp premold metat |
| L3060 | Foot arch supp longitud/meta |
| L3070 | Arch suprt att to sho longit |
| L3080 | Arch supp att to shoe metata |
| L3090 | Arch supp att to shoe long/m |
| L3100 | Hallus-valgus nt dyn pre ots |
| L3140 | Abduction rotation bar shoe |
| L3150 | Abduct rotation bar w/o shoe |
| L3160 | Shoe styled positioning dev |
| L3170 | Foot plas heel stabi pre ots |
| L3201 | Oxford w supinat/pronat inf |
| L3202 | Oxford w/ supinat/pronator c |
| L3203 | Oxford w/ supinator/pronator |
| L3204 | Hightop w/ supp/pronator inf |
| L3206 | Hightop w/ supp/pronator chi |
| L3207 | Hightop w/ supp/pronator jun |
| L3208 | Surgical boot each infant |
| L3209 | Surgical boot each child |
| L3211 | Surgical boot each junior |
| L3212 | Benesch boot pair infant |
| L3213 | Benesch boot pair child |
| L3214 | Benesch boot pair junior |
| L3215 | Orthopedic ftwear ladies oxf |
| L3216 | Orthoped ladies shoes dpth i |
| L3217 | Ladies shoes hightop depth i |
| L3219 | Orthopedic mens shoes oxford |
| L3221 | Orthopedic mens shoes dpth i |
| L3222 | Mens shoes hightop depth inl |
| L3224 | Woman's shoe oxford brace |
| L3225 | Man's shoe oxford brace |
| L3230 | Custom shoes depth inlay |
| L3250 | Custom mold shoe remov prost |
| L3251 | Shoe molded to pt silicone s |
| L3252 | Shoe molded plastazote cust |
| L3253 | Shoe molded plastazote cust |
| L3254 | Orth foot non-stndard size/w |
| L3255 | Orth foot non-standard size/ |
| L3257 | Orth foot add charge split s |
| L3260 | Ambulatory surgical boot eac |
| L3265 | Plastazote sandal each |
| L3300 | Sho lift taper to metatarsal |
| L3310 | Shoe lift elev heel/sole neo |
| L3320 | Shoe lift elev heel/sole cor |
| L3330 | Lifts elevation metal extens |
| L3332 | Shoe lifts tapered to one-ha |
| L3334 | Shoe lifts elevation heel /i |
| L3340 | Shoe wedge sach |
| L3350 | Shoe heel wedge |
| L3360 | Shoe sole wedge outside sole |
| L3370 | Shoe sole wedge between sole |
| L3380 | Shoe clubfoot wedge |
| L3390 | Shoe outflare wedge |
| L3400 | Shoe metatarsal bar wedge ro |
| L3410 | Shoe metatarsal bar between |
| L3420 | Full sole/heel wedge btween |
| L3430 | Sho heel count plast reinfor |
| L3440 | Heel leather reinforced |
| L3450 | Shoe heel sach cushion type |
| L3455 | Shoe heel new leather standa |
| L3460 | Shoe heel new rubber standar |
| L3465 | Shoe heel thomas with wedge |
| L3470 | Shoe heel thomas extend to b |
| L3480 | Shoe heel pad & depress for |
| L3485 | Shoe heel pad removable for |
| L3500 | Ortho shoe add leather insol |
| L3510 | Orthopedic shoe add rub insl |
| L3520 | O shoe add felt w leath insl |
| L3530 | Ortho shoe add half sole |
| L3540 | Ortho shoe add full sole |
| L3550 | O shoe add standard toe tap |
| L3560 | O shoe add horseshoe toe tap |
| L3570 | O shoe add instep extension |
| L3580 | O shoe add instep velcro clo |
| L3590 | O shoe convert to sof counte |
| L3595 | Ortho shoe add march bar |
| L3600 | Trans shoe calip plate exist |
| L3610 | Trans shoe caliper plate new |
| L3620 | Trans shoe solid stirrup exi |
| L3630 | Trans shoe solid stirrup new |
| L3640 | Shoe dennis browne splint bo |
| L3649 | Orthopedic shoe modifica nos |
| L3650 | So 8 abd restraint pre ots |
| L3660 | So 8 ab rstr can/web pre ots |
| L3670 | So acro/clav can web pre ots |
| L3671 | So cap design w/o jnts cf |
| L3672 | So airplane w/o jnts cf |
| L3673 | So airplane w/joint cf |
| L3674 | So airplane w/wo joint cf |
| L3675 | So vest canvas/web pre ots |
| L3677 | So hard plas stabili pre cst |
| L3678 | So hard plas stabili pre ots |
| L3702 | Eo w/o joints cf |
| L3710 | Eo elas w/metal jnts pre ots |
| L3720 | Forearm/arm cuffs free motio |
| L3730 | Forearm/arm cuffs ext/flex a |
| L3740 | Cuffs adj lock w/ active con |
| L3760 | Eo withjoint, prefabricated |
| L3762 | Eo rigid w/o joints pre ots |
| L3763 | Ewho rigid w/o jnts cf |
| L3764 | Ewho w/joint(s) cf |
| L3765 | Ewhfo rigid w/o jnts cf |
| L3766 | Ewhfo w/joint(s) cf |
| L3806 | Whfo w/joint(s) custom fab |
| L3807 | Whfo w/o joints pre cst |
| L3808 | Whfo, rigid w/o joints |
| L3809 | Whfo w/o joints pre ots |
| L3891 | Torsion mechanism wrist/elbo |
| L3900 | Hinge extension/flex wrist/f |
| L3901 | Hinge ext/flex wrist finger |
| L3904 | Whfo electric custom fitted |
| L3905 | Who w/nontorsion jnt(s) cf |
| L3906 | Who w/o joints cf |
| L3908 | Who cock-up nonmolde pre ots |
| L3912 | Hfo flexion glove pre ots |
| L3913 | Hfo w/o joints cf |
| L3915 | Who nontorsion jnts pre cst |
| L3916 | Who nontorsion jnts pre ots |
| L3917 | Metacarp fx orthosis pre cst |
| L3918 | Metacarp fx orthosis pre ots |
| L3919 | Ho w/o joints cf |
| L3921 | Hfo w/joint(s) cf |
| L3923 | Hfo without joints pre cst |
| L3924 | Hfo without joints pre ots |
| L3925 | Fo pip dip jnt/sprng pre ots |
| L3927 | Fo pip dip no jt spr pre ots |
| L3929 | Hfo nontorsion jnts pre cst |
| L3930 | Hfo nontorsion jnts pre ots |
| L3931 | Whfo nontorsion joint prefab |
| L3933 | Fo w/o joints cf |
| L3935 | Fo nontorsion joint cf |
| L3956 | Add joint upper ext orthosis |
| L3960 | Sewho airplan desig abdu pos |
| L3961 | Sewho cap design w/o jnts cf |
| L3962 | Sewho erbs palsey design abd |
| L3964 | Seo mobile arm sup att to wc |
| L3965 | Arm supp att to wc rancho ty |
| L3966 | Mobile arm supports reclinin |
| L3967 | Sewho airplane w/o jnts cf |
| L3968 | Friction dampening arm supp |
| L3969 | Monosuspension arm/hand supp |
| L3970 | Elevat proximal arm support |
| L3971 | Sewho cap design w/jnt(s) cf |
| L3972 | Offset/lat rocker arm w/ ela |
| L3973 | Sewho airplane w/jnt(s) cf |
| L3974 | Mobile arm support supinator |
| L3975 | Sewhfo cap design w/o jnt cf |
| L3976 | Sewhfo airplane w/o jnts cf |
| L3977 | Sewhfo cap desgn w/jnt(s) cf |
| L3978 | Sewhfo airplane w/jnt(s) cf |
| L3980 | Upp ext fx orthosis humeral |
| L3982 | Upper ext fx orthosis rad/ul |
| L3984 | Upper ext fx orthosis wrist |
| L3995 | Sock fracture or equal each |
| L3999 | Upper limb orthosis nos |
