Home » Categories » CPT Surgery/APC Coding

L3260 Heel Wedge Shoe


Our Rehab wants the L3260 order for a pt patient-- I’m thinking this might be something the patient should acquire from a DME - would this be a covered item under Medicare or insurance delivered from the outpatient Physical Therapy department?


L3260 describes a surgical boot/shoe.  This code has a status indicator of "E" indicating that it is a noncovered supply on an outpatient claim.  If this code assignment is correct, you should obtain an ABN when this supply is issued to a Medicare patient.   This code assignment is questioned if you are trying to capture a Heel Wedge as L3340 or L3350 may be more accurate code options.  If one of these codes is assigned, it would be considered an covered orthotic and could be charged with one of these codes under revenue code 274.  Orthotics can be charged separately by hospitals under current Medicare guidelines.  A heel wedge does not fall into the category of DME.

Disclaimer: All articles intended for general consumption only and not as a recommendation for a specific situation. Readers should consult an official source (AHA, AMA, etc.) or a qualified attorney for specific legal guidance.
Attachments Attachments
There are no attachments for this article.
Related Articles RSS Feed
Trigger Finger Reduction
Viewed 2029 times since Tue, Nov 16, 2010
Chondroplasty and Meniscectomy
Viewed 6145 times since Tue, Mar 12, 2013
Drainage Tube Removal
Viewed 5577 times since Mon, May 2, 2011
Cystoscopy with Retrograde Pyelogram bilateral
Viewed 11253 times since Wed, Nov 21, 2012
Loop Colostomy
Viewed 20984 times since Wed, Mar 9, 2011
Removal of Biliary Stent via Gastroscopy
Viewed 25065 times since Tue, Nov 16, 2010
One Inch Laceration
Viewed 2604 times since Fri, May 27, 2011
Arterial Puncture Charge
Viewed 5352 times since Mon, May 28, 2012
CPT Coding Ligation/Cauterization Corpus Luteum
Viewed 3750 times since Thu, Aug 4, 2011
Colonoscopy with Poor/Inadequate Prep
Viewed 10379 times since Thu, Jun 7, 2012
Quorum Health Resources, LLC :: 105 Continental Place Brentwood, TN 37027 :: Phone: (615) 371-4506