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
Modifier PT for Colonoscopies
Viewed 3995 times since Tue, Mar 8, 2011
Viewed 917 times since Fri, Nov 2, 2012
Hip Core Decompression
Viewed 4513 times since Sun, Nov 14, 2010
CPT Coding Ligation/Cauterization Corpus Luteum
Viewed 3358 times since Thu, Aug 4, 2011
Viewed 15899 times since Thu, Sep 8, 2011
Coronary Angiography
Viewed 3413 times since Wed, Feb 16, 2011
Treatment Patella FX
Viewed 5031 times since Thu, May 3, 2012
Excision Subcutaneous Mass-Left Upper Arm.
Viewed 15161 times since Fri, Jan 21, 2011
Gastrostomy Tube Replacement
Viewed 35763 times since Thu, Jan 27, 2011
Viewed 3737 times since Thu, May 3, 2012
Quorum Health Resources, LLC :: 105 Continental Place Brentwood, TN 37027 :: Phone: (615) 371-4506