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.
Comments Comments
There are no comments for this article. Be the first to post a comment.
Related Articles RSS Feed
Modifier 25
Viewed 1942 times since Mon, May 14, 2012
Hip Core Decompression
Viewed 3405 times since Sun, Nov 14, 2010
Evacuation of Hematoma with Ligation of Artery
Viewed 3096 times since Thu, Jun 16, 2011
Digital Nerve Block
Viewed 3866 times since Thu, Oct 27, 2011
Venous Access Device
Viewed 520 times since Wed, Dec 26, 2012
Colonoscopy With Removal of Lesion
Viewed 2334 times since Tue, Nov 16, 2010
Replacement of Pacemaker Generator
Viewed 7519 times since Thu, Mar 15, 2012
Excision Subcutaneous Mass-Left Upper Arm.
Viewed 8124 times since Fri, Jan 21, 2011
Cysto at Time of Laparoscopic Vag Hyst
Viewed 2277 times since Wed, Jun 15, 2011
CPT Coding
Viewed 160 times since Fri, Aug 19, 2011
Quorum Health Resources, LLC :: 105 Continental Place Brentwood, TN 37027 :: Phone: (615) 371-4506