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
Treatment Patella FX
Viewed 4537 times since Thu, May 3, 2012
Dislocation Reduction of Tarsometatarsal
Viewed 2296 times since Tue, Dec 21, 2010
One Inch Laceration
Viewed 2332 times since Fri, May 27, 2011
Discontinued Colonoscopy
Viewed 2709 times since Thu, Dec 2, 2010
Excision Subcutaneous Mass-Left Upper Arm.
Viewed 12646 times since Fri, Jan 21, 2011
Pinch Graft to Nose
Viewed 2041 times since Tue, Nov 16, 2010
Dental Block
Viewed 5115 times since Fri, Sep 2, 2011
Bilateral Hip Injections
Viewed 947 times since Mon, Nov 19, 2012
Viewed 670 times since Thu, Oct 27, 2011
PICC Line Removal
Viewed 8287 times since Thu, Dec 2, 2010
Quorum Health Resources, LLC :: 105 Continental Place Brentwood, TN 37027 :: Phone: (615) 371-4506