Here’s what you need to know about foot orthotic codes L3000-L3030

The method used to produce foot orthotic devices determines which procedure codes within this range are appropriate.

According to terminology used in the Healthcare Common Procedure Coding System Level II Manual:

• Codes L3000-L3020 describe a foot insert molded to a patient model. In this scenario, a cast is made of the patient’s foot or it’s scanned. Then, an exact model of the foot is made from the cast or scan and raw materials are heated and molded over the model of the foot. (Existing products that have been customized using pads, wedges or other additions or modifications don’t fit this definition.)
• Code L3030 describes a foot insert formed to patient’s foot. In this scenario, the heated material is molded directly over the patient’s foot.

Any foot orthotic insert that isn’t directly molded to a three-dimensional model of a specific patient’s foot or to the foot itself shouldn’t be billed using codes L3000-L3030.

The billing of these codes is subject to audit review and recovery.