Billing Codes
Billing Codes for Custom Made Prescription Orthotics
Following is a list of currently acceptable insurance billing codes for custom made orthotics and a brief interpretation for your use. Please note, this is only a partial list. For a more complete listing you should refer to the orthotic billing code manual.
L3000
Foot insert, removable, molded to patient model. “UCB” Type, Berkeley Shell, each. Plastic device, molded over model of patient’s foot to provide control of the foot.
This code is used for prescription foot orthotics made of rigid or semi-rigid materials for the purpose of controlling the foot by improving foot function. This can include UCBL devices, modified UCB devices and all rigid or semi-rigid FO’s made from a model of the of the patient’s foot whether plaster, foam or electronic imaging. This code includes all billable fees for the FO including additions such as rearfoot or forefoot posting, padded top covers, soft tissue supplements, balance padding, lesion or structure accommodations and any other additions that may be required.
L3010
Foot insert, removable, molded to patient model, longitudinal and metatarsal support, each. A soft, semi-flexible or rigid device molded over a model of the patient’s foot and placed in the shoe to provide support under the longitudinal arch of the foot.
This code is used for a custom prescription leather foot support made on a plaster, foam or electronic image of the foot where no corrections or balancing is performed, providing only longitudinal arch support and no attempt at foot control or improvement of function. Such devices would have a flat heel cup with no heel control, and no posting.
L3020
Foot insert, molded to patient model, longitudinal and metatarsal support, each. A device molded over a model of the patient’s foot and placed in the shoe to provide support under the ball of the foot.
This code is for a custom prescription foot support made on a foam, plaster or electronic image mold of the foot where no corrections or balancing is performed, but additional support is added to enhance or relieve pressure to the transverse metatarsal arch and the longitudinal arch.
L5000
Partial foot, shoe insert with longitudinal arch, toe filler, each.
A5511
For diabetics only, custom molded from a model of patient’s foot, multiple density insert, custom fabricated, each.
To find a preferred practitioner in your area select from the states below:
We are always adding practitioners, if you don't see one in your area please call 1-800-564-5389 for a more complete listing.
FOAMART® Impression Systems
After careful examination of the foot, mark all areas that will require modifications with an indelible pencil. This will be transferred to the FOAMART® impression to provide Levy & Rappel® with more information. In addition, you may draw a line bisecting the calcaneus so that we will have a reference line called 'Neutral'.