A9283
|
FOOT PRESSURE OFF LOADING/SUPPORTIVE DEVICE, ANY TYPE, EACH
|
L3000
|
FOOT, INSERT, REMOVABLE, MOLDED TO PATIENT MODEL, 'UCB' TYPE, BERKELEY SHELL, EACH
|
L3001
|
FOOT, INSERT, REMOVABLE, MOLDED TO PATIENT MODEL, SPENCO, EACH
|
L3002
|
FOOT, INSERT, REMOVABLE, MOLDED TO PATIENT MODEL, PLASTAZOTE OR EQUAL, EACH
|
L3003
|
FOOT, INSERT, REMOVABLE, MOLDED TO PATIENT MODEL, SILICONE GEL, EACH
|
L3010
|
FOOT, INSERT, REMOVABLE, MOLDED TO PATIENT MODEL, LONGITUDINAL ARCH SUPPORT, EACH
|
L3020
|
FOOT, INSERT, REMOVABLE, MOLDED TO PATIENT MODEL, LONGITUDINAL/ METATARSAL SUPPORT, EACH
|
L3030
|
FOOT, INSERT, REMOVABLE, FORMED TO PATIENT FOOT, EACH
|
L3031
|
FOOT, INSERT/PLATE, REMOVABLE, ADDITION TO LOWER EXTREMITY ORTHOSIS, HIGH STRENGTH, LIGHTWEIGHT MATERIAL, ALL HYBRID LAMINATION/PREPREG COMPOSITE, EACH
|
L3040
|
FOOT, ARCH SUPPORT, REMOVABLE, PREMOLDED, LONGITUDINAL, EACH
|
L3050
|
FOOT, ARCH SUPPORT, REMOVABLE, PREMOLDED, METATARSAL, EACH
|
L3060
|
FOOT, ARCH SUPPORT, REMOVABLE, PREMOLDED, LONGITUDINAL/ METATARSAL, EACH
|
L3070
|
FOOT, ARCH SUPPORT, NON-REMOVABLE ATTACHED TO SHOE, LONGITUDINAL, EACH
|
L3080
|
FOOT, ARCH SUPPORT, NON-REMOVABLE ATTACHED TO SHOE, METATARSAL, EACH
|
L3090
|
FOOT, ARCH SUPPORT, NON-REMOVABLE ATTACHED TO SHOE, LONGITUDINAL/METATARSAL, EACH
|
L3100
|
HALLUS-VALGUS NIGHT DYNAMIC SPLINT, PREFABRICATED, OFF-THE-SHELF
|
L3140
|
FOOT, ABDUCTION ROTATION BAR, INCLUDING SHOES
|
L3150
|
FOOT, ABDUCTION ROTATION BAR, WITHOUT SHOES
|
L3160
|
FOOT, ADJUSTABLE SHOE-STYLED POSITIONING DEVICE
|
L3170
|
FOOT, PLASTIC, SILICONE OR EQUAL, HEEL STABILIZER, PREFABRICATED, OFF-THE-SHELF, EACH
|
L3201
|
ORTHOPEDIC SHOE, OXFORD WITH SUPINATOR OR PRONATOR, INFANT
|
L3202
|
ORTHOPEDIC SHOE, OXFORD WITH SUPINATOR OR PRONATOR, CHILD
|
L3203
|
ORTHOPEDIC SHOE, OXFORD WITH SUPINATOR OR PRONATOR, JUNIOR
|
L3204
|
ORTHOPEDIC SHOE, HIGHTOP WITH SUPINATOR OR PRONATOR, INFANT
|
L3206
|
ORTHOPEDIC SHOE, HIGHTOP WITH SUPINATOR OR PRONATOR, CHILD
|
L3207
|
ORTHOPEDIC SHOE, HIGHTOP WITH SUPINATOR OR PRONATOR, JUNIOR
|
L3208
|
SURGICAL BOOT, EACH, INFANT
|
L3209
|
SURGICAL BOOT, EACH, CHILD
|
L3211
|
SURGICAL BOOT, EACH, JUNIOR
|
L3212
|
BENESCH BOOT, PAIR, INFANT
|
L3213
|
BENESCH BOOT, PAIR, CHILD
|
L3214
|
BENESCH BOOT, PAIR, JUNIOR
|
L3215
|
ORTHOPEDIC FOOTWEAR, LADIES SHOE, OXFORD, EACH
|
L3216
|
ORTHOPEDIC FOOTWEAR, LADIES SHOE, DEPTH INLAY, EACH
|
L3217
|
ORTHOPEDIC FOOTWEAR, LADIES SHOE, HIGHTOP, DEPTH INLAY, EACH
|
L3219
|
ORTHOPEDIC FOOTWEAR, MENS SHOE, OXFORD, EACH
|
L3221
|
ORTHOPEDIC FOOTWEAR, MENS SHOE, DEPTH INLAY, EACH
|
L3222
|
ORTHOPEDIC FOOTWEAR, MENS SHOE, HIGHTOP, DEPTH INLAY, EACH
|
L3224
|
ORTHOPEDIC FOOTWEAR, WOMAN'S SHOE, OXFORD, USED AS AN INTEGRAL PART OF A BRACE (ORTHOSIS)
|
L3225
|
ORTHOPEDIC FOOTWEAR, MAN'S SHOE, OXFORD, USED AS AN INTEGRAL PART OF A BRACE (ORTHOSIS)
|
L3230
|
ORTHOPEDIC FOOTWEAR, CUSTOM SHOE, DEPTH INLAY, EACH
|
L3250
|
ORTHOPEDIC FOOTWEAR, CUSTOM MOLDED SHOE, REMOVABLE INNER MOLD, PROSTHETIC SHOE, EACH
|
L3251
|
FOOT, SHOE MOLDED TO PATIENT MODEL, SILICONE SHOE, EACH
|
L3252
|
FOOT, SHOE MOLDED TO PATIENT MODEL, PLASTAZOTE (OR SIMILAR), CUSTOM FABRICATED, EACH
|
L3253
|
FOOT, MOLDED SHOE PLASTAZOTE (OR SIMILAR) CUSTOM FITTED, EACH
|
L3254
|
NON-STANDARD SIZE OR WIDTH
|
L3255
|
NON-STANDARD SIZE OR LENGTH
|
L3257
|
ORTHOPEDIC FOOTWEAR, ADDITIONAL CHARGE FOR SPLIT SIZE
|
L3260
|
SURGICAL BOOT/SHOE, EACH
|
L3265
|
PLASTAZOTE SANDAL, EACH
|
L3300
|
LIFT, ELEVATION, HEEL, TAPERED TO METATARSALS, PER INCH
|
L3310
|
LIFT, ELEVATION, HEEL AND SOLE, NEOPRENE, PER INCH
|
L3320
|
LIFT, ELEVATION, HEEL AND SOLE, CORK, PER INCH
|
L3330
|
LIFT, ELEVATION, METAL EXTENSION (SKATE)
|
L3332
|
LIFT, ELEVATION, INSIDE SHOE, TAPERED, UP TO ONE-HALF INCH
|
L3334
|
LIFT, ELEVATION, HEEL, PER INCH
|
L3340
|
HEEL WEDGE, SACH
|
L3350
|
HEEL WEDGE
|
L3360
|
SOLE WEDGE, OUTSIDE SOLE
|
L3370
|
SOLE WEDGE, BETWEEN SOLE
|
L3380
|
CLUBFOOT WEDGE
|
L3390
|
OUTFLARE WEDGE
|
L3400
|
METATARSAL BAR WEDGE, ROCKER
|
L3410
|
METATARSAL BAR WEDGE, BETWEEN SOLE
|
L3420
|
FULL SOLE AND HEEL WEDGE, BETWEEN SOLE
|
L3430
|
HEEL, COUNTER, PLASTIC REINFORCED
|
L3440
|
HEEL, COUNTER, LEATHER REINFORCED
|
L3450
|
HEEL, SACH CUSHION TYPE
|
L3455
|
HEEL, NEW LEATHER, STANDARD
|
L3460
|
HEEL, NEW RUBBER, STANDARD
|
L3465
|
HEEL, THOMAS WITH WEDGE
|
L3470
|
HEEL, THOMAS EXTENDED TO BALL
|
L3480
|
HEEL, PAD AND DEPRESSION FOR SPUR
|
L3485
|
HEEL, PAD, REMOVABLE FOR SPUR
|
L3500
|
ORTHOPEDIC SHOE ADDITION, INSOLE, LEATHER
|
L3510
|
ORTHOPEDIC SHOE ADDITION, INSOLE, RUBBER
|
L3520
|
ORTHOPEDIC SHOE ADDITION, INSOLE, FELT COVERED WITH LEATHER
|
L3530
|
ORTHOPEDIC SHOE ADDITION, SOLE, HALF
|
L3540
|
ORTHOPEDIC SHOE ADDITION, SOLE, FULL
|
L3550
|
ORTHOPEDIC SHOE ADDITION, TOE TAP STANDARD
|
L3560
|
ORTHOPEDIC SHOE ADDITION, TOE TAP, HORSESHOE
|
L3570
|
ORTHOPEDIC SHOE ADDITION, SPECIAL EXTENSION TO INSTEP (LEATHER WITH EYELETS)
|
L3580
|
ORTHOPEDIC SHOE ADDITION, CONVERT INSTEP TO VELCRO CLOSURE
|
L3590
|
ORTHOPEDIC SHOE ADDITION, CONVERT FIRM SHOE COUNTER TO SOFT COUNTER
|
L3595
|
ORTHOPEDIC SHOE ADDITION, MARCH BAR
|
L3600
|
TRANSFER OF AN ORTHOSIS FROM ONE SHOE TO ANOTHER, CALIPER PLATE, EXISTING
|
L3610
|
TRANSFER OF AN ORTHOSIS FROM ONE SHOE TO ANOTHER, CALIPER PLATE, NEW
|
L3620
|
TRANSFER OF AN ORTHOSIS FROM ONE SHOE TO ANOTHER, SOLID STIRRUP, EXISTING
|
L3630
|
TRANSFER OF AN ORTHOSIS FROM ONE SHOE TO ANOTHER, SOLID STIRRUP, NEW
|
L3640
|
TRANSFER OF AN ORTHOSIS FROM ONE SHOE TO ANOTHER, DENNIS BROWNE SPLINT (RIVETON), BOTH SHOES
|
L3649
|
ORTHOPEDIC SHOE, MODIFICATION, ADDITION OR TRANSFER, NOT OTHERWISE SPECIFIED
|