L3222 HCPCS - ORTHOPEDIC FOOTWEAR, MENS SHOE, HIGHTOP, DEPTH INLAY, EACH

Code Information

HCPCS Code: L3222

Sequence Number: 0010

Short Description: Mens shoes hightop depth inl

Long Description: Orthopedic footwear, mens shoe, hightop, depth inlay, each

Code Added Date: 1/1/1984

Action Code: N - No maintenance for this code

Action Effective Date: 1/1/2006

Classification: Orthotic/Prosthetic Procedures

Coding System: HCPCS

Code Type

Berenson-Eggers Type Of Service Code: D1F - Prosthetic/Orthotic devices
Type Of Service Code:
  • P - Lump sum purchase of DME, prosthetics, orthotics

Billing Information

Pricing Indicator Code:
  • 00 - Service not separately priced by part B (e.G., services not covered, bundled, used by part a only, etc.)
Multiple Pricing Indicator Code: 9 - Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99')
Coverage Issues Manual Reference Section Number:
    N/A
    Medicare Carriers Manual Reference Section Number:
      N/A
      Coverage Code: S - Non-covered by Medicare statute

      HCPCS Record

      Field Name Field Value
      Healthcare Common Procedure Coding System Code L3222
      HCPCS Sequence Number 0010
      HCPCS Record Identification Code 3 - First line of procedure record also contains detail information in positions 92-275
      HCPCS Long Description Orthopedic footwear, mens shoe, hightop, depth inlay, each
      HCPCS Short Description Mens shoes hightop depth inl
      HCPCS Pricing Indicator Code 1 00 - Service not separately priced by part B (e.G., services not covered, bundled, used by part a only, etc.)
      HCPCS Multiple Pricing Indicator Code 9 - Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99')
      HCPCS Statute Number 1862A8
      HCPCS Coverage Code S - Non-covered by Medicare statute
      HCPCS Berenson-Eggers Type Of Service Code D1F - Prosthetic/Orthotic devices
      HCPCS Type Of Service Code 1 P - Lump sum purchase of DME, prosthetics, orthotics
      HCPCS Anesthesia Base Unit Quantity 0
      HCPCS Code Added Date 1/1/1984
      HCPCS Action Effective Date 1/1/2006
      HCPCS Action Code N - No maintenance for this code

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      This page was last updated on: 1/1/2018