HCPCS code L3530 — Ortho shoe add half sole. Status: Active. Effective Jan 1, 1999. Source: CMS HCPCS Level II.

L3530

Active

Ortho shoe add half sole

Orthopedic shoe addition, sole, half

Category: Orthotics & Prosthetics
Section: L-codes: Orthotic and Prosthetic Procedures
Effective: Jan 1, 1999
Code type: alphanumeric
OPPS Status: A — Paid under a separate fee schedule (not OPPS)

MUE — Medically Unlikely Edits

Maximum units of L3530 Medicare will pay for one beneficiary on one date of service. Claims exceeding the MUE are denied or returned for review.

Service Type Max Units / Day
DME Supplier 2
Outpatient Hospital 2
Practitioner Services 0

Source: CMS Medicare NCCI Medically Unlikely Edits