HCPCS code L5000 — Sho insert w arch toe filler. Status: Active. Effective Jan 1, 1996. Source: CMS HCPCS Level II.

L5000

Active

Sho insert w arch toe filler

Partial foot, shoe insert with longitudinal arch, toe filler

Category: Orthotics & Prosthetics
Section: L-codes: Orthotic and Prosthetic Procedures
Effective: Jan 1, 1996
Code type: alphanumeric
OPPS Status: A — Paid under a separate fee schedule (not OPPS)

MUE — Medically Unlikely Edits

Maximum units of L5000 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