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There is only one HCPCS code that is appropriate for a post-op shoe (L3260, surgical shoe, each). Like orthotics, this item is a statutorily excluded benefit by Medicare and DME and will not be covered under any circumstances.
Orthotics, also known as orthoses and orthotic insoles, are placed in shoes to restore natural function to the feet. Orthopedic shoes are designed to relieve pain and provide support for your feet, ankles or legs. Here is a look at orthotics and orthopedic shoes and what they can do for you.
I am writing to express my disappointment with the level of customer service I received from your store assistants, as well as the poor quality of a product I recently purchased from your store. On [date], I visited your store to purchase a pair of shoes, and unfortunately, the experience was not pleasant.
Do you take Medicare? Our diabetic shoes are approved by Medicare, but we do not accept insurance. To receive coverage by Medicare for our shoe, you must order them from a provider that bills Medicare. To find one of these providers, please feel free to use our professional locator search page.
HCPCS Level II code L3260 is defined as: SURGICAL BOOT/SHOE, EACH. A postoperative shoe is NOT separately payable when it is dispensed in conjunction with a surgical procedure code. It is considered to be part of the procedure. In reality, the shoe is considered to be part of the dressing.
The specific conditions covered by Medicare include severe foot disease and diabetes. Orthotics are covered under Part B. Technically, orthotics are considered part of the durable medical equipment (DME) bracket, including: Bracing for ankle, foot, knee, back, neck, spine, hand, wrist, and elbow.
Medicare will only cover your therapeutic shoes if your doctors and suppliers are enrolled in Medicare. Doctors and suppliers have to meet strict standards to enroll and stay enrolled in Medicare.