L3000 — Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each
L3000 is a HCPCS Level II code for foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each. It belongs to the Orthotic and Prosthetic Procedures and Devices section. Whether Medicare pays it depends on the coverage rule below.
Medicare coverage: Special coverage instructions apply
There are published conditions attached to this code. Check the applicable coverage policy before billing it: the code being valid is not the same as the service being covered.
From the coverage field of the CMS Alpha-Numeric HCPCS File, release 2026Q3-Jul. This states Medicare’s position on the code, not on your particular claim.
Medically Unlikely Edits — units per day
The most units of L3000 Medicare will pay on one date of service. Bill more on a single line and it is denied. The limit is not the same in every setting, so the row that matters is the one matching the claim you are building.
- practitioner
- 0 — never payable MAI 3 — Date of Service Edit: Clinical · CMS Policy
- outpatient
- 2 units MAI 3 — Date of Service Edit: Clinical · Anatomic Consideration
- DME supplier
- 2 units MAI 3 — Date of Service Edit: Clinical · Anatomic Consideration
The adjudication indicator decides whether exceeding the limit is worth appealing at all: MAI 1 is a line edit you can support with documentation, MAI 3 is a date-of-service edit that is also appealable, and MAI 2 is absolute — no documentation overrides it. CMS MUE 2026Q3.
The CMS record for L3000
- Long descriptor
- Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each
- Short descriptor
- Ft insert ucb berkeley shell
- Added
- January 1, 1982
- BETOS
- D1F
- Pricing indicator
- 00 — Not priced by Part B
The official wording. This is what the code means.
CMS's 28-character form, which is what shows up on a remittance advice.
When CMS introduced the code.
Berenson-Eggers Type of Service — CMS's own analytic grouping.
Service not separately priced by Part B — not covered, bundled into another service, or used by Part A only.
Codes adjacent to L3000
HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If L3000 is not quite right, the correct code is very often within a few positions of it.
- L2800Addition to lower extremity orthosis, knee control, knee cap, medial or lateral pull, for use with custom fabricated orthosis only
- L2810Addition to lower extremity orthosis, knee control, condylar pad
- L2820Addition to lower extremity orthosis, soft interface for molded plastic, below knee section
- L2830Addition to lower extremity orthosis, soft interface for molded plastic, above knee section
- L2840Addition to lower extremity orthosis, tibial length sock, fracture or equal, each
- L2850Addition to lower extremity orthosis, femoral length sock, fracture or equal, each
- L2861Addition to lower extremity joint, knee or ankle, concentric adjustable torsion style mechanism for custom fabricated orthotics only, each
- L2999Lower extremity orthoses, not otherwise specified
- L3001Foot, insert, removable, molded to patient model, spenco, each
- L3002Foot, insert, removable, molded to patient model, plastazote or equal, each
- L3003Foot, insert, removable, molded to patient model, silicone gel, each
- L3010Foot, insert, removable, molded to patient model, longitudinal arch support, each
- L3020Foot, insert, removable, molded to patient model, longitudinal/ metatarsal support, each
- L3030Foot, insert, removable, formed to patient foot, each
- L3031Foot, insert/plate, removable, addition to lower extremity orthosis, high strength, lightweight material, all hybrid lamination/prepreg composite, each
- L3040Foot, arch support, removable, premolded, longitudinal, each
Questions about L3000
What is HCPCS code L3000?
L3000 is a HCPCS Level II code for foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each. It sits in the Orthotic and Prosthetic Procedures and Devices section.
Does Medicare cover L3000?
The CMS HCPCS file marks L3000 as "Special coverage instructions apply". There are published conditions attached to this code. Check the applicable coverage policy before billing it: the code being valid is not the same as the service being covered.