L3002 — Foot, insert, removable, molded to patient model, plastazote or equal, each
L3002 is a HCPCS Level II code for foot, insert, removable, molded to patient model, plastazote or equal, 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 L3002 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 L3002
- Long descriptor
- Foot, insert, removable, molded to patient model, plastazote or equal, each
- Short descriptor
- Foot insert plastazote or eq
- Added
- January 1, 1984
- 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 L3002
HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If L3002 is not quite right, the correct code is very often within a few positions of it.
- 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
- L3000Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each
- L3001Foot, insert, removable, molded to patient model, spenco, 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
- L3050Foot, arch support, removable, premolded, metatarsal, each
- L3060Foot, arch support, removable, premolded, longitudinal/ metatarsal, each
Questions about L3002
What is HCPCS code L3002?
L3002 is a HCPCS Level II code for foot, insert, removable, molded to patient model, plastazote or equal, each. It sits in the Orthotic and Prosthetic Procedures and Devices section.
Does Medicare cover L3002?
The CMS HCPCS file marks L3002 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.