L3204 Orthopedic shoe, hightop with supinator or pronator, infant

Short descriptor: Hightop w/ supp/pronator inf

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L3204 is the HCPCS Level II code for Orthopedic shoe, hightop with supinator or pronator, infant (2026). It belongs to Section L — Orthotic & Prosthetic Procedures. Under Medicare, its coverage status is: Special coverage instructions apply. Part B pricing methodology: Not separately priced by Part B.

Classification & CMS Attributes

Medicare Coverage
Special coverage instructions apply (code D)
Part B Pricing
Not separately priced by Part B (indicator 00)
Type of Service
Lump-sum purchase of DME, prosthetics, orthotics
Effective Date
1997-01-01
2026 Maintenance
No change this year

References

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Reference L3204 with the canonical source and edition:

L3204 — Orthopedic shoe, hightop with supinator or pronator, infant. ICD-10 Coding Pro (HCPCS Level II 2026). https://icd10codingpro.com/hcpcs-codes/L3204

Canonical URL: https://icd10codingpro.com/hcpcs-codes/L3204

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Reviewed by Prajwal Shrestha, CPC, CRC
Certified Professional Coder (CPC) and Certified Risk Adjustment Coder (CRC) · AAPC Member ID 01997614 · About · Editorial policy · Content last reviewed: 2026-01-01

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