06/15/2017

L3000 vs L3030

Can you please explain the difference between L3000 and L3030? Thank You

Code Description

L3000- Foot insert, removable, molded to patient model, UCB type, Berkeley shell, each

Lay Description (Code)

This range of codes reports supply of a variety of prescription orthosis shoe inserts, differentiated largely by product type, construction material, and method of preparation and fitting. These devices fit inside the shoe. Most are molded to a plaster or foam replica of the patient's foot, but some are modeled to electronic images of the foot. Inserts molded to the patient's foot directly are often made of thermo-formable materials that can be heat softened, custom applied, and trimmed in a single session. The UCB (also known as UCBL or "Berkeley shell") is named for the University of California Biomechanics Laboratories, the developer of several types of rigid inserts. Materials for this range of codes include high and low heat plastic, leather, and various synthetics. Plastazote is a type of closed cell polyethylene foam and Spenco is manufactured from closed cell neoprene. Most inserts address a variety of foot corrections.

Guideline: Prescription Custom Fabricated Foot insert, each, removable. This type of device is fabricated from a three dimensional model of the patient’s own foot (e.g. cast, foam impression, or virtual true 3-D digital image). This type of orthotic is a functional device, (reducing pathological forces) which has a molded heel cup and trim lines with a minimum of a 10 mm heel cup height to provide both medial and lateral directive forces to control the hind and fore foot. It may also have intrinsic or extrinsic posts designed to control foot motion. This device is made of a sufficiently rigid material to control function and reduce pathological forces. HCPCS code L3000 includes additions such as postings, padded top covers, soft tissue supplements, balance padding

Code Description

L3030- Foot insert, removable, formed to patient foot, each

Lay Description (Code)

This range of codes reports supply of a variety of prescription orthosis shoe inserts, differentiated largely by product type, construction material, and method of preparation and fitting. These devices fit inside the shoe. Most are molded to a plaster or foam replica of the patient's foot, but some are modeled to electronic images of the foot. Inserts molded to the patient's foot directly are often made of thermo-formable materials that can be heat softened, custom applied, and trimmed in a single session. The UCB (also known as UCBL or "Berkeley shell") is named for the University of California Biomechanics Laboratories, the developer of several types of rigid inserts. Materials for this range of codes include high and low heat plastic, leather, and various synthetics. Plastazote is a type of closed cell polyethylene foam and Spenco is manufactured from closed cell neoprene. Most inserts address a variety of foot corrections.

Guideline: Prescription Custom Fabricated Foot insert, each, removable. This type of device is formed directly to the patient’s foot through the use of an external heat source. The heat source should sufficiently and permanently alter the shape of the device, activating a resin, or other method by which the shape of the device is sufficiently and permanently altered in order to provide continuous contact with the unique characteristics of the plantar aspect of the patient’s foot. It may also have an intrinsic or extrinsic post designed to control foot motion. This type of orthotic is an accommodative/functional device. This device is made of sufficiently rigid material to control foot motion and or reduce pathological forces. HCPCS code L3030 includes additions such as postings, padded top covers, soft tissue supplements, balance padding and lesion or structure accommodations. Other additions may be required as well.