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HCPCS L3000 · Level II · orthotic and prosthetic code

L3000: Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each, HCPCS Level II orthotic and prosthetic code

Compiled from CMS files by the QuickIntell RCM Editorial Team · Data effective · Method: reference methodology · Report a data correction

Data currency: HCPCS Level II file: October 2026 (effective October 1, 2026); DMEPOS fee schedule: DME26-D (October 2026) (effective October 1, 2026); NCCI MUE tables: 2026 Q4 (effective October 1, 2026); NCCI PTP edits: v323r0 (2026 Q4) (effective October 1, 2026); OPPS Addendum B: October 2026 (effective October 1, 2026); Medicare Coverage Database LCD export: MCD release October 8, 2026 (effective October 4, 2026). Next CMS release: January 1, 2027 (quarterly update) for the HCPCS Level II file and DMEPOS fee schedule and NCCI MUE tables and NCCI PTP edits and OPPS Addendum B; weekly, every Thursday for the Medicare Coverage Database LCD export.

Key facts for L3000

Medicare payment
$376.80 to $390.25
DMEPOS non-rural state fees
Coverage code
D
special coverage instructions apply
DME supplier MUE
2
MAI 3
OPPS status
SI A
Services not paid under OPPS; paid under fee schedule or other payment system
NCCI PTP pairs
0
practitioner file
LCDs and articles
1 / 0

TL;DR

HCPCS Level II L3000 reads "Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each" in the October 2026 file; it dates from 1982. DMEPOS fees for L3000, a PO (prosthetics and orthotics) item, run $376.80 in AZ, CA, CT and 17 more to $390.25 in CO, MT, ND and 3 more (floor $344.87, ceiling $459.83) in the October 2026 file. Its 2026 Q4 MUEs per date of service: practitioner 0 (MAI 3, CMS Policy); hospital outpatient 2 (MAI 3, Anatomic Consideration); DME supplier 2 (MAI 3, Anatomic Consideration). 1 active LCD lists L3000: L33641 (Orthopedic Footwear). OPPS status indicator A: Services not paid under OPPS; paid under fee schedule or other payment system. HCPCS record: BETOS D1F (prosthetic/orthotic devices); pricing indicator 00; type of service P (lump-sum purchase of DME, prosthetics or orthotics). 21 other active codes open with "Foot"; related codes: L3001, L3002, L3003, L3010.

L3000 descriptor and code status

The October 2026 HCPCS Level II file describes L3000 as “Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each”. It sits in the L section (orthotic and prosthetic procedures and devices), listed with the other L codes. Although searches often call it the "L3000 CPT code", L3000 is a HCPCS Level II code maintained by CMS, not an AMA CPT code; both go in the same procedure-code field on the claim.

HCPCS file attributes of L3000
FieldValue
Short descriptorFt insert ucb berkeley shell
Added to HCPCS1982-01-01
Last actionN (no maintenance), effective 1997-01-01
Coverage codeD: special coverage instructions apply
Pricing indicator00: not separately priced by Part B
BETOS categoryD1F: prosthetic/orthotic devices
Type of serviceP: lump-sum purchase of DME, prosthetics or orthotics

Medicare payment for L3000

DMEPOS fees for L3000, a PO (prosthetics and orthotics) item, run $376.80 in AZ, CA, CT and 17 more to $390.25 in CO, MT, ND and 3 more (floor $344.87, ceiling $459.83) in the October 2026 file. The amounts below are national figures from the October 2026 CMS files; the contractor applies the locality, rural or state adjustment and the beneficiary's cost sharing.

DMEPOS fee schedule (DME26-D)

Jurisdiction D (DME MAC), payment category PO (prosthetics and orthotics). Fees are set per state; AK, HI, PR and VI are not subject to the national ceiling and floor and are listed separately. A rural fee applies only in ZIP codes on the CMS rural ZIP list.

DMEPOS fees for L3000 by modifier
ModifierFloor / ceilingNon-rural state rangeRural rangeAK / HI / PR / VI
none$344.87 / $459.83$376.80 (AZ, CA, CT…) to $390.25 (CO, MT, ND…)—AK $376.80, HI $376.80, PR $414.48, VI $414.48

Hospital outpatient (OPPS Addendum B)

Status indicator A (Services not paid under OPPS; paid under fee schedule or other payment system), with no separate OPPS payment rate.

Medically Unlikely Edits for L3000

Its 2026 Q4 MUEs per date of service: practitioner 0 (MAI 3, CMS Policy); hospital outpatient 2 (MAI 3, Anatomic Consideration); DME supplier 2 (MAI 3, Anatomic Consideration). The DME supplier MUE is a date-of-service clinical edit: units above the limit deny but can be paid on appeal with documentation.

MUE values for L3000 by setting
SettingMUE (units/DOS)MAICMS rationale
Practitioner services03 Date of Service Edit: ClinicalCMS Policy
Facility outpatient hospital23 Date of Service Edit: ClinicalAnatomic Consideration
DME supplier23 Date of Service Edit: ClinicalAnatomic Consideration

The MUE lookup for L3000 shows every setting next to any other code on the same claim.

NCCI edits and add-on rules

No active practitioner PTP pair lists L3000 in v323r0.

L3000 is neither an add-on code nor a designated primary code in the 2026 Q4 NCCI add-on edit file.

Pair counts show exposure, not the answer for one claim. Check L3000 against a second code to see whether the pair bundles and whether a modifier can separate the services.

Medicare coverage policies for L3000

1 active Local Coverage Determination and 0 billing and coding articles list L3000. Each applies only in its contractor's jurisdiction, and the article carries the diagnosis codes that support the item or service.

Denials to expect on L3000

CARC 50 · N115

the diagnosis or documentation does not meet the LCD or billing article that lists L3000

CARC 151 · N362

units of L3000 exceed the DME supplier MUE of 2 per date of service

CARC 4

the modifier reported is inconsistent with the code

CARC 16

the claim lacks information needed to adjudicate the line, such as an order, NPI or required modifier

Where QuickIntell fits for L3000 claims

QuickAuth coordinates the requirement checks and documentation that DME claims for L3000 depend on, with human review of each case, and QuickRCM carries claim readiness and the CARC 50, 151 and modifier denials these items draw.

See QuickAuth for requirement checksSee QuickRCM for denial follow-upBook a meeting

Frequently asked questions: HCPCS L3000

What does HCPCS code L3000 describe?

"Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each" (short descriptor "Ft insert ucb berkeley shell"), in the L section (orthotic and prosthetic procedures and devices). Added 1982-01-01; last action N (no maintenance) effective 1997-01-01.

Is L3000 a CPT code?

No. L3000 is a CMS HCPCS Level II code; CPT codes are the AMA's five-character set. Searches for "L3000 CPT code" mean this Level II code.

What does Medicare pay for L3000?

DMEPOS fees for L3000, a PO (prosthetics and orthotics) item, run $376.80 in AZ, CA, CT and 17 more to $390.25 in CO, MT, ND and 3 more (floor $344.87, ceiling $459.83) in the October 2026 file.

How many units of L3000 can be billed per day?

Its 2026 Q4 MUEs per date of service: practitioner 0 (MAI 3, CMS Policy); hospital outpatient 2 (MAI 3, Anatomic Consideration); DME supplier 2 (MAI 3, Anatomic Consideration). For the DME supplier MUE (MAI 3), units above 2 deny for the day but can be paid on appeal with documentation; denials arrive as CARC 151.

Does Medicare cover L3000?

Coverage code D (special coverage instructions apply). 1 active LCD lists L3000: L33641 (Orthopedic Footwear).

Sources

Every figure on this page is taken from the CMS publications below, as released by the Centers for Medicare & Medicaid Services. Projection built 2026-10-10. Verify against the primary file before billing or contracting decisions. The reference methodology explains how each figure is computed from these files.

Disclaimer

This page is an operational reference compiled from CMS publications: the HCPCS Level II file, the physician, DMEPOS and clinical laboratory fee schedules, OPPS and ASC addenda, NCCI MUE, PTP and add-on edit tables and the Medicare Coverage Database. Amounts are Medicare national figures before locality and state adjustment; Medicaid and commercial payers set their own. CPT codes are shown as numbers only; CPT descriptors are copyright AMA. Nothing here is legal, clinical or billing advice.

Found a figure that does not match the CMS file? Report a data correction with the CMS file and the value you expected; the request reaches the editorial team through the contact form.