HCPCS Level II · Orthotic and prosthetic procedures and devices
L3250Orthopedic footwear, custom molded shoe, removable inner mold, prosthetic shoe, each
✓ Active
Source: CMS HCPCS quarterly update, October 2026. Page updated September 29, 2026.
About L3250
L3250 is an HCPCS Level II code in the L series (orthotic and prosthetic procedures and devices), describing orthopedic footwear, custom molded shoe, removable inner mold, prosthetic shoe, each.
It was added to HCPCS effective 01/01/1984, and its current record took effect 01/01/1997.
Its Medicare coverage code is "D", meaning special Medicare coverage instructions apply.
Details
- Short description
- Custom mold shoe remov prost
- Date added
- 01/01/1984
- Action effective
- 01/01/1997
- BETOS
- D1F
Related L32xx codes
- L3201Orthopedic shoe, oxford with supinator or pronator, infant
- L3202Orthopedic shoe, oxford with supinator or pronator, child
- L3203Orthopedic shoe, oxford with supinator or pronator, junior
- L3204Orthopedic shoe, hightop with supinator or pronator, infant
- L3206Orthopedic shoe, hightop with supinator or pronator, child
- L3207Orthopedic shoe, hightop with supinator or pronator, junior
- L3208Surgical boot, each, infant
- L3209Surgical boot, each, child
- L3211Surgical boot, each, junior
- L3212Benesch boot, pair, infant
- L3213Benesch boot, pair, child
- L3214Benesch boot, pair, junior
Common questions about L3250
Is HCPCS L3250 still valid?
- Yes. L3250 is active in the CMS October 2026 HCPCS file.
Does Medicare cover L3250?
- Its coverage code is "D": special Medicare coverage instructions apply. Check the local coverage determination for your region.