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L3000 — Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each

HCPCS Level II L-code · short descriptor: “Ft insert ucb berkeley shell”

Code system
HCPCS Level II
Family
L — Orthotics & prosthetics
Medicare coverage status
Special coverage instructions apply
DMEPOS payment category
Prosthetics & orthotics
Prior authorization
Not on Medicare required-PA list
Status
Active (April 2026 HCPCS)

Prior authorization

Not on the Medicare required-PA list as of the January 13, 2026 update (74 items). Medicare Advantage and commercial plans set their own prior-authorization rules for this code — verify per plan before delivery.

L3000 Medicare fee schedule (April 2026)

Base (no modifier) Prosthetics & orthotics

Medicare allowable ranges from $376.80 to $414.48 depending on state and rural status.

Former-CBA payment limits: ceiling $459.83 · floor $344.87

StateNon-ruralRural
AK$376.80
AL$388.16
AR$388.12
AZ$376.80
CA$376.80
CO$390.25
CT$376.80
DC$376.80
DE$376.80
FL$388.16
GA$388.16
HI$376.80
IA$384.17
ID$376.80
IL$386.06
IN$386.06
KS$384.17
KY$388.16
LA$388.12
MA$376.80
MD$376.80
ME$376.80
MI$386.06
MN$386.06
MO$384.17
MS$388.16
MT$390.25
NC$388.16
ND$390.25
NE$384.17
NH$376.80
NJ$376.80
NM$388.12
NV$376.80
NY$376.80
OH$386.06
OK$388.12
OR$376.80
PA$376.80
PR$414.48
RI$376.80
SC$388.16
SD$390.25
TN$388.16
TX$388.12
UT$390.25
VA$376.80
VI$414.48
VT$376.80
WA$376.80
WI$386.06
WV$376.80
WY$390.25
Amounts are the Medicare DMEPOS fee-schedule allowables effective April 2026. Medicare typically pays 80% of the allowable after the Part B deductible; the patient owes 20%. A 2% sequestration reduction applies to the Medicare share. Former competitive-bidding-area adjustments and non-continental rates can differ — verify with your DME MAC.

Common denial codes to watch

Related L-codes

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