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L3010 — Foot, insert, removable, molded to patient model, longitudinal arch support, each

HCPCS Level II L-code · short descriptor: “Foot longitudinal arch suppo”

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.

L3010 Medicare fee schedule (April 2026)

Base (no modifier) Prosthetics & orthotics

Medicare allowable ranges from $209.04 to $229.91 depending on state and rural status.

Former-CBA payment limits: ceiling $255.07 · floor $191.30

StateNon-ruralRural
AK$209.04
AL$215.29
AR$215.28
AZ$209.04
CA$209.04
CO$216.47
CT$209.04
DC$209.04
DE$209.04
FL$215.29
GA$215.29
HI$209.04
IA$213.12
ID$209.04
IL$214.11
IN$214.11
KS$213.12
KY$215.29
LA$215.28
MA$209.04
MD$209.04
ME$209.04
MI$214.11
MN$214.11
MO$213.12
MS$215.29
MT$216.47
NC$215.29
ND$216.47
NE$213.12
NH$209.04
NJ$209.04
NM$215.28
NV$209.04
NY$209.04
OH$214.11
OK$215.28
OR$209.04
PA$209.04
PR$229.91
RI$209.04
SC$215.29
SD$216.47
TN$215.29
TX$215.28
UT$216.47
VA$209.04
VI$229.91
VT$209.04
WA$209.04
WI$214.11
WV$209.04
WY$216.47
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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