MyMedi-AI

L3590 — Orthopedic shoe addition, convert firm shoe counter to soft counter

HCPCS Level II L-code · short descriptor: “O shoe convert to sof counte”

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.

L3590 Medicare fee schedule (April 2026)

Base (no modifier) Prosthetics & orthotics

Medicare allowable ranges from $64.07 to $70.44 depending on state and rural status.

Former-CBA payment limits: ceiling $78.20 · floor $58.65

StateNon-ruralRural
AK$64.07
AL$66.01
AR$66.01
AZ$64.07
CA$64.07
CO$66.36
CT$64.07
DC$64.07
DE$64.07
FL$66.01
GA$66.01
HI$64.07
IA$65.34
ID$64.07
IL$65.66
IN$65.66
KS$65.34
KY$66.01
LA$66.01
MA$64.07
MD$64.07
ME$64.07
MI$65.66
MN$65.66
MO$65.34
MS$66.01
MT$66.36
NC$66.01
ND$66.36
NE$65.34
NH$64.07
NJ$64.07
NM$66.01
NV$64.07
NY$64.07
OH$65.66
OK$66.01
OR$64.07
PA$64.07
PR$70.44
RI$64.07
SC$66.01
SD$66.36
TN$66.01
TX$66.01
UT$66.36
VA$64.07
VI$70.44
VT$64.07
WA$64.07
WI$65.66
WV$64.07
WY$66.36
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

Bill L3590 with confidence

MyMedi-AI scrubs whole claims against NCCI pairs, MUE limits, modifier rules, and PA flags before you submit — built for DME teams, no PHI stored on our servers.

Start free trial   Run a CMS-0057-F readiness check

Prefer DIY compliance? Self-audit documentation kits for DME suppliers →