L3204 Hightop w/ supp/pronator inf

Full Description

Orthopedic shoe, hightop with supinator or pronator, infant

Code
L3204
Short Description
Hightop w/ supp/pronator inf
Section
L — Orthotic and Prosthetic Procedures
Pricing Indicator
00
Source: CMS HCPCS October 2026 quarterly release.

Last reviewed: September 2026