L3204 (2234) PROSTHETIC HCPCS (661.1)
Name
Value
HCPCS
L3204
SHORT NAME
HIGHTOP W/ SUPP/PRONATOR INF
CPT
File: 81, IEN: 104840
ITEM
HIGHTOP W/ SUPP/PRONATOR I/COMMERCIAL
STATUS
ACTIVE
NPPD REPAIR CODE
R50 C
NPPD NEW CODE
500 D
DESCRIPTION
ORTHOPEDIC SHOE, HIGHTOP WITH SUPINATOR OR PRONATOR, INFANT