L3050 HCPCS code: Foot, arch support, removable, premolded, metatarsal, each
L3050 is the HCPCS Level II code for foot, arch support, removable, premolded, metatarsal, each. The 2026 Medicare DMEPOS fee schedule pays $56.45 to $62.11 depending on the state. Its Medicare coverage code is D (Special coverage instructions apply): Medicare covers it when its national or local coverage criteria are met. The NCCI unit limit is 2 per day on DME suppliers. Its average fee ranks 4 of 14 L30 codes (family range $38.87–$384.13).
Code details
| Field | Value |
|---|---|
| Section | L codes — Orthotic and prosthetic procedures and devices |
| Coverage code | D — Special coverage instructions apply |
| Pricing indicator | 00 — Not separately priced by Medicare |
| BETOS category | D1F — Prosthetic and orthotic devices |
| Added | 1982-01-01 |
| Last action effective | 1997-01-01 |
2026 Medicare DMEPOS fee schedule for L3050
| Modifier | Meaning | Lowest state fee | Highest state fee | Ceiling | Floor |
|---|---|---|---|---|---|
| — | base fee | $56.45 | $62.11 | $68.89 | $51.67 |
| State | Modifier | Fee | Rural fee |
|---|---|---|---|
| AK | — | $56.45 | — |
| AL | — | $58.15 | — |
| AR | — | $58.14 | — |
| AZ | — | $56.45 | — |
| CA | — | $56.45 | — |
| CO | — | $58.49 | — |
| CT | — | $56.45 | — |
| DC | — | $56.45 | — |
| DE | — | $56.45 | — |
| FL | — | $58.15 | — |
| GA | — | $58.15 | — |
| HI | — | $56.45 | — |
| IA | — | $57.57 | — |
| ID | — | $56.45 | — |
| IL | — | $57.84 | — |
| IN | — | $57.84 | — |
| KS | — | $57.57 | — |
| KY | — | $58.15 | — |
| LA | — | $58.14 | — |
| MA | — | $56.45 | — |
| MD | — | $56.45 | — |
| ME | — | $56.45 | — |
| MI | — | $57.84 | — |
| MN | — | $57.84 | — |
| MO | — | $57.57 | — |
| MS | — | $58.15 | — |
| MT | — | $58.49 | — |
| NC | — | $58.15 | — |
| ND | — | $58.49 | — |
| NE | — | $57.57 | — |
| NH | — | $56.45 | — |
| NJ | — | $56.45 | — |
| NM | — | $58.14 | — |
| NV | — | $56.45 | — |
| NY | — | $56.45 | — |
| OH | — | $57.84 | — |
| OK | — | $58.14 | — |
| OR | — | $56.45 | — |
| PA | — | $56.45 | — |
| PR | — | $62.11 | — |
| RI | — | $56.45 | — |
| SC | — | $58.15 | — |
| SD | — | $58.49 | — |
| TN | — | $58.15 | — |
| TX | — | $58.14 | — |
| UT | — | $58.49 | — |
| VA | — | $56.45 | — |
| VI | — | $62.11 | — |
| VT | — | $56.45 | — |
| WA | — | $56.45 | — |
| WI | — | $57.84 | — |
| WV | — | $56.45 | — |
| WY | — | $58.49 | — |
How the L3050 fee compares
| Measure | Value |
|---|---|
| Rank among 14 L30 codes (lowest = 1) | 4 |
| Family fee range (average of state fees) | $38.87–$384.13 |
| Rural fee uplift | — |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| DME suppliers | 2 | Anatomic Consideration |
| outpatient hospital claims | 2 | Anatomic Consideration |
What changed for L3050
- 2026-01-01: Average state fee rose 2.0%: $56.42 to $57.55
- 1982-01-01: L3050 added to HCPCS Level II
- Next scheduled CMS quarterly update (HCPCS and DMEPOS fee schedule): 2027-01-01
Frequently asked questions
What is HCPCS code L3050?
L3050 is the HCPCS Level II code for foot, arch support, removable, premolded, metatarsal, each. Short descriptor: "Foot arch supp premold metat".
How much does Medicare pay for L3050?
Under the 2026 DMEPOS fee schedule, non-rural state fees are base (base fee): $56.45–$62.11. Rural fees can be higher.
Does Medicare cover L3050?
Coverage code D — Special coverage instructions apply. Medicare covers it when its national or local coverage criteria are met.
Did the Medicare fee for L3050 change in 2026?
The average non-rural state fee moved from $56.42 in 2025 to $57.55 in 2026 (+2.0%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.
How many units of L3050 can be billed per day?
2 on DME suppliers; 2 on outpatient hospital claims (NCCI medically unlikely edits).
Related L30 codes
- L3000 — Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each ($376.80–$414.48)
- L3001 — Foot, insert, removable, molded to patient model, spenco, each ($158.66–$174.51)
- L3002 — Foot, insert, removable, molded to patient model, plastazote or equal, each ($193.73–$213.14)
- L3003 — Foot, insert, removable, molded to patient model, silicone gel, each ($209.04–$229.91)
- L3010 — Foot, insert, removable, molded to patient model, longitudinal arch support, each ($209.04–$229.91)
- L3020 — Foot, insert, removable, molded to patient model, longitudinal/ metatarsal support, each ($237.97–$261.73)
- L3030 — Foot, insert, removable, formed to patient foot, each ($91.55–$100.71)
- L3031 — Foot, insert/plate, removable, addition to lower extremity orthosis, high strength, lightweight material, all hybrid lamination/prepreg composite, each ($146.92–$161.61)
- L3040 — Foot, arch support, removable, premolded, longitudinal, each ($56.45–$62.11)
- L3060 — Foot, arch support, removable, premolded, longitudinal/ metatarsal, each ($88.45–$97.32)
- L3070 — Foot, arch support, non-removable attached to shoe, longitudinal, each ($38.11–$41.95)
- L3080 — Foot, arch support, non-removable attached to shoe, metatarsal, each ($38.11–$41.95)
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Next steps
- Run a reimbursement report for a device billed under L3050
- Watch L3050 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for L3050
Sources: CMS HCPCS Level II release October 2025; CMS DMEPOS fee schedule 2026; CMS NCCI MUE tables; CMS Medicare utilization (physician and DME supplier files); CMS Medicare Coverage Database articles. Fees are Medicare allowables, not commercial rates. Not billing or legal advice.