L3320 HCPCS code: Lift, elevation, heel and sole, cork, per inch
L3320 is the HCPCS Level II code for lift, elevation, heel and sole, cork, per inch. In 2022 Medicare paid an average of $69.04 per service for L3320 across 16 services. 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 4 per day on DME suppliers. In 2022, 10 suppliers billed Medicare for L3320 (purchases), serving 12 beneficiaries.
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 | 1986-01-01 |
| Last action effective | 1997-01-01 |
Who bills L3320 (2022)
| Measure | Value |
|---|---|
| Suppliers billing rentals | — |
| Suppliers billing purchases | 10 |
| Referring clinicians | 11 |
| Medicare beneficiaries | 12 |
| States with claims | 0 |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for L3320, 2022–2022
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 16 | 12 | $99.38 | $69.04 |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| DME suppliers | 4 | Nature of Equipment |
| outpatient hospital claims | 4 | Nature of Equipment |
Medicare policy articles for this code
- A52481: Orthopedic Footwear - Policy Article (CGS Administrators, LLC (DME MAC) Noridian Healthcare Solutions, LLC (DME MAC)) — mentions this code in its coding guidance
Covered diagnoses (84 ICD-10-CM codes)
The diagnoses most often listed as covered in the policy articles above:
| ICD-10-CM | Diagnosis | Articles listing it |
|---|---|---|
| Q72.00 | Congenital complete absence of unspecified lower limb | 1 |
| Q72.01 | Congenital complete absence of right lower limb | 1 |
| Q72.02 | Congenital complete absence of left lower limb | 1 |
| Q72.03 | Congenital complete absence of lower limb, bilateral | 1 |
| Q72.30 | Congenital absence of unspecified foot and toe(s) | 1 |
| Q72.31 | Congenital absence of right foot and toe(s) | 1 |
| Q72.32 | Congenital absence of left foot and toe(s) | 1 |
| Q72.33 | Congenital absence of foot and toe(s), bilateral | 1 |
| Q72.70 | Split foot, unspecified lower limb | 1 |
| Q72.71 | Split foot, right lower limb | 1 |
Showing 10 of 84. The full list, non-covered diagnoses and CSV export are in Caduvo.
What changed for L3320
- 1986-01-01: L3320 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 L3320?
L3320 is the HCPCS Level II code for lift, elevation, heel and sole, cork, per inch. Short descriptor: "Shoe lift elev heel/sole cor".
How much does Medicare pay for L3320?
In 2022, the average Medicare payment was $69.04 per service (average allowed $99.38).
Does Medicare cover L3320?
Coverage code D — Special coverage instructions apply. Medicare covers it when its national or local coverage criteria are met.
Which diagnoses support coverage for L3320?
Medicare policy articles that cite L3320 list 84 covered ICD-10-CM diagnosis codes across 1 article. The most cited include Q72.00 (Congenital complete absence of unspecified lower limb), Q72.01 (Congenital complete absence of right lower limb), Q72.02 (Congenital complete absence of left lower limb). A listed diagnosis is necessary but not sufficient; the policy's other criteria still apply.
How many units of L3320 can be billed per day?
4 on DME suppliers; 4 on outpatient hospital claims (NCCI medically unlikely edits).
Related L33 codes
- L3300 — Lift, elevation, heel, tapered to metatarsals, per inch ($62.55–$68.81)
- L3310 — Lift, elevation, heel and sole, neoprene, per inch ($97.63–$107.44)
- L3330 — Lift, elevation, metal extension (skate) ($678.86–$746.68)
- L3332 — Lift, elevation, inside shoe, tapered, up to one-half inch ($88.45–$97.32)
- L3334 — Lift, elevation, heel, per inch ($45.78–$50.34)
- L3340 — Heel wedge, sach ($102.26–$112.44)
- L3350 — Heel wedge ($27.48–$30.16)
- L3360 — Sole wedge, outside sole ($42.72–$46.98)
- L3370 — Sole wedge, between sole ($59.46–$65.47)
- L3380 — Clubfoot wedge ($59.46–$65.47)
- L3390 — Outflare wedge ($59.46–$65.47)
Building a device that would bill under a code like this? Caduvo matches a device description to HCPCS/CPT codes, Medicare coverage and payment, and the FDA pathway in one report.
Next steps
- Run a reimbursement report for a device billed under L3320
- Watch L3320 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for L3320
Sources: CMS HCPCS Level II release October 2025; CMS DMEPOS fee schedule; 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.