L3360 HCPCS code: Sole wedge, outside sole
L3360 is the HCPCS Level II code for sole wedge, outside sole. The 2026 Medicare DMEPOS fee schedule pays $42.72 to $46.98 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 2 of 11 L33 codes (family range $27.99–$692.05).
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 | 1984-01-01 |
| Last action effective | 1997-01-01 |
2026 Medicare DMEPOS fee schedule for L3360
| Modifier | Meaning | Lowest state fee | Highest state fee | Ceiling | Floor |
|---|---|---|---|---|---|
| — | base fee | $42.72 | $46.98 | $52.13 | $39.09 |
| State | Modifier | Fee | Rural fee |
|---|---|---|---|
| AK | — | $42.72 | — |
| AL | — | $44.00 | — |
| AR | — | $44.00 | — |
| AZ | — | $42.72 | — |
| CA | — | $42.72 | — |
| CO | — | $44.23 | — |
| CT | — | $42.72 | — |
| DC | — | $42.72 | — |
| DE | — | $42.72 | — |
| FL | — | $44.00 | — |
| GA | — | $44.00 | — |
| HI | — | $42.72 | — |
| IA | — | $43.53 | — |
| ID | — | $42.72 | — |
| IL | — | $43.76 | — |
| IN | — | $43.76 | — |
| KS | — | $43.53 | — |
| KY | — | $44.00 | — |
| LA | — | $44.00 | — |
| MA | — | $42.72 | — |
| MD | — | $42.72 | — |
| ME | — | $42.72 | — |
| MI | — | $43.76 | — |
| MN | — | $43.76 | — |
| MO | — | $43.53 | — |
| MS | — | $44.00 | — |
| MT | — | $44.23 | — |
| NC | — | $44.00 | — |
| ND | — | $44.23 | — |
| NE | — | $43.53 | — |
| NH | — | $42.72 | — |
| NJ | — | $42.72 | — |
| NM | — | $44.00 | — |
| NV | — | $42.72 | — |
| NY | — | $42.72 | — |
| OH | — | $43.76 | — |
| OK | — | $44.00 | — |
| OR | — | $42.72 | — |
| PA | — | $42.72 | — |
| PR | — | $46.98 | — |
| RI | — | $42.72 | — |
| SC | — | $44.00 | — |
| SD | — | $44.23 | — |
| TN | — | $44.00 | — |
| TX | — | $44.00 | — |
| UT | — | $44.23 | — |
| VA | — | $42.72 | — |
| VI | — | $46.98 | — |
| VT | — | $42.72 | — |
| WA | — | $42.72 | — |
| WI | — | $43.76 | — |
| WV | — | $42.72 | — |
| WY | — | $44.23 | — |
How the L3360 fee compares
| Measure | Value |
|---|---|
| Rank among 11 L33 codes (lowest = 1) | 2 |
| Family fee range (average of state fees) | $27.99–$692.05 |
| 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 L3360
- 2026-01-01: Average state fee rose 2.0%: $42.69 to $43.54
- 1984-01-01: L3360 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 L3360?
L3360 is the HCPCS Level II code for sole wedge, outside sole. Short descriptor: "Shoe sole wedge outside sole".
How much does Medicare pay for L3360?
Under the 2026 DMEPOS fee schedule, non-rural state fees are base (base fee): $42.72–$46.98. Rural fees can be higher.
Does Medicare cover L3360?
Coverage code D — Special coverage instructions apply. Medicare covers it when its national or local coverage criteria are met.
Did the Medicare fee for L3360 change in 2026?
The average non-rural state fee moved from $42.69 in 2025 to $43.54 in 2026 (+2.0%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.
How many units of L3360 can be billed per day?
2 on DME suppliers; 2 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)
- L3320 — Lift, elevation, heel and sole, cork, per inch
- 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)
- L3370 — Sole wedge, between sole ($59.46–$65.47)
- L3380 — Clubfoot wedge ($59.46–$65.47)
- L3390 — Outflare wedge ($59.46–$65.47)
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Next steps
- Run a reimbursement report for a device billed under L3360
- Watch L3360 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for L3360
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.