L3630 HCPCS code: Transfer of an orthosis from one shoe to another, solid stirrup, new

L3630 is the HCPCS Level II code for transfer of an orthosis from one shoe to another, solid stirrup, new. The 2026 Medicare DMEPOS fee schedule pays $120.51 to $132.57 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. Medicare volume fell 18% from 2022 to 2024 (236 to 194 services). In 2024, 97 suppliers billed Medicare for L3630 (purchases), serving 163 beneficiaries. Its average fee ranks 5 of 11 L36 codes (family range $52.87–$1,315.49).

Code details

2026 Medicare DMEPOS fee schedule for L3630

How the L3630 fee compares

Who bills L3630 (2024)

Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.

Medicare utilization for L3630, 2022–2024

States with the most L3630 services (2024)

NCCI unit limits (MUE)

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:

Showing 10 of 84. The full list, non-covered diagnoses and CSV export are in Caduvo.

What changed for L3630

• 2026-01-01: Average state fee rose 2.0%: $120.45 to $122.86
• 1986-01-01: L3630 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 L3630?

L3630 is the HCPCS Level II code for transfer of an orthosis from one shoe to another, solid stirrup, new. Short descriptor: "Trans shoe solid stirrup new".

How much does Medicare pay for L3630?

Under the 2026 DMEPOS fee schedule, non-rural state fees are base (base fee): $120.51–$132.57. Rural fees can be higher.

Does Medicare cover L3630?

Coverage code D — Special coverage instructions apply. Medicare covers it when its national or local coverage criteria are met.

Which diagnoses support coverage for L3630?

Medicare policy articles that cite L3630 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.

Did the Medicare fee for L3630 change in 2026?

The average non-rural state fee moved from $120.45 in 2025 to $122.86 in 2026 (+2.0%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.

How many units of L3630 can be billed per day?

2 on DME suppliers; 2 on outpatient hospital claims (NCCI medically unlikely edits).

Related L36 codes

• L3600 — Transfer of an orthosis from one shoe to another, caliper plate, existing ($91.55–$100.71)
• L3610 — Transfer of an orthosis from one shoe to another, caliper plate, new ($120.51–$132.57)
• L3620 — Transfer of an orthosis from one shoe to another, solid stirrup, existing ($91.55–$100.71)
• L3640 — Transfer of an orthosis from one shoe to another, dennis browne splint (riveton), both shoes ($51.86–$57.05)
• L3649 — Orthopedic shoe, modification, addition or transfer, not otherwise specified
• L3650 — Shoulder orthosis, figure of eight design abduction restrainer, prefabricated, off-the-shelf ($66.69–$105.67)
• L3660 — Shoulder orthosis, figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf ($112.56–$154.10)
• L3670 — Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf ($127.15–$215.52)
• L3671 — Shoulder orthosis, shoulder joint design, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment ($983.68–$1,082.00)
• L3674 — Shoulder orthosis, abduction positioning (airplane design), thoracic component and support bar, with or without nontorsion joint/turnbuckle, may include soft interface, straps, custom fabricated, includes fitting and adjustment ($1,290.37–$1,419.42)
• L3675 — Shoulder orthosis, vest type abduction restrainer, canvas webbing type or equal, prefabricated, off-the-shelf ($191.58–$229.91)
• L3677 — Shoulder orthosis, shoulder joint design, without joints, may include soft interface, straps, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise

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Next steps

• Run a reimbursement report for a device billed under L3630
• Watch L3630 for fee, coverage and descriptor changes
• Build a full Medicare revenue model for L3630

Sources: CMS HCPCS Level II release October 2026; 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.

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