HCPCS Code L3260: Surgical Boot/Shoe, Each

Yes, the correct modifiers are often required to ensure accurate billing. These indicate the type of service provided and help clarify the section of the claim so that the device is properly covered.

Providers should give clear instructions on wearing the boot to maximize comfort and stability. It is recommended to keep the device clean and follow guidelines that may vary based on the patient’s medical condition.

L3260 (Surgical boot/shoe, each) is classified by Medicare as a noncovered code since it is statutorily excluded from Medicare benefits. However, some private insurers, including Aetna and certain Blue Cross/Blue Shield plans, may provide coverage for the surgical boot when used for postoperative conditions.