L3204 HCPCS Level II code: Orthopedic shoe, hightop with supinator or pronator, infant
L3204 is the HCPCS code for “Orthopedic shoe, hightop with supinator or pronator, infant” in CMS’s October 2026 release, in effect from Oct 1, 2026.
Official description
L3204Orthopedic shoe, hightop with supinator or pronator, infant
Short description: Hightop w/ supp/pronator inf
HCPCS · United States
Medicare details
The indicators CMS publishes with L3204 in its October 2026 file. They describe Medicare’s handling, not another payer’s.
- Medicare coverage
- Special coverage instructions apply
- Medicare pricing
- Service not separately priced by Part B (e.g., services not covered, bundled, used by Part A only, etc.)
- Type of service
- Lump sum purchase of DME, prosthetics, orthotics
- BETOS category
- Prosthetic/Orthotic devices
- Added
- Jan 1, 1984
Where L3204 sits
- 1L codesOrthotics and prosthetics
- 2Active code L3204Orthopedic shoe, hightop with supinator or pronator, infant
Source and release
- Data release
- HCPCS Level II · October 2026
- Effective date
- Oct 1, 2026
- Publisher
- CMS
This page is built from the HCPCS Level II catalog that Vero Codes reads when it suggests codes: Centers for Medicare & Medicaid Services’s October 2026 release, imported from the publisher’s file and checked against it. The description, notes and structured data come from the same record.
Frequently asked questions
What does HCPCS code L3204 mean?
L3204 is the HCPCS code for “Orthopedic shoe, hightop with supinator or pronator, infant” in CMS’s HCPCS Level II October 2026 release.
Does Medicare cover L3204?
CMS lists L3204’s Medicare coverage as “Special coverage instructions apply” and its pricing as “Service not separately priced by Part B (e.g., services not covered, bundled, used by Part A only, etc.)”. Coverage and payment still depend on the patient, the setting, the documentation and the payer.
Which HCPCS Level II release does this page use?
It uses CMS’s October 2026 release, in effect from Oct 1, 2026 to Dec 31, 2026. It is a reference: confirm the code against the current list and the payer’s rules before you submit it.
Codes beside L3204
All L codesL3160Foot, adjustable shoe-styled positioning deviceL3161Foot, adductus positioning device, adjustableL3170Foot, plastic, silicone or equal, heel stabilizer, prefabricated, off-the-shelf, eachL3201Orthopedic shoe, oxford with supinator or pronator, infantL3202Orthopedic shoe, oxford with supinator or pronator, childL3203Orthopedic shoe, oxford with supinator or pronator, juniorL3206Orthopedic shoe, hightop with supinator or pronator, childL3207Orthopedic shoe, hightop with supinator or pronator, juniorL3208Surgical boot, each, infantL3209Surgical boot, each, childL3211Surgical boot, each, juniorL3212Benesch boot, pair, infant