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See a sample rate comparisonHCPCS L3560 Fee Schedule
Last Verified: September 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Orthopedic shoe addition, toe tap, horseshoe
| Key Fact | Detail |
|---|---|
| Service Type | Orthotic Procedures and services Other Orthopedic Shoe Additions |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for L3560 |
National average reimbursement for HCPCS L3560 by major payers:
$23.37
$14.71
$15.99
$32.11
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HCPCS L3560
5 of 25 sample ratesHigher to lower in this preview
Anna Jaques Hospital
$32.84Published rateThe Medical Center Inc, Piedmont Columbus Regional Midtown
The Medical Center Inc
$14.81Published rateEmanuel County Hospital Authority, Emanuel Medical Center
$13.03Published rateMarc Stiefel
Pinnacle Ent Alliance, LLC
$12.14Published rateGood Samaritan Hospital, Inc., St. Mary'S Good Samaritan Hospital
Good Samaritan Hospital Inc
$9.21Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS L3560 vs. Other Other Orthopedic Shoe Additions Codes
The HCPCS L3560 code is part of the Orthotic Procedures and services services used for Other Orthopedic Shoe Additions. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The HCPCS L3560 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| L3550-HCPCS | Low | Orthopedic shoe addition, toe tap standard |
| L3560-HCPCS | Low | Orthopedic shoe addition, toe tap, horseshoe |
| L3570-HCPCS | Low | Orthopedic shoe addition, special extension to instep (leather with eyelets) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS L3560. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the L3560 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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