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See a sample rate comparisonHCPCS L3580 Fee Schedule
Last Verified: October 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, convert instep to velcro closure
| Key Fact | Detail |
|---|---|
| Service Type | Orthotic Procedures and services Other Orthopedic Shoe Additions |
| Complexity Level | Low |
| Medicaid Fee Schedule | $67.135 median of the 8 states in the free preview · View Medicaid rates for L3580 |
National average reimbursement for HCPCS L3580 by major payers:
$65.76
$41.75
$48.35
$91.75
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HCPCS L3580
5 of 25 sample ratesHigher to lower in this preview
Southern Regional Medical Corporation, Leonard J. Chabert Medical Center
$93.08Published rateProgressive Acute Care Avoyelles, LLC, Avoyelles Hospital
$77.26Published rateWade Hunt
Slocum Dickson Medical Group PLLC
$47.18Published rateJeremy Skiechs
Slocum Dickson Medical Group PLLC
$25.37Published rateTatyana Antonevich
Slocum Dickson Medical Group PLLC
$25.37Published rate
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See a sample payer proposalHCPCS L3580 vs. Other Other Orthopedic Shoe Additions Codes
The HCPCS L3580 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 L3580 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 |
|---|---|---|
| L3570-HCPCS | Low | Orthopedic shoe addition, special extension to instep (leather with eyelets) |
| L3580-HCPCS | Low | Orthopedic shoe addition, convert instep to velcro closure |
| L3590-HCPCS | Low | Orthopedic shoe addition, convert firm shoe counter to soft counter |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS L3580. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the L3580 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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