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    v1.0.28
    OpenPayerBilling CodesOrthotic Procedures and servicesHCPCS hcpcs-l3485-removable-heel-pad-spur-relief
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    HCPCS Level II L3485: Heel Pad, Removable for Spur

    HCPCS Level II code L3485 describes a removable heel pad device intended for heel spur management, classified as an orthotic foot padding heel pad used to cushion and offload the plantar heel; the service type is removable orthotic device fabrication or supply, and the typical site of service is outpatient clinic, durable medical equipment supplier, or podiatry/orthotics office.

    For related coverage guidance, see recent payer policy updates: Interferential Stimulation Devices (for home use), Durable Medical Equipment (DME): Tumor Treating Fields (Alternating Electric Field Therapy) Medical Guideline, Durable Medical Equipment (DME): Bone Growth Stimulators Medical Guideline.

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    Clinical & Coding Specifications

    Clinical Context

    A typical patient is an adult with heel pain attributed to a symptomatic calcaneal (heel) spur who presents to a podiatry or orthotics clinic after failure of conservative care (rest, NSAIDs, stretching, shoe modifications). The clinician evaluates the patient through history and physical exam, documents focal plantar heel tenderness, and orders weight-bearing foot radiographs which confirm a calcaneal spur. The practitioner prescribes or fits a removable heel pad designed specifically for spur relief (L3485) during the same office visit or orders the device for fabrication. The clinical workflow includes: evaluation by a podiatrist or orthopedist, determination of medical necessity for a removable heel pad for heel spur symptoms, measurement and fitting or delivery of the device, documentation of diagnosis linking the device to heel pain/plantar fasciitis or calcaneal spur, and education on use and follow-up. Typical site of service is an outpatient clinic, podiatry office, orthopedics clinic, or durable medical equipment supplier location. The service is provided to ambulatory patients who retain removable heel pads for symptomatic relief and may be billed with appropriate modifiers and supporting ICD-10 diagnosis codes for heel spur or plantar fasciitis.

    Related CPT Codes

    CPT CodeDescriptionRelationship to This Procedure
    20550Injection, tendon sheath, ligament, or ganglion cyst; single or multiple injectionsMay be performed before or instead of device fitting for plantar fasciitis-related heel pain management
    73630Radiologic examination, ankle; 1 or 2 views (Note: foot/heel x-ray CPT commonly 73610 for foot)Imaging studies such as foot radiographs are commonly obtained to document calcaneal spur prior to ordering DME
    29580Strapping; ankle and/or footAdjunctive conservative therapy and off-the-shelf supportive measures used alongside removable heel pad
    99213Office or other outpatient visit for the evaluation and management of an established patient, typically 15 minutesEvaluation, medical necessity documentation, and ordering/fitting of the removable heel pad are commonly billed with an E/M visit code
    97535Self-care/home management training (eg, activities for daily living)Education on use and care of the removable heel pad may be billed when significant instruction is provided

    Related Modifiers

    5 rows

    ModifierDescriptionWhen to Use
    50Modifier –50 (Bilateral Procedure) is appended to a CPT code when an identical procedure is performed on paired anatomical structures during the same operative session. The AMA states to add…- Use modifier -50 when the same CPT surgical, diagnostic, or radiology procedure is performed on paired anatomical structures (both sides of the body) during the same operative/session by the same…
    81Modifier -81 indicates a physician served as a minimal assistant surgeon for part—not all—of an operative procedure. Use when a physician’s assisting role is limited and does not represent full…- Use CPT modifier -81 when a physician acts as a minimum assistant surgeon who assists during only part (a limited portion) of an operative procedure; append -81 to the primary surgical CPT code to…
    62Modifier 62 indicates that two surgeons function as co‑surgeons, each performing distinct parts of the same primary surgical procedure. It is appended to the primary procedure code (and any…- Use modifier -62 when two surgeons act as co‑surgeons (both primary surgeons) on a single definitive primary procedure, each performing distinct parts of the same surgical procedure (append -62 to…
    26Modifier 26 (Professional Component) identifies and bills only the professional portion of a split service — the physician’s interpretation, report, and medical judgment — when the technical…- Use CPT Modifier -26 when you are billing only the professional component (PC) of a split‑bill eligible service—i.e., you performed the physician interpretation, medical judgment and prepared a…
    80CPT® Modifier 80 (Assistant Surgeon) is appended to a surgical CPT code when a physician (MD or DO) provides full, continuous assistance throughout the operative procedure. It is intended only for…- Use CPT Modifier -80 when a physician (MD or DO) serves as an assistant surgeon and provides full, continuous assistance throughout the entire operative procedure; append -80 to the surgical CPT…

    Related Provider Taxonomies

    8 rows

    Taxonomy CodeSpecialtyNotes
    207P00000XEmergency Medicine PhysicianAn emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospit…
    208000000XPediatrics PhysicianA pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectru…
    3336C0002XClinic PharmacyA pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision o…
    207RG0300XGeriatric Medicine (Internal Medicine) PhysicianAn internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects o…
    103TB0200XCognitive & Behavioral PsychologistA psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cog…
    207WX0200XOphthalmic Plastic and Reconstructive Surgery PhysicianA physician who specializes in oculofacial plastic and reconstructive surgery. This subspecialty combines orbital and periocular surgery with facial p…
    302R00000XHealth Maintenance Organization(1) A form of health insurance in which its members prepay a premium for the HMO's health services which generally include inpatient and ambulatory ca…
    2081P2900XPain Medicine (Physical Medicine & Rehabilitation) PhysicianA physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or …

    Related Payer Policy Updates

    Specialty: Durable Medical Equipment (DME)1 / 3

    5 rows

    PolicyPayerEffective Date
    Interferential Stimulation Devices (for home use)Moda Health2026-10-01
    Durable Medical Equipment (DME): Tumor Treating Fields (Alternating Electric Field Therapy) Medical GuidelineWPS Health Insurance2026-10-01
    Durable Medical Equipment (DME): Bone Growth Stimulators Medical GuidelineWPS Health Insurance2026-10-01
    General Durable Medical Equipment (DME) Medical GuidelineWPS Health Insurance2026-10-01
    Prior Authorization for Durable Medical Equipment (DME)Blue Cross Blue Shield - Rhode Island2026-10-01

    Related Codes

    HCPCS-L0112-CRANIAL-CERVICAL-ORTHOSIS-CONGENITAL-TORTICOLLIS-CUSTOM

    HCPCS L0112: Cranial Cervical Orthosis, Congenital Torticollis Type

    HCPCS-L0113-CRANIAL-CERVICAL-ORTHOSIS-TORTICOLLIS

    HCPCS Level II L0113: Prefabricated Cranial Cervical Orthosis for Torticollis

    HCPCS-L0130-CERVICAL-FLEXIBLE-THERMOPLASTIC-COLLAR-MOLDED-TO-PATIENT

    HCPCS Level II L0130: Cervical Flexible Thermoplastic Collar, Molded to Patient

    HCPCS-L0140-CERVICAL-SEMI-RIGID-ADJUSTABLE-PLASTIC-COLLAR

    HCPCS Level II L0140: Cervical Semi-Rigid Adjustable Plastic Collar

    HCPCS-L0150-CERVICAL-SEMI-RIGID-ADJUSTABLE-CHIN-CUP

    HCPCS Level II L0150: Cervical Semi-Rigid Adjustable Chin Cup

    HCPCS-L0160-CERVICAL-SEMI-RIGID-OCCIPITAL-MANDIBULAR-SUPPORT

    HCPCS Level II L0160: Cervical Semi-Rigid Occipital/Mandibular Support

    HCPCS-L0170-CERVICAL-COLLAR-MOLDED-TO-PATIENT-MODEL

    HCPCS Level II L0170: Cervical Collar, Custom-Molded

    HCPCS-L0172-CERVICAL-COLLAR-SEMI-RIGID-THERMOPLASTIC-FOAM

    HCPCS L0172: Cervical Collar, Semi-Rigid Prefabricated

    HCPCS-L0174-CERVICAL-COLLAR-SEMI-RIGID-THORACIC-EXTENSION

    HCPCS L0174: Cervical Collar, Semi-Rigid Thermoplastic with Thoracic Extension

    HCPCS-L0180-CERVICAL-MULTIPLE-POST-COLLAR-OCCIPITAL-MANDIBULAR-ADJUSTABLE

    HCPCS Level II L0180: Cervical Orthosis with Occipital/Mandibular Supports

    Showing 1–10 of 466

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    Frequently Asked Questions

    References

    1. 1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
    2. 2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
    3. 3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.
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