Diagnosis: Weakness in both legs and flat feet
Treatment: Custom Shoe Inserts (L3000 x 2)
The insurer denied the Custom Shoe Inserts (L3000 x 2).
The denial is overturned.

The patient is a male who was seen by his podiatrist for an intoeing gait. He had external rotation less than normal and internal rotation both flexed and extended that was greater than normal. This resulted in an intoeing gait and custom orthotics was prescribed.

Yes, the Custom Shoe Inserts (L3000 x 2) are medically necessary.

Orthotic treatment in an intoeing child is a fairly benign beneficial treatment that is often used before attempting any surgical intervention. Children typically respond well to orthotic treatment for this condition. If left untreated, intoeing can lead to downstream problems of the foot knee and hip.