HCPCS Code Section: HCPCS L Codes

Knee orthosis, double upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, custom fabricated Short Description: …

Legg perthes orthosis, trilateral, (tachdijan type), custom fabricated Short Description: Legg perthes orthosis trilat Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, …

Knee orthosis, double upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated item that has …

Legg perthes orthosis, (newington type), custom fabricated Short Description: Legg perthes orth newington Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, 1982 …

Ankle foot orthosis, plastic or other material, prefabricated, includes fitting and adjustment Short Description: Afo plastic Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: …

Ankle foot orthosis, single upright with static or adjustable stop (phelps or perlstein type), custom fabricated Short Description: Afo sing upright w/ adjust s Coverage Code: Carrier judgment Action …

Ankle foot orthosis, posterior, single bar, clasp attachment to shoe counter, prefabricated, includes fitting and adjustment Short Description: Afo sing bar clasp attach sh Coverage Code: Carrier judgment Action …

Ankle orthosis, supramalleolar with straps, with or without interface/pads, custom fabricated Short Description: Afo supramalleolar custom Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: …

Ankle foot orthosis, multiligamentous ankle support, prefabricated, off-the-shelf Short Description: Afo multilig ank sup pre ots Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: …

Ankle orthosis, ankle gauntlet or similar, with or without joints, custom fabricated Short Description: Afo molded ankle gauntlet Coverage Code: Carrier judgment Action Code: No maintenance for this code …