HCPCS Code Section: HCPCS L Codes

Knee orthosis, locking knee joint(s), positional orthosis, prefabricated, includes fitting and adjustment Short Description: Knee orth pos locking joint Coverage Code: Carrier judgment Action Code: No maintenance for this …

Knee orthosis, immobilizer, canvas longitudinal, prefabricated, off-the-shelf Short Description: Ko immob canvas long pre ots Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January …

Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated, includes fitting and adjustment Coverage Code: Carrier judgment Action Code: No maintenance for this code …

Knee orthosis, elastic with joints, prefabricated, off-the-shelf Short Description: Ko elastic w/joints pre ots Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, …

Ankle foot orthosis, spiral, (institute of rehabilitative medicine type), plastic or other material, prefabricated, includes fitting and adjustment Short Description: Afo spiral prefabricated Coverage Code: Carrier judgment Action Code: …

Knee orthosis, swedish type, prefabricated, off-the-shelf Short Description: Ko swedish type pre ots Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, 1982 …

Ankle foot orthosis, spiral, (institute of rehabilitative medicine type), plastic, custom fabricated Short Description: Afo spiral molded to pt plas Coverage Code: Carrier judgment Action Code: No maintenance for …

Ankle foot orthosis, plastic, rigid anterior tibial section (floor reaction), custom fabricated Short Description: Afo molded plas rig ant tib Coverage Code: Carrier judgment Action Code: No maintenance for …

Ankle foot orthosis, plastic or other material, custom fabricated Short Description: Afo molded to patient plasti Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: …

Afo, rigid anterior tibial section, total carbon fiber or equal material, prefabricated, includes fitting and adjustment Short Description: Afo rig ant tib prefab tcf/= Coverage Code: Carrier judgment Action …