HCPCS Code Section: HCPCS L Codes

L1930

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: …

L1920

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 …

L1910

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 …

L1907

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: …

L1906

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: …

L1904

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 …

L1902

Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf Short Description: Afo ankle gauntlet pre ots Coverage Code: Carrier judgment Action Code: No maintenance for this …

L1900

Ankle foot orthosis, spring wire, dorsiflexion assist calf band, custom fabricated Short Description: Afo sprng wir drsflx calf bd Coverage Code: Carrier judgment Action Code: No maintenance for this …

L1971

Ankle foot orthosis, plastic or other material with ankle joint, prefabricated, includes fitting and adjustment Short Description: Afo w/ankle joint, prefab Coverage Code: Carrier judgment Action Code: No maintenance …

L1860

Knee orthosis, modification of supracondylar prosthetic socket, custom fabricated (sk) Short Description: Ko supracondylar socket mold Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: …