HCPCS Code Section: HCPCS L Codes

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 …

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 …

Hip knee ankle foot orthosis, torsion control, unilateral rotation straps, pelvic band/belt, custom fabricated Short Description: Hkafo torsion unilat rot str Coverage Code: Carrier judgment Action Code: No maintenance …

Ankle foot orthosis, single upright free plantar dorsiflexion, solid stirrup, calf band/cuff (single bar ‘bk’ orthosis), custom fabricated Short Description: Afo sing solid stirrup calf Coverage Code: Carrier judgment …

Hip knee ankle foot orthosis, torsion control, bilateral torsion cables, ball bearing hip joint, pelvic band/ belt, custom fabricated Short Description: Hkafo torsion ball bearing j Coverage Code: Carrier …

Hip knee ankle foot orthosis, torsion control, bilateral torsion cables, hip joint, pelvic band/belt, custom fabricated Short Description: Hkafo torsion cable hip pelv Coverage Code: Carrier judgment Action Code: …

Hip knee ankle foot orthosis, torsion control, bilateral rotation straps, pelvic band/belt, custom fabricated Short Description: Hkafo torsion bil rot straps Coverage Code: Carrier judgment Action Code: No maintenance …

Knee ankle foot orthosis, full plastic, with or without free motion knee, multi-axis ankle, custom fabricated Short Description: Kafo w/o joint multi-axis an Coverage Code: Carrier judgment Action Code: …