HCPCS Code Section: HCPCS L Codes

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

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: …

Knee ankle foot orthosis, full plastic, single upright, with or without free motion knee, with or without free motion ankle, custom fabricated Short Description: Kafo plas sing free knee …

Knee ankle foot orthosis, full plastic, double upright, with or without free motion knee, with or without free motion ankle, custom fabricated Short Description: Kafo plas doub free knee …

Knee ankle foot orthosis, full plastic, static (pediatric size), without free motion ankle, prefabricated, includes fitting and adjustment Short Description: Kafo plastic pediatric size Coverage Code: Carrier judgment Action …