HCPCS Code Section: HCPCS L Codes

Hip knee ankle foot orthosis, torsion control, unilateral torsion cable, ball bearing hip joint, pelvic band/ belt, custom fabricated Short Description: Hkafo unilat torsion ball br Coverage Code: Carrier …

Knee ankle foot orthosis, single upright, free knee, free ankle, solid stirrup, thigh and calf bands/cuffs (single bar ‘ak’ orthosis), custom fabricated Short Description: Kafo sing fre stirr thi/calf …

Hip knee ankle foot orthosis, torsion control, unilateral torsion cable, hip joint, pelvic band/belt, custom fabricated Short Description: Hkafo unilat torsion cable Coverage Code: Carrier judgment Action Code: No …

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 …

Addition to lower extremity fracture orthosis, adjustable motion knee joint, lerman type Short Description: Adj motion knee jnt lerman t Coverage Code: Carrier judgment Action Code: No maintenance for …

Addition to lower extremity fracture orthosis, limited motion knee joint Short Description: Limited motion knee joint Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: …

Addition to lower extremity fracture orthosis, drop lock knee joint Short Description: Drop lock knee Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January …

Addition to lower extremity fracture orthosis, plastic shoe insert with ankle joints Short Description: Plas shoe insert w ank joint Coverage Code: Carrier judgment Action Code: No maintenance for …

Kafo, fracture orthosis, femoral fracture cast orthosis, rigid, prefabricated, includes fitting and adjustment Short Description: Kafo femoral fx cast rigid Coverage Code: Carrier judgment Action Code: No maintenance for …

Kafo, fracture orthosis, femoral fracture cast orthosis, semi-rigid, prefabricated, includes fitting and adjustment Short Description: Kafo fem fx cast semi-rigid Coverage Code: Carrier judgment Action Code: No maintenance for …