HCPCS Code Section: HCPCS L Codes

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 …

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 …

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

Knee ankle foot orthosis, fracture orthosis, femoral fracture cast orthosis, custom fabricated Short Description: Kafo fem fx cast molded to p Coverage Code: Carrier judgment Action Code: No maintenance …

Knee ankle foot orthosis, fracture orthosis, femoral fracture cast orthosis, thermoplastic type casting material, custom fabricated Short Description: Kafo fem fx cast thermoplas Coverage Code: Carrier judgment Action Code: …

Addition to lower extremity, split flat caliper stirrups and plate attachment Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, 1986 Effective Date: …