HCPCS Code Section: HCPCS L Codes

L4050

Replace molded calf lacer, for custom fabricated orthosis only Short Description: Replace molded calf lacer Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January …

L4045

Replace non-molded thigh lacer, for custom fabricated orthosis only Short Description: Replace non-molded thigh lac Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January …

L4040

Replace molded thigh lacer, for custom fabricated orthosis only Short Description: Replace molded thigh lacer Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January …

L4030

Replace quadrilateral socket brim, custom fitted Short Description: Replace socket brim cust fit Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, 1985 …

L4020

Replace quadrilateral socket brim, molded to patient model Short Description: Replace quadlat socket brim Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, …

L4010

Replace trilateral socket brim Short Description: Replace trilateral socket br Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, 1985 Effective Date: January …

L4210

Repair of orthotic device, repair or replace minor parts Short Description: Orth dev repair/repl minor p Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code …

L4002

Replacement strap, any orthosis, includes all components, any length, any type Short Description: Replace strap, any orthosis Coverage Code: Carrier judgment Action Code: No maintenance for this code Date …

L4205

Repair of orthotic device, labor component, per 15 minutes Short Description: Ortho dvc repair per 15 min Coverage Code: Special coverage instructions apply Action Code: No maintenance for this …

L4000

Replace girdle for spinal orthosis (ctlso or so) Short Description: Repl girdle milwaukee orth Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, …