HCPCS Code Section: HCPCS L Codes

Partial foot, shoe insert with longitudinal arch, toe filler Short Description: Sho insert w arch toe filler Coverage Code: Special coverage instructions apply Action Code: No maintenance for this …

Ankle foot orthosis, walking boot type, varus/valgus correction, rocker bottom, anterior tibial shell, soft interface, custom arch support, plastic or other material, includes straps and closures, custom fabricated Short …

Foot drop splint, recumbent positioning device, prefabricated, off-the-shelf Short Description: Foot drop splint pre ots Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January …

Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated, off-the-shelf Short Description: Static or dynami afo …

Above knee, for proximal femoral focal deficiency, constant friction knee, shin, sach foot Short Description: Fem focal defic constant fri Coverage Code: Carrier judgment Action Code: No maintenance for …

Initial, below knee ‘ptb’ type socket, non-alignable system, pylon, no cover, sach foot, plaster socket, direct formed Short Description: Init bk ptb plaster direct Coverage Code: Carrier judgment Action …

Above knee, short prosthesis, no knee joint (‘stubbies’), with articulated ankle/foot, dynamically aligned, each Short Description: No knee joint with artic ali Coverage Code: Carrier judgment Action Code: No …

Immediate post surgical or early fitting, application of non-weight bearing rigid dressing, above knee Short Description: Postop app non-wgt bear dsg Coverage Code: Carrier judgment Action Code: No maintenance …

Above knee, short prosthesis, no knee joint (‘stubbies’), with foot blocks, no ankle joints, each Short Description: No knee/ankle joints w/ ft b Coverage Code: Carrier judgment Action Code: …

Immediate post surgical or early fitting, application of non-weight bearing rigid dressing, below knee Short Description: Postop app non-wgt bear dsg Coverage Code: Carrier judgment Action Code: No maintenance …