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HCPCS Procedure & Supply Codes

Orthotic Devices & Services

section notes

Orthotic Devices -- Lower Limb

section notes

Ankle-Foot Orthosis (AFO)

section notes
L1900   Ankle foot orthosis, spring wire, dorsiflexion assist calf band, custom fabricated
L1902   Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated...
L1904   Ankle orthosis, ankle gauntlet or similar, with or without joints, custom fabricated
L1906   Ankle foot orthosis, multiligamentous ankle support, prefabricated, off-the-shelf
L1907   Ankle orthosis, supramalleolar with straps, with or without interface/pads, cust...
L1910   Ankle foot orthosis, posterior, single bar, clasp attachment to shoe counter, pr...
L1920   Ankle foot orthosis, single upright with static or adjustable stop (phelps or pe...
L1930   Ankle foot orthosis, plastic or other material, prefabricated, includes fitting ...
L1932   Afo, rigid anterior tibial section, total carbon fiber or equal material, prefab...
L1940   Ankle foot orthosis, plastic or other material, custom fabricated
L1945   Ankle foot orthosis, plastic, rigid anterior tibial section (floor reaction), cu...
L1950   Ankle foot orthosis, spiral, (institute of rehabilitative medicine type), plasti...
L1951   Ankle foot orthosis, spiral, (institute of rehabilitative medicine type), plasti...
L1960   Ankle foot orthosis, posterior solid ankle, plastic, custom fabricated
L1970   Ankle foot orthosis, plastic with ankle joint, custom fabricated
L1971   Ankle foot orthosis, plastic or other material with ankle joint, prefabricated, ...
L1980   Ankle foot orthosis, single upright free plantar dorsiflexion, solid stirrup, ca...
L1990   Ankle foot orthosis, double upright free plantar dorsiflexion, solid stirrup, ca...
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