List of HCPCS codes for: Orthotic/Prosthetic Procedures (L-codes) - Group L4



HCPCS Code: L4000
Short Description: Repl girdle milwaukee orth
Long Description: Replace girdle for spinal orthosis (ctlso or so)

HCPCS Code: L4002
Short Description: Replace strap, any orthosis
Long Description: Replacement strap, any orthosis, includes all components, any length, any type

HCPCS Code: L4010
Short Description: Replace trilateral socket br
Long Description: Replace trilateral socket brim

HCPCS Code: L4020
Short Description: Replace quadlat socket brim
Long Description: Replace quadrilateral socket brim, molded to patient model

HCPCS Code: L4030
Short Description: Replace socket brim cust fit
Long Description: Replace quadrilateral socket brim, custom fitted

HCPCS Code: L4040
Short Description: Replace molded thigh lacer
Long Description: Replace molded thigh lacer, for custom fabricated orthosis only

HCPCS Code: L4045
Short Description: Replace non-molded thigh lac
Long Description: Replace non-molded thigh lacer, for custom fabricated orthosis only

HCPCS Code: L4050
Short Description: Replace molded calf lacer
Long Description: Replace molded calf lacer, for custom fabricated orthosis only

HCPCS Code: L4055
Short Description: Replace non-molded calf lace
Long Description: Replace non-molded calf lacer, for custom fabricated orthosis only

HCPCS Code: L4060
Short Description: Replace high roll cuff
Long Description: Replace high roll cuff

HCPCS Code: L4070
Short Description: Replace prox & dist upright
Long Description: Replace proximal and distal upright for kafo

HCPCS Code: L4080
Short Description: Repl met band kafo-afo prox
Long Description: Replace metal bands kafo, proximal thigh

HCPCS Code: L4090
Short Description: Repl met band kafo-afo calf/
Long Description: Replace metal bands kafo-afo, calf or distal thigh

HCPCS Code: L4100
Short Description: Repl leath cuff kafo prox th
Long Description: Replace leather cuff kafo, proximal thigh

HCPCS Code: L4110
Short Description: Repl leath cuff kafo-afo cal
Long Description: Replace leather cuff kafo-afo, calf or distal thigh

HCPCS Code: L4130
Short Description: Replace pretibial shell
Long Description: Replace pretibial shell

HCPCS Code: L4205
Short Description: Ortho dvc repair per 15 min
Long Description: Repair of orthotic device, labor component, per 15 minutes

HCPCS Code: L4210
Short Description: Orth dev repair/repl minor p
Long Description: Repair of orthotic device, repair or replace minor parts

HCPCS Code: L4350
Short Description: Ankle control ortho pre ots
Long Description: Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, off-the-shelf

HCPCS Code: L4360
Short Description: Pneumat walking boot pre cst
Long Description: Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise

HCPCS Code: L4361
Short Description: Pneuma/vac walk boot pre ots
Long Description: Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf

HCPCS Code: L4370
Short Description: Pneum full leg splnt pre ots
Long Description: Pneumatic full leg splint, prefabricated, off-the-shelf

HCPCS Code: L4386
Short Description: Non-pneum walk boot pre cst
Long Description: Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise

HCPCS Code: L4387
Short Description: Non-pneum walk boot pre ots
Long Description: Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated, off-the-shelf

HCPCS Code: L4392
Short Description: Replace afo soft interface
Long Description: Replacement, soft interface material, static afo

HCPCS Code: L4394
Short Description: Replace foot drop spint
Long Description: Replace soft interface material, foot drop splint

HCPCS Code: L4396
Short Description: Static or dynami afo pre cst
Long Description: Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise

HCPCS Code: L4397
Short Description: Static or dynami afo pre ots
Long Description: 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

HCPCS Code: L4398
Short Description: Foot drop splint pre ots
Long Description: Foot drop splint, recumbent positioning device, prefabricated, off-the-shelf

HCPCS Code: L4631
Short Description: Afo, walk boot type, cus fab
Long Description: 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