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ALL MEDICAL CODES IN CATEGORY Orthotic Procedures and Services

2025 HCPCS code L1904

Ankle orthosis, ankle gauntlet or similar, with or without joints, custom fabricated.

2025 HCPCS code L1260

Addition to thoracic-lumbar-sacral orthosis (TLSO), (low profile), anterior thoracic derotation pad.

2025 HCPCS code L1910

Prefabricated posterior single bar ankle foot orthosis (AFO).

2025 HCPCS code L3649

Orthopedic shoe, modification, addition, or transfer, not otherwise specified.

2025 HCPCS code L2360

Addition to lower extremity, extended steel shank.

2025 HCPCS code L3160

Foot, adjustable shoe-styled positioning device.

2025 HCPCS code L0820

Halo procedure, cervical halo incorporated into plaster body jacket.

2025 HCPCS code L3003

Removable silicone gel foot insert, molded to patient model.

2025 HCPCS code L2510

Addition to lower extremity, thigh or weight bearing, quadrilateral brim, molded to patient model.

2025 HCPCS code L2128

Knee ankle foot orthosis (KAFO), fracture orthosis, femoral fracture cast orthosis, custom fabricated.

2025 HCPCS code L3595

Orthopedic shoe addition, March bar.

2025 HCPCS code L3340

Solid ankle cushion heel (SACH) wedge, for shock absorption at heel strike.

2025 HCPCS code L1210

Lateral thoracic extension, addition to low profile thoracic lumbar sacral orthosis (TLSO).

2025 HCPCS code L1280

Elastic rib gusset, each, for low profile thoracic lumbar sacral orthosis (TLSO)

2025 HCPCS code L2622

Adjustable flexion hip joint with pelvic control, each.

2025 HCPCS code L3590

Orthopedic shoe addition, convert firm counter to soft counter.

2025 HCPCS code L3702

Custom fabricated elbow orthosis without joints, may include a soft interface and straps. Includes fitting and adjustment.

2025 HCPCS code L3640

Transfer of Denis Browne splint, including fitting and adjustment.

2025 HCPCS code L0621

Sacroiliac orthosis, flexible, provides pelvic-sacral support, reduces motion about the sacroiliac joint.

2025 HCPCS code L1620

Hip orthosis, abduction control of hip joints, flexible (Pavlik harness).

2025 HCPCS code L1833

Prefabricated, off-the-shelf, adjustable unicentric or polycentric knee joint orthosis, providing rigid support.

2025 HCPCS code L2126

Knee ankle foot orthosis, fracture orthosis, femoral fracture cast orthosis, thermoplastic type casting material, custom fabricated.

2025 HCPCS code L2628

Addition to lower extremity, pelvic control, metal frame, reciprocating hip joint, and cables.

2025 HCPCS code L2370

Patten bottom addition for a lower extremity orthosis.

2025 HCPCS code L2340

Molded pretibial shell addition to a lower extremity orthosis.

2025 HCPCS code L0637

Lumbar-sacral orthosis (LSO) with sagittal-coronal control, rigid frame, and intracavitary pressure.

2025 HCPCS code L0160

Semi-rigid, wire frame cervical collar with mandibular and occipital support, prefabricated, off-the-shelf.

2025 HCPCS code L0170

Cervical collar, molded to patient model.

2025 HCPCS code L3332

Lift, elevation, inside shoe, tapered, up to one-half inch.

2025 HCPCS code L0462

Thoracic-lumbar-sacral orthosis (TLSO) used to immobilize the spine, covering thoracic, lumbar, and sacral regions. It's a prefabricated, modular, three-piece rigid plastic shell system restricting motion in three planes.

2025 HCPCS code L2660

Thoracic band addition to lower extremity orthosis for thoracic spine control.

2025 HCPCS code L3765

Custom fabricated rigid elbow-wrist-hand-finger orthosis without joints, may include soft interface and straps, includes fitting and adjustment.

2025 HCPCS code L2750

Addition to lower extremity orthosis, plating chrome or nickel, per bar.

2025 HCPCS code L2650

Addition to lower extremity prosthesis for pelvic and thoracic support, gluteal pad.

2025 HCPCS code L3001

Removable foot insert, molded to patient model, Spenco, each.

2025 HCPCS code L3204

Orthopedic shoe, hightop with supinator or pronator, infant.

2025 HCPCS code L2680

Addition to lower extremity, thoracic control, lateral support uprights.

2025 HCPCS code L2861

Addition to lower extremity joint, knee or ankle, concentric adjustable torsion style mechanism for custom fabricated orthotics only, each.

2025 HCPCS code L3224

Orthopedic footwear, woman's shoe, Oxford, used as an integral part of a brace (orthosis).

2025 HCPCS code L3202

Orthopedic shoe, oxford with supinator or pronator, child

2025 HCPCS code L3540

Full sole addition to an orthopedic shoe, including fitting and adjustment.

2025 HCPCS code L3807

Wrist-hand-finger orthosis, without joint(s), prefabricated, custom fitted.

2025 HCPCS code L3913

Custom-fabricated hand finger orthosis without joints, may include soft interface and straps. Includes fitting and adjustment.

2025 HCPCS code L3999

Upper limb orthosis, not otherwise specified.

2025 HCPCS code L4110

Replacement of a leather cuff at the calf or distal thigh for a knee ankle foot orthosis (KAFO) or an ankle foot orthosis (AFO).

2025 HCPCS code L3980

Prefabricated upper extremity fracture orthosis for the humerus, including fitting and adjustment.

2025 HCPCS code L4002

Replacement strap for any orthosis, including all components, any length, any type.

2025 HCPCS code L3967

Shoulder, elbow, wrist, and hand orthosis, abduction positioning (airplane design), thoracic component and support bar, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment.

2025 HCPCS code L4360

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.

2025 HCPCS code L4397

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.