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Replacement of a high roll cuff for a lower extremity orthosis.
2025 HCPCS code L4387
Walking boot, non-pneumatic, prefabricated, and off-the-shelf.
2025 HCPCS code L2000
Knee ankle foot orthosis, single upright, free knee, free ankle, solid stirrup, thigh and calf bands/cuffs (single bar 'AK' orthosis), custom fabricated.
2025 HCPCS code L3410
Metatarsal bar wedge inserted between layers of the sole to relieve pressure on the foot.
2025 HCPCS code L3020
Removable foot insert, molded to patient model, for longitudinal and metatarsal support.
2025 HCPCS code L0980
Prefabricated, off-the-shelf peroneal straps, supplied in pairs.
2025 HCPCS code L3002
Removable foot insert, molded to patient model, Plastazote or similar material.
2025 HCPCS code L3310
Neoprene heel and sole lift for an orthosis, per inch of elevation.
2025 HCPCS code L4394
Replacement of soft interface material for a foot drop splint.
2025 HCPCS code L2035
Child's standard size knee-ankle-foot orthosis (KAFO), static, prefabricated.
2025 HCPCS code L3620
Transfer of an existing solid stirrup orthosis from one shoe to another, including fitting and adjustment.
2025 HCPCS code L3360
Sole wedge, attached to the outside of the sole.
2025 HCPCS code L3671
Custom fabricated shoulder orthosis, without joints, may include a soft interface and straps. Includes fitting and adjustment.
2025 HCPCS code L2425
Addition to knee joint; disc or dial lock for adjustable knee flexion, each joint.
2025 HCPCS code L1820
Prefabsricated elastic knee orthosis with joints and condylar pads, with or without patellar control; customized to fit a specific patient.
2025 HCPCS code L0810
Supply of a cervical halo incorporated into a jacket vest; a component of a halo vest traction unit.
2025 HCPCS code L3925
Supply of a prefabricated, off-the-shelf finger orthosis with non-torsion joints for PIP/DIP joints, allowing flexion/extension but preventing rotation.
2025 HCPCS code L3915
Supply of a single prefabricated wrist and hand orthosis with customization.
2025 HCPCS code L2600
Supply of each clevis type, or thrust bearing, free hip joint for pelvic control.
2025 HCPCS code L2037
Supply of a custom-fabricated knee-ankle-foot orthosis (KAFO) with a single plastic upright, and optional free motion knee and ankle.
2025 HCPCS code L2036
Supply of a custom-fabricated knee-ankle-foot orthosis (KAFO) with double plastic uprights, and optional free motion knee and ankle joints.
2025 HCPCS code L2350
This HCPCS code represents a prosthetic below-knee (BK) socket used with patellar tendon-bearing (PTB) ankle-foot orthoses (AFOs).
2025 HCPCS code L2520
Supply of a custom-fitted quadrilateral thigh brim for a knee-ankle-foot orthosis (KAFO).
2025 HCPCS code L0999
Supply of an addition to a spinal orthosis when a specific code is unavailable.
2025 HCPCS code L1730
Custom-fabricated Scottish Rite type orthosis for Legg-Calvé-Perthes disease.
2025 HCPCS code L1950
Supply of a custom-fabricated, spiral ankle-foot orthosis (AFO) made of plastic.
2025 HCPCS code L3906
Supply of a custom-fabricated wrist-hand orthosis without joints; may include soft interface, straps, and fitting/adjustment.
2025 HCPCS code L3956
Addition of a joint to an existing upper extremity orthosis, using any material; per joint.
2025 HCPCS code L3213
Supply of a pair of Benesch boots for a child (1-8 years), including fitting and adjustment.
2025 HCPCS code L0631
Supply of a prefabricated lumbosacral orthosis, customized for a specific patient.
2025 HCPCS code L4361
Supply of a prefabricated, off-the-shelf pneumatic and/or vacuum-based walking boot for ankle and foot support.
2025 HCPCS code L0630
Supply of a prefabricated lumbosacral orthosis, customized to fit a specific patient.
2025 HCPCS code L1230
Reports a Milwaukee-type superstructure added to a TLSO or scoliosis orthosis to support or correct spinal alignment.
2025 HCPCS code L2275
Addition to lower extremity orthosis for varus/valgus foot deformity correction.
2025 HCPCS code L1685
Custom-fabricated hip orthosis for postoperative use, controlling hip joint abduction.
2025 HCPCS code L2795
Supply of a full kneecap to control and stabilize knee movement, including fitting and adjustment as an addition to a lower extremity orthosis.
2025 HCPCS code L1902
Prefabsricated ankle orthosis (ankle gauntlet or similar) with or without joints; off-the-shelf.
2025 HCPCS code L0454
Supply of a prefabricated, customized thoracic lumbar sacral orthosis (TLSO).
2025 HCPCS code L0638
Supply of a custom-fabricated lumbosacral orthosis (LSO) with sagittal-coronal control, featuring rigid anterior and posterior panels.
2025 HCPCS code L0112
Custom-fabricated cranial cervical orthosis for congenital torticollis, with adjustable range of motion and optional soft interface.
2025 HCPCS code L1499
Spinal orthosis, not otherwise specified.
2025 HCPCS code L3931
Supply of a prefabricated dynamic wrist, hand, and finger orthosis with adjustable joints, elastic bands, and turnbuckles; includes fitting and adjustment.
2025 HCPCS code L1220
Addition of an anterior thoracic extension to a low-profile thoracolumbosacral orthosis (TLSO).
2025 HCPCS code L3677
Supply of a prefabricated shoulder orthosis, without joints, customized to fit a specific patient.
2025 HCPCS code L2108
Supply of a custom-fabricated ankle-foot orthosis (AFO) to manage a tibial fracture.
2025 HCPCS code L3254
Supply of orthotic shoes of nonstandard size or width, including fitting and adjustment.
2025 HCPCS code L2310
Addition to lower extremity, abduction bar-straight.
2025 HCPCS code L3933
Supply of a custom-fabricated finger orthosis without joints; may include a soft inner lining; includes fitting and adjustment.
2025 HCPCS code L0639
Supply of a lumbosacral orthosis (LSO) with sagittal-coronal control, featuring rigid shells/panels, customized to fit a specific patient.
2025 HCPCS code L3720
Supply of a custom-fabricated, free-motion elbow orthosis with double uprights connecting upper and lower arm cuffs; includes fitting and adjustment.
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