2025 HCPCS code L4210
Repair of orthotic device, including repair or replacement of minor parts.
Modifiers may be applicable to provide additional information about the services provided. Refer to current HCPCS coding guidelines for appropriate modifier usage.
In simple words: This code covers fixing a brace or support (orthotic device) by repairing it or replacing small parts.
This code represents the repair of an orthotic device, including the repair or replacement of minor parts. An orthosis is an apparatus used to support, align, prevent, or correct deformities or to improve the function of movable body parts. This code is used for the repair of an orthosis that the patient has previously received. The provider either repairs or replaces minor parts of the existing orthosis.
Example 1: A patient's ankle-foot orthosis (AFO) has a broken strap. The orthotist replaces the strap and adjusts the AFO for proper fit., The plastic shell of a patient's knee orthosis is cracked. The orthotist repairs the crack and reinforces the area., A patient's spinal orthosis has a worn-out padding liner. The orthotist replaces the liner with a new one.
Documentation should include a description of the orthotic device being repaired, the specific repairs performed, and the parts replaced (if any). The medical necessity of the repair should also be documented.
- Specialties:Orthotists, Prosthetists, Physical Medicine and Rehabilitation, Orthopedic Surgery
- Place of Service:Office, Outpatient Hospital, Skilled Nursing Facility, Home