L1952 – Ankle foot orthosis, spiral, (institute of rehabilitative medicine type), plastic or other material, prefabricated, off-the-shelf

Long description

Ankle foot orthosis, spiral, (institute of rehabilitative medicine type), plastic or other material, prefabricated, off-the-shelf

Short description

Afo spiral prefab ots

Pricing indicator

38 Orthotics, prosthetics, prosthetic devices & vision services

Medicare coverage

C Carrier judgment – coverage decided by the Medicare contractor

BETOS category

D1F Prosthetic/Orthotic devices

Added

April 1, 2025

Last change

April 1, 2025 – No change

Nearby L codes

• L1920 – Ankle foot orthosis, single upright with static or adjustable stop (phelps or perlstein type), custom fabricated
• L1930 – Ankle foot orthosis, plastic or other material, prefabricated, includes fitting and adjustment
• L1932 – Ankle foot orthosis, rigid anterior tibial section, total carbon fiber or equal material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise
• L1933 – Ankle foot orthosis, rigid anterior tibial section, total carbon fiber or equal material, prefabricated, off-the-shelf
• L1940 – Ankle foot orthosis, plastic or other material, custom fabricated
• L1945 – Ankle foot orthosis, plastic, rigid anterior tibial section (floor reaction), custom fabricated
• L1950 – Ankle foot orthosis, spiral, (institute of rehabilitative medicine type), plastic, custom fabricated
• L1951 – Ankle foot orthosis, spiral, (institute of rehabilitative medicine type), plastic or other material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise
• 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, with or without dorsiflexion assist, prefabricated, item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise
• L1972 – Ankle foot orthosis, plastic or other material with ankle joint, with or without dorsiflexion assist, prefabricated, off-the shelf
• L1980 – Ankle foot orthosis, single upright free plantar dorsiflexion, solid stirrup, calf band/cuff (single bar 'bk' orthosis), custom fabricated
• L1990 – Ankle foot orthosis, double upright free plantar dorsiflexion, solid stirrup, calf band/cuff (double bar 'bk' orthosis), custom fabricated
• L2000 – Knee ankle foot orthosis, single upright, free knee, free ankle, solid stirrup, thigh and calf bands/cuffs (single bar 'ak' orthosis), custom fabricated
• L2005 – Knee ankle foot orthosis, any material, single or double upright, stance control, automatic lock and swing phase release, any type activation, includes ankle joint, any type, custom fabricated