L4002 – Replacement strap, any orthosis, includes all components, any length, any type

Long description

Replacement strap, any orthosis, includes all components, any length, any type

Short description

Replace strap, any orthosis

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

January 1, 2005

Last change

January 1, 2005 – No change

Nearby L codes

• L3978 – Shoulder elbow wrist hand finger orthosis, abduction positioning (airplane design), thoracic component and support bar, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment
• L3980 – Upper extremity fracture orthosis, humeral, prefabricated, includes fitting and adjustment
• L3981 – Upper extremity fracture orthosis, humeral, prefabricated, includes shoulder cap design, with or without joints, forearm section, may include soft interface, straps, includes fitting and adjustments
• L3982 – Upper extremity fracture orthosis, radius/ulnar, prefabricated, includes fitting and adjustment
• L3984 – Upper extremity fracture orthosis, wrist, prefabricated, includes fitting and adjustment
• L3995 – Addition to upper extremity orthosis, sock, fracture or equal, each
• L3999 – Upper limb orthosis, not otherwise specified
• L4000 – Replace girdle for spinal orthosis (ctlso or so)
• L4010 – Replace trilateral socket brim
• L4020 – Replace quadrilateral socket brim, molded to patient model
• L4030 – Replace quadrilateral socket brim, custom fitted
• L4040 – Replace molded thigh lacer, for custom fabricated orthosis only
• L4045 – Replace non-molded thigh lacer, for custom fabricated orthosis only
• L4050 – Replace molded calf lacer, for custom fabricated orthosis only
• L4055 – Replace non-molded calf lacer, for custom fabricated orthosis only
• L4060 – Replace high roll cuff