L4020 – Replace quadrilateral socket brim, molded to patient model

Long description

Replace quadrilateral socket brim, molded to patient model

Short description

Replace quadlat socket brim

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, 1985

Last change

January 1, 1996 – No change

Nearby L codes

• 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)
• L4002 – Replacement strap, any orthosis, includes all components, any length, any type
• L4010 – Replace trilateral socket brim
• 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
• L4070 – Replace proximal and distal upright for kafo
• L4080 – Replace metal bands kafo, proximal thigh