L4050 – Replace molded calf lacer, for custom fabricated orthosis only
HCPCS Level II code · L codes: Orthotic and Prosthetic Procedures and Devices
HCPCS codeL4050
- Long description
- Replace molded calf lacer, for custom fabricated orthosis only
- Short description
- Replace molded calf lacer
- Pricing indicator
38Orthotics, prosthetics, prosthetic devices & vision services- Medicare coverage
CCarrier judgment – coverage decided by the Medicare contractor- BETOS category
D1FProsthetic/Orthotic devices- Added
- January 1, 1985
- Last change
- January 1, 2005 – No change
Frequently asked questions
What is HCPCS code L4050?
L4050 is a HCPCS Level II code for replace molded calf lacer, for custom fabricated orthosis only.
Does Medicare cover L4050?
The HCPCS file lists coverage code C: Carrier judgment – coverage decided by the Medicare contractor. Coverage and payment also depend on local coverage determinations and the patient’s plan.
Nearby L codes
- 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
- 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
- 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
- L4090 – Replace metal bands kafo-afo, calf or distal thigh
- L4100 – Replace leather cuff kafo, proximal thigh
- L4110 – Replace leather cuff kafo-afo, calf or distal thigh
- L4130 – Replace pretibial shell
Source: CMS HCPCS Level II quarterly file, October 2026. Reference only – check payer policy before billing.