L4050 – Replace molded calf lacer, for custom fabricated orthosis only

HCPCS Level II code · L codes: Orthotic and Prosthetic Procedures and Devices

Active code Carrier judgment

HCPCS codeL4050
Long description
Replace molded calf lacer, for custom fabricated orthosis only
Short description
Replace molded calf lacer
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, 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

Source: CMS HCPCS Level II quarterly file, October 2026. Reference only – check payer policy before billing.