L4090 – Replace metal bands kafo-afo, calf or distal thigh

Long description

Replace metal bands kafo-afo, calf or distal thigh

Short description

Repl met band kafo-afo calf/

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

• 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
• L4100 – Replace leather cuff kafo, proximal thigh
• L4110 – Replace leather cuff kafo-afo, calf or distal thigh
• L4130 – Replace pretibial shell
• L4205 – Repair of orthotic device, labor component, per 15 minutes
• L4210 – Repair of orthotic device, repair or replace minor parts
• L4350 – Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, off-the-shelf
• L4360 – Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise
• L4361 – Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf