L4210 – Repair of orthotic device, repair or replace minor parts
HCPCS Level II code · L codes: Orthotic and Prosthetic Procedures and Devices
HCPCS codeL4210
- Long description
- Repair of orthotic device, repair or replace minor parts
- Short description
- Orth dev repair/repl minor p
- Pricing indicator
46Priced by carrier (not otherwise classified / individual determination)- Medicare coverage
DSpecial coverage instructions apply- BETOS category
D1FProsthetic/Orthotic devices- Added
- January 1, 1985
- Last change
- January 1, 1996 – No change
Frequently asked questions
What is HCPCS code L4210?
L4210 is a HCPCS Level II code for repair of orthotic device, repair or replace minor parts.
Does Medicare cover L4210?
The HCPCS file lists coverage code D: Special coverage instructions apply. Coverage and payment also depend on local coverage determinations and the patient’s plan.
Nearby L codes
- 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
- L4205 – Repair of orthotic device, labor component, per 15 minutes
- 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
- L4370 – Pneumatic full leg splint, prefabricated, off-the-shelf
- L4386 – Walking boot, non-pneumatic, 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
- L4387 – Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated, off-the-shelf
- L4392 – Replacement, soft interface material, static afo
- L4394 – Replace soft interface material, foot drop splint
Source: CMS HCPCS Level II quarterly file, October 2026. Reference only – check payer policy before billing.