L4350 – Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, off-the-shelf
HCPCS Level II code · L codes: Orthotic and Prosthetic Procedures and Devices
HCPCS codeL4350
- Long description
- Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, off-the-shelf
- Short description
- Ankle control ortho pre ots
- 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, 1989
- Last change
- January 1, 2014 – No change
Frequently asked questions
What is HCPCS code L4350?
L4350 is a HCPCS Level II code for ankle control orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, off-the-shelf.
Does Medicare cover L4350?
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
- 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
- L4210 – Repair of orthotic device, repair or replace minor parts
- 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
- L4396 – Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise
Source: CMS HCPCS Level II quarterly file, October 2026. Reference only – check payer policy before billing.