L4387 – Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated, off-the-shelf

Long description

Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated, off-the-shelf

Short description

Non-pneum walk boot pre ots

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, 2014

Last change

January 1, 2014 – No change

Nearby L codes

• 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
• 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
• 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
• L4397 – Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated, off-the-shelf
• L4398 – Foot drop splint, recumbent positioning device, prefabricated, off-the-shelf
• L4631 – Ankle foot orthosis, walking boot type, varus/valgus correction, rocker bottom, anterior tibial shell, soft interface, custom arch support, plastic or other material, includes straps and closures, custom fabricated
• L5000 – Partial foot, shoe insert with longitudinal arch, toe filler
• L5010 – Partial foot, molded socket, ankle height, with toe filler