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

Long description

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

Short description

Static or dynami afo 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

• 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
• L4398 – Foot drop splint, recumbent positioning device, prefabricated, off-the-shelf
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• L5060 – Ankle, symes, metal frame, molded leather socket, articulated ankle/foot
• L5100 – Below knee, molded socket, shin, sach foot