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HCPCS Procedure & Supply Codes
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Orthotic Devices & Services
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Orthotic Devices -- Lower Limb
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Ankle-Foot Orthosis (AFO)
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| L1900 | | Ankle foot orthosis, spring wire, dorsiflexion assist calf band, custom fabricated |
| L1902 | | Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated... |
| L1904 | | Ankle orthosis, ankle gauntlet or similar, with or without joints, custom fabricated |
| L1906 | | Ankle foot orthosis, multiligamentous ankle support, prefabricated, off-the-shelf |
| L1907 | | Ankle orthosis, supramalleolar with straps, with or without interface/pads, cust... |
| L1910 | | Ankle foot orthosis, posterior, single bar, clasp attachment to shoe counter, pr... |
| L1920 | | Ankle foot orthosis, single upright with static or adjustable stop (phelps or pe... |
| L1930 | | Ankle foot orthosis, plastic or other material, prefabricated, includes fitting ... |
| L1932 | | Afo, rigid anterior tibial section, total carbon fiber or equal material, prefab... |
| L1940 | | Ankle foot orthosis, plastic or other material, custom fabricated |
| L1945 | | Ankle foot orthosis, plastic, rigid anterior tibial section (floor reaction), cu... |
| L1950 | | Ankle foot orthosis, spiral, (institute of rehabilitative medicine type), plasti... |
| L1951 | | Ankle foot orthosis, spiral, (institute of rehabilitative medicine type), plasti... |
| L1960 | | Ankle foot orthosis, posterior solid ankle, plastic, custom fabricated |
| L1970 | | Ankle foot orthosis, plastic with ankle joint, custom fabricated |
| L1971 | | Ankle foot orthosis, plastic or other material with ankle joint, prefabricated, ... |
| L1980 | | Ankle foot orthosis, single upright free plantar dorsiflexion, solid stirrup, ca... |
| L1990 | | Ankle foot orthosis, double upright free plantar dorsiflexion, solid stirrup, ca... |
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