L1904-Ankle orthosis, ankle gauntlet or similiar, with or without joints, custom fabricated
The following add-on codes may be used for this base code (only code for what you use):
L2270-Varus/Valgus corrective T-strap, padded/lined x 1ea
L2999-Not otherwise specified
L1906-Ankle foot orthosis, multiligamentus ankle support, prefabricated, off-the-shelf
The following add-on codes may be used for this base code (only code for what you use):
L2270-Varus/Valgus corrective T-strap, padded/lined x 1ea
L2999-Not otherwise specified
L1910-Ankle foot orthosis, posterior, single bar, clasp attachment to shoe counter, prefabricated, includes fitting and adjustment
The following add-on codes may be used for this base code (only code for what you use):
L2270-Varus/Valgus corrective T-strap, padded/lined x 1ea
L2999-Not otherwise specified
L1920-Ankle foot orthosis, single upright with static or adjustable stop (phelps or perlstein type), custom fabricated, conventional
The following add-on codes may be used for this base code (only code for what you use):
L2360-Extended Steel Shank x 1ea
L2370-Patten Bottom x 1ea
L2750- Plating Material x 1ea
L2755-Carbon graphite construction x 1ea
L2760-Growth Extension x 1ea
L2768-Side Bar, Disconnect x1 per bar
L2780-Non-Corrosive Finish x 1 per bar
L2999-Not otherwise specified
L1930-Ankle foot orthosis, plastic or other material, prefabricated, includes fitting and adjustment
The following add-on codes may be used for this base code (only code for what you use):
L2270-Varus/Valgus corrective T-strap, padded/lined x 1ea
L2820-BK soft interface, mold plast x 1ea
L2840-Tibial length sock, Fx or = x 2ea
L2999-Not otherwise specified