L1907-Ankle orthosis, supramalleolar with straps, with or without interface/pads, 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
L2275-Varus/Valgus plastic modification x 1ea
L2280-Molded inner boot x 1ea
L2999-Not otherwise specified
L1960-Ankle foot orthosis, posterior solid ankle, plastic, custom fabricated
The following add-on codes may be used for this base code (only code for what you use):
L2232-Rocker bottom x 1ea
L2270-Varus/Valgus corrective T-strap, padded/lined x 1ea
L2275-Varus/Valgus plastic modification x 1ea
L2280-Molded inner boot x 1ea
L2340-Pre-Tibial shell, molded to Pt. x 1ea
L2350-Pros BK, PTB-AFO type Brim, molded to Pt. x 1ea
L2755-Carbon graphite construction x 1ea
L2820-BK soft interface, mold plast x 1ea
L2840-Tibial length sock, Fx or = x 2ea
L2999-Not otherwise specified
L1970-Ankle foot orthosis, plastic with ankle joint, custom fabricated
The following add-on codes may be used for this base code (only code for what you use):
L2200-Limited Ankle Motion, each joint
L2210-Dorsi Assist/Plant Flex Resist, each joint
L2220-Dorsi/Plant Flex Assist/Resist, each joint
L2270-Varus/Valgus corrective T-strap, padded/lined x 1ea
L2275-Varus/Valgus plastic modification x 1ea
L2280-Molded inner boot x 1ea
L2340-Pre-Tibial shell, molded to Pt. x 1ea
L2350-Pros BK, PTB-AFO type Brim, molded to Pt. x 1ea
L2755-Carbon graphite construction x 1ea
L2820-BK soft interface, mold plast x 1ea
L2840-Tibial length sock, Fx or = x 2ea
L2999-Not otherwise specified