Prefabricated/OTS

Description

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

ICD10 Code:
S93-Spain of ankle, M25.579-Pain in unspecified ankle and joints of unspecified foot, G57.50-Tarsal Tunnel Syndrome, M77.9-Enthesopathy of ankle and Tarsus
MOD
KXGY
Disclaimer
Responsibility for accurate coding lies solely with the clinician treating the patient. OandP Academy assumes no responsibility or liability for the provider’s coding decisions. OandP Academy coding suggestions rest on its best judgment and are subject to revision based on additional information or changes in the alpha-numeric system. Ultimately it is your responsibility to code appropriately. Code using this tool at your own risk. OandP Academy suggest that there is documentation of what is being provided to the patient and that services furnished are clinically justified.
Description

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

ICD10 Code:
M25.579-Pain in unspecified ankle and joints of unspecified foot, G57.50-Tarsal Tunnel Syndrome, M77.9-Enthesopathy of ankle and Tarsus
MOD
KXGY
Disclaimer
Responsibility for accurate coding lies solely with the clinician treating the patient. OandP Academy assumes no responsibility or liability for the provider’s coding decisions. OandP Academy coding suggestions rest on its best judgment and are subject to revision based on additional information or changes in the alpha-numeric system. Ultimately it is your responsibility to code appropriately. Code using this tool at your own risk. OandP Academy suggest that there is documentation of what is being provided to the patient and that services furnished are clinically justified.
Description

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

ICD10 Code:
R26-Gait abnormality
MOD
KXGY
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Disclaimer
Responsibility for accurate coding lies solely with the clinician treating the patient. OandP Academy assumes no responsibility or liability for the provider’s coding decisions. OandP Academy coding suggestions rest on its best judgment and are subject to revision based on additional information or changes in the alpha-numeric system. Ultimately it is your responsibility to code appropriately. Code using this tool at your own risk. OandP Academy suggest that there is documentation of what is being provided to the patient and that services furnished are clinically justified.
Description

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

ICD10 Code:
Drop Foot-M21.379/ Hemiplegia G81.90
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Disclaimer
Responsibility for accurate coding lies solely with the clinician treating the patient. OandP Academy assumes no responsibility or liability for the provider’s coding decisions. OandP Academy coding suggestions rest on its best judgment and are subject to revision based on additional information or changes in the alpha-numeric system. Ultimately it is your responsibility to code appropriately. Code using this tool at your own risk. OandP Academy suggest that there is documentation of what is being provided to the patient and that services furnished are clinically justified.
Description

L1951-Ankle foot orthosis, spiral, (institute of rehabilitative medicine type), 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

L2999-Not otherwise specified

ICD10 Code:
M21.379-Drop Foot R26.89-Gait Abnormality G81.90-Hemiplegia I63.9-Stroke
Manufacturer
OttoBock WalkOn, Kinetic Research Noodle AFO, TrueLife Matrix Curve, TrueLife Spiral AFO
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Disclaimer
Responsibility for accurate coding lies solely with the clinician treating the patient. OandP Academy assumes no responsibility or liability for the provider’s coding decisions. OandP Academy coding suggestions rest on its best judgment and are subject to revision based on additional information or changes in the alpha-numeric system. Ultimately it is your responsibility to code appropriately. Code using this tool at your own risk. OandP Academy suggest that there is documentation of what is being provided to the patient and that services furnished are clinically justified.