2017 HCPCS Codes > L Codes >

L1904

Ankle orthosis, ankle gauntlet or similar, with or without joints, custom fabricated

  • Effective Date: 1988-01-01
  • Medicare Coverage Status: Carrier Judgement
  • BETOS Classification: Prosthestic/Orthotic devices

Medicare Fees (ceiling): $562.81

L1902       L1906