2017 HCPCS Codes > L Codes >

L4055

Replace non-molded calf lacer, for custom fabricated orthosis only

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

Medicare Fees (ceiling): $319.95

L4050       L4060