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L1904
Ankle orthosis, ankle gauntlet or similar, with or without joints, custom fabricated
HCPCS code
Medical Policies and Guidelines for Ankle orthosis, ankle gauntlet or similar, with or without joints, custom fabricated
Related policies from health plans
ANTHEM-BLUECROSS-CA
Ankle-Foot & Knee-Ankle-Foot Orthotics
HUMANA
Orthotics
HUMANA
Orthotics
Similar Codes
ICD10CM codes
Z96.669
- Presence of unspecified artificial ankle joint
Z96.66
- Presence of artificial ankle joint
Z44.109
- Encounter for fitting and adjustment of unspecified artificial leg, unspecified leg
M19.079
- Primary osteoarthritis, unspecified ankle and foot
Z44.119
- Encounter for fitting and adjustment of complete artificial leg, unspecified leg
Z44.10
- Encounter for fitting and adjustment of unspecified artificial leg
S93.409A
- Sprain of unspecified ligament of unspecified ankle, initial encounter
M24.67
- Ankylosis, ankle and foot
M19.279
- Secondary osteoarthritis, unspecified ankle and foot
M02.279
- Postimmunization arthropathy, unspecified ankle and foot
HCPCS codes
L1904
- Ankle orthosis, ankle gauntlet or similar, with or without joints, custom fabricated
L1902
- Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf
L1940
- Ankle foot orthosis, plastic or other material, custom fabricated
L1907
- Ankle orthosis, supramalleolar with straps, with or without interface/pads, custom fabricated
L1970
- Ankle foot orthosis, plastic with ankle joint, custom fabricated
L1906
- Ankle foot orthosis, multiligamentous ankle support, prefabricated, off-the-shelf
L2038
- Knee ankle foot orthosis, full plastic, with or without free motion knee, multi-axis ankle, custom f
L2036
- Knee ankle foot orthosis, full plastic, double upright, with or without free motion knee, with or wi
L1971
- Ankle foot orthosis, plastic or other material with ankle joint, prefabricated, includes fitting and
L1960
- Ankle foot orthosis, posterior solid ankle, plastic, custom fabricated
CPT4 codes
27700
- Arthroplasty, ankle
29540
- Strapping; ankle and/or foot
27702
- Arthroplasty, ankle; with implant (total ankle)
27870
- Arthrodesis, ankle, open
26860
- Arthrodesis, interphalangeal joint, with or without internal fixation
29505
- Application of long leg splint (thigh to ankle or toes)
26850
- Arthrodesis, metacarpophalangeal joint, with or without internal fixation
27842
- Closed treatment of ankle dislocation; requiring anesthesia, with or without percutaneous skeletal f
27703
- Arthroplasty, ankle; revision, total ankle
29700
- Removal or bivalving; gauntlet, boot or body cast