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L1904 - HCPCS Level II | Verity

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HCPCS Level IIprostheticsActive

L1904

Afo molded ankle gauntlet

BETOS: D1F

Effective: 2016-01-01

Referenced in 2 policies

Description

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

Coverage Policies

This code is referenced in 2 Medicare coverage policies

Sample Policies

ANTHEM-CG-DME-22PayerPolicy

covered

CG-DME-22 Ankle-Foot & Knee-Ankle-Foot Orthoses

L33686LCDcovered

Ankle-Foot/Knee-Ankle-Foot Orthosis

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About HCPCS Level II

Healthcare Common Procedure Coding System Level II codes for supplies, equipment, and non-physician services

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