HCPCS Level IIprostheticsActive
L4396
Static or dynami afo pre cst
BETOS: D1F
Effective: 2014-01-01
Referenced in 3 policies
Description
Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise
Coverage Policies
This code is referenced in 3 Medicare coverage policies
Sample Policies
AETNA-CPB-0565PayerPolicy