Orthotics and Prosthetics

L4396 Static or dynami afo pre cst

ANEST_BU
0
BETOS
D1F
Long 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
COV
C
HCPCS
L4396
MULT_PI
A
PRICE1
38.00
RECID
3
SEQNUM
0010
SHORT DESCRIPTION
Static or dynami afo pre cst
TOS1
P

L4386 Non-pneum walk boot pre cst

ANEST_BU
0
BETOS
D1F
Long Description
Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise
COV
C
HCPCS
L4386
MULT_PI
A
PRICE1
38.00
RECID
3
SEQNUM
0010
SHORT DESCRIPTION
Non-pneum walk boot pre cst
TOS1
P

L4360 Pneumat walking boot pre cst

ANEST_BU
0
BETOS
D1F
Long Description
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise
COV
C
HCPCS
L4360
MULT_PI
A
PRICE1
38.00
RECID
3
SEQNUM
0010
SHORT DESCRIPTION
Pneumat walking boot pre cst
TOS1
P