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L4361
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Procedure Codes
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HCPCS Level II
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Orthotic and Prosthetic Procedures and Devices
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L4000–L4631
L4361
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf
Back
L4000
Replace girdle for spinal orthosis (ctlso or so)
→
L4002
Replacement strap, any orthosis, includes all components, any length, any type
→
L4010
Replace trilateral socket brim
→
L4020
Replace quadrilateral socket brim, molded to patient model
→
L4030
Replace quadrilateral socket brim, custom fitted
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L4040
Replace molded thigh lacer, for custom fabricated orthosis only
→
L4045
Replace non-molded thigh lacer, for custom fabricated orthosis only
→
L4050
Replace molded calf lacer, for custom fabricated orthosis only
→
L4055
Replace non-molded calf lacer, for custom fabricated orthosis only
→
L4060
Replace high roll cuff
→
L4070
Replace proximal and distal upright for kafo
→
L4080
Replace metal bands kafo, proximal thigh
→
L4090
Replace metal bands kafo-afo, calf or distal thigh
→
L4100
Replace leather cuff kafo, proximal thigh
→
L4110
Replace leather cuff kafo-afo, calf or distal thigh
→
L4130
Replace pretibial shell
→
L4205
Repair of orthotic device, labor component, per 15 minutes
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L4210
Repair of orthotic device, repair or replace minor parts
→
L4350
Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, off-the-shelf
→
L4360
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
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L4361
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf
→
L4370
Pneumatic full leg splint, prefabricated, off-the-shelf
→
L4386
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
→
L4387
Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated, off-the-shelf
→
L4392
Replacement, soft interface material, static afo
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L4394
Replace soft interface material, foot drop splint
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L4396
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
→
L4397
Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated, off-the-shelf
→
L4398
Foot drop splint, recumbent positioning device, prefabricated, off-the-shelf
→
L4631
Ankle foot orthosis, walking boot type, varus/valgus correction, rocker bottom, anterior tibial shell, soft interface, custom arch support, plastic or other material, includes straps and closures, custom fabricated
→
Procedure code
CODABLE
L4361
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf
Part
HCPCS Level II
L
Orthotic and Prosthetic Procedures and Devices
L4
L4000–L4631
Source
CMS — ICD-10-PCS FY2026, HCPCS Level II october 2026, Procedure Codes 2026.
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