L1904 is a valid 2023 HCPCS Code that could be used to indicate Ankle orthosis, ankle gauntlet or similar, with or without joints, custom fabricated for reimbursement purposes.
L1904 belongs to Lump Sum Purchase of DME, Prosthetics, Orthotics Type of Service and has been in effect since Jan 01, 2016.
Afo molded ankle gauntlet
L1904 code information
| HCPCS code: | L1904 |
| Description: | ANKLE ORTHOSIS, ANKLE GAUNTLET OR SIMILAR, WITH OR WITHOUT JOINTS, CUSTOM FABRICATED |
| Effective Date: | Jan 01, 2016 |
| Added Date: | Jan 01, 1988 |
| Termination Date: | HCPCS L1904 was terminated on Nov 30, -0001 |
| Pricing indicator: | 38 - ORTHOTICS, PROSTHETICS, PROSTHETIC DEVICES & VISION SERVICES (PRICE SUBJECT TO FLOORS AND CEILINGS) |
| Multi Pricing indicator: | A - NOT APPLICABLE AS HCPCS PRICED UNDER ONE METHODOLOGY |
| Coverage code: | C - CARRIER JUDGMENT |
| BETOS code: | D1F - ORTHOTIC DEVICES |
| Action code: | N - NO MAINTENANCE FOR THIS CODE |
| Type of Service: |
P - LUMP SUM PURCHASE OF DME, PROSTHETICS, ORTHOTICS
|
| Anesthesia BUQ: | 0 |
Below a selection of HCPCS codes related to L1904