Replace non-molded calf lacer, for custom fabricated orthosis only

L4055
HCPCS Code

2023 HCPCS
Billable/Valid Code

L4055 is a valid 2023 HCPCS Code that could be used to indicate Replace non-molded calf lacer, for custom fabricated orthosis only for reimbursement purposes.

L4055 belongs to Lump Sum Purchase of DME, Prosthetics, Orthotics Type of Service and has been in effect since Jan 01, 2005.

Short description for L4055 HCPCS code:

Replace non-molded calf lace

HCPCS L4055

L4055 code information

HCPCS code:	L4055
Description:	REPLACE NON-MOLDED CALF LACER, FOR CUSTOM FABRICATED ORTHOSIS ONLY
Effective Date:	Jan 01, 2005
Added Date:	Jan 01, 1988
Termination Date:	HCPCS L4055 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