Does Medicare cover L1906?

Effective for claims with dates of service on or after April 1, 2012, the only products which may be billed to Medicare using code L1906 are those for which a written coding verification has been made by the Pricing, Data Analysis, and Coding (PDAC) contractor and that are listed in the Product Classification List.

What is multiligamentous ankle support?

A multiligamentous ankle support provides control of the ankle joint between the medial and lateral malleoli while allowing for dorsiflexion and plantar flexion. There are no additional HCPCS codes for this type of prefabricated ankle orthosis.

What is procedure code L1906?

L1906 – Ankle foot orthosis, multiligamentous ankle support, prefabricated, off-the-shelf.

How does an ankle foot orthosis work?

An ankle foot orthosis (AFO) is used to improve walking patterns by reducing, preventing or limiting movement of the lower leg and foot and by supporting weak muscles. They are also used to maintain joint alignment, accommodate deformity and to help reduce spasticity.

What is ankle gauntlet?

Leather Ankle Gauntlet (AFO) The leather ankle gauntlet AFO is a custom-molded Ankle Foot Orthosis. It may be used as a conservative (non-operative) management of various foot and ankle conditions, including posterior tibial tendon dysfunction (PITD), ankle osteoarthritis, and chronic ankle pain.

What is CPT code L2820?

Addition to lower extremity orthosis
L2820 Addition to lower extremity orthosis, soft interface for molded plastic, below knee section.

Who needs ankle orthosis?

Ankle Foot Orthoses (AFOs) are commonly used to treat a range of walking disorders caused by a variety of neurological and musculoskeletal disorders, such as stroke and multiple sclerosis.

What is the purpose of an ankle foot orthosis?

What is an Aircast ankle brace?

The Aircast Air-Stirrup Ankle Brace helps manage ankle injuries and can help prevent re-injury. With the patented Duplex™ air cell system, the Air-Stirrup Ankle Brace is a good option for supporting severe ankle injuries like third-degree ankle sprains.

What is CPT code L1830?

L1830. KNEE ORTHOSIS, IMMOBILIZER, CANVAS LONGITUDINAL, PREFABRICATED, OFF-THE-SHELF.

What is CPT code L3010?

L3010: Prescription Custom Fabricated Foot insert, each, removable. This type of device is fabricated from a three dimensional model of the patient’s own foot (e.g. cast, foam impression, or virtual true 3-D digital image). It may also have an intrinsic or extrinsic posts designed to control foot motion.

What kind of Orthosis is multiligamentous ankle support?

L1906 ANKLE FOOT ORTHOSIS, MULTILIGAMENTOUS ANKLE SUPPORT, PREFABRICATED, INCLUDES FITTING AND ADJUSTMENT A multiligamentous ankle support provides control of the ankle joint between the medial and lateral malleoli while allowing for dorsiflexion and plantar flexion.

Can a multi ligamentous ankle support be billed with l1906?

Thus, it is mandatory that manufacturers submit to PDAC devices for L1906 verification in order for them to qualify for reimbursement. There are some multi ligamentous type devices that have been recommended to be billed using L1906 code such as the Ossur Exoform and the GameDay that do not have a foot plate.

What is the HCPCS code for ankle support?

Orthotic and Prosthetic Procedures, Devices L1906 is a valid 2021 HCPCS code for Ankle foot orthosis, multiligamentous ankle support, prefabricated, off-the-shelf or just “ Afo multilig ank sup pre ots ” for short, used in Lump sum purchase of DME, prosthetics, orthotics.