HCPCS · LE orthotic
HCPCS L1904: Ankle foot orthosis (AFO), molded ankle gauntlet, custom-fabricated
Custom ankle gauntlet AFO
Code
L1904
Category
LE orthotic
Clinical context
Custom ankle gauntlet AFO
Coverage criteria
Custom
Frequently asked questions
What is HCPCS L1904?
Ankle foot orthosis (AFO), molded ankle gauntlet, custom-fabricated
Clinical context
Custom ankle gauntlet AFO
Coverage criteria
Custom
Related O&P codes
- L1810 — Knee orthosis (KO), elastic with joints, prefabricated, off-the-shelf
- L1812 — Knee orthosis (KO), elastic with joints, prefabricated, includes fitting and adjustment
- L1820 — Knee orthosis (KO), elastic with condylar pads and joints, with or without patellar control, prefabricated
- L1830 — Knee orthosis (KO), immobilizer, canvas longitudinal, prefabricated
- L1832 — Knee orthosis (KO), adjustable knee joints, positional orthosis, rigid support, prefabricated
- L1833 — Knee orthosis (KO), adjustable knee joints, positional orthosis, rigid support, prefabricated, off-the-shelf
Sources
Get L1904 approved faster — try ApprovalHelp free
ApprovalHelp auto-routes O&P PA requirements, attaches encounter notes, and drafts appeals when denied. no setup fee.
Get started →Contact: hello@approvalhelp.com