L1904 Ankle orthosis, ankle gauntlet or similar, with or without joints, custom fabricated
Short descriptor: Afo molded ankle gauntlet
Look up L1904 alongside ICD-10-CM diagnoses, the HCPCS Table of Drugs, and the AI coding assistant.
L1904 is the HCPCS Level II code for Ankle orthosis, ankle gauntlet or similar, with or without joints, custom fabricated (2026). It belongs to Section L — Orthotic & Prosthetic Procedures. Under Medicare, its coverage status is: Carrier judgment. Part B pricing methodology: Orthotics, prosthetics & vision services.
Classification & CMS Attributes
- Medicare Coverage
- Carrier judgment (code C)
- Part B Pricing
- Orthotics, prosthetics & vision services (indicator 38)
- Type of Service
- Lump-sum purchase of DME, prosthetics, orthotics
- Effective Date
- 2016-01-01
- 2026 Maintenance
- No change this year
References
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Reference L1904 with the canonical source and edition:
L1904 — Ankle orthosis, ankle gauntlet or similar, with or without joints, custom fabricated. ICD-10 Coding Pro (HCPCS Level II 2026). https://icd10codingpro.com/hcpcs-codes/L1904
Canonical URL: https://icd10codingpro.com/hcpcs-codes/L1904