L4055 Replace non-molded calf lacer, for custom fabricated orthosis only

Short descriptor: Replace non-molded calf lace

✓ Active HCPCS Level II 2026
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L4055 is the HCPCS Level II code for Replace non-molded calf lacer, for custom fabricated orthosis only (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
2005-01-01
2026 Maintenance
No change this year

References

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Reference L4055 with the canonical source and edition:

L4055 — Replace non-molded calf lacer, for custom fabricated orthosis only. ICD-10 Coding Pro (HCPCS Level II 2026). https://icd10codingpro.com/hcpcs-codes/L4055

Canonical URL: https://icd10codingpro.com/hcpcs-codes/L4055

Related Codes in Section L

← L4050 Replace molded calf lacer L4060 → Replace high roll cuff
L4030 Replace socket brim cust fit L4040 Replace molded thigh lacer L4045 Replace non-molded thigh lac L4050 Replace molded calf lacer L4060 Replace high roll cuff L4070 Replace prox & dist upright L4080 Repl met band kafo-afo prox L4090 Repl met band kafo-afo calf/ L4100 Repl leath cuff kafo prox th L4110 Repl leath cuff kafo-afo cal
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Reviewed by Prajwal Shrestha, CPC, CRC
Certified Professional Coder (CPC) and Certified Risk Adjustment Coder (CRC) · AAPC Member ID 01997614 · About · Editorial policy · Content last reviewed: 2026-01-01

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