Ankle-Foot Orthotics (AFO) Codes (2022)
An AFO (abbreviation for Ankle-Foot Orthotics) supports, prevents, corrects, or aligns ankle deformities or improves its function. Below you can find the HCPCS codes used to bill AFO.
1. What Is HCPCS Code L1900?
L1900 covers the supply of an AFO (ankle foot orthosis). This is used to assist the patient with the dorsiflexion movement. The ankle foot orthosis is custom-made to fit the patient.
The official description of HCPCS L1900 is described by the HCPCS book as follows: “Ankle foot orthosis (AFO), spring wire, dorsiflexion assist calf band, custom-fabricated.”
2. What Is HCPCS Code L1902?
L1902 covers an ankle gauntlet for a patient without or with joints that can move. This code can be billed for a similar orthosis and is prefabricated.
The HCPCS book describes code L1902 as follows: “Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf.”
3. What Is HCPCS Code L1904?
L1094 can be billed for a custom-made ankle gauntlet. The joints of the ankle orthosis can either move or not.
The L1094 code is described by the HCPCS book as: “Ankle orthosis, ankle gauntlet or similar, with or without joints, custom fabricated.”
4. What Is HCPCS Code L1906?
L1906 may be used when a provided supplied a patient with multi-ligamentous ankle support. The orthosis is of standard size and not custom-made but prefabricated.
The HCPCS book describes HCPCS code L1906 as: “Ankle foot orthosis, multi ligamentous ankle support, prefabricated, off-the-shelf.”
5. What Is HCPCS Code L1907?
L1907 may be billed if a provider supplied an ‘above the ankle’ orthosis (supra-malleolar). The orthosis has straps, can have interface/pads (or not), and is custom-made for the patient.
The HCPCS book describes L1907 as follows: “Ankle orthosis, supra-malleolar with straps, with or without interface/pads, custom fabricated.”
6. What Is HCPCS Code L1910?
Report L1910 if a provider supplied a patient with a prefabricated posterior single bar ankle foot orthosis. Fitting and adjustment of the orthosis are included in this code.
L1910 is defined by the HCPCS book as follows: “Ankle foot orthosis (AFO), posterior, single bar, clasp attachment to shoe counter, prefabricated, includes fitting and adjustment.”
7. What Is HCPCS Code L1920?
L1920 can be used for the supply of an ankle-foot orthosis for children. The AFO is custom-made and has a single upright bar. It also has a bar that can be adjusted to the needs of the patient.
The HCPCS book describes L1910 as follows: “Ankle foot orthosis (AFO), single upright with static or adjustable stop (Phelps or Perlstein type), custom-fabricated.”
8. What Is HCPCS Code L1930?
L1930 may be billed for a prefabricated ankle foot orthosis (AFO) to a patient made from plastic or other material. Adjustment and fitting of the AFO are included in this code.
The HCPCS book describes HCPCS code L1930 as follows: “Ankle foot orthosis (AFO), plastic or other material, prefabricated, includes fitting and adjustment.”
9. What Is HCPCS Code L1932?
L1932 covers an AFO (ankle foot orthosis) that is prefabricated, made out of carbon fiber or something similar, and has a rigid anterior tibial section.
The HCPCS book describes L1932 as: “Ankle foot orthosis (AFO), rigid anterior tibial section, total carbon fiber or equal material, prefabricated, includes fitting and adjustment.”
10. What Is HCPCS Code L1940?
HCPCS L1940 covers the supply of an AFO (ankle foot orthosis). The orthosis is custom-made and made out of thermoplastic or other material.
The HCPCS book defines L1940 as: “Ankle foot orthosis (AFO), plastic or other material, custom-fabricated.”
11. What Is HCPCS Code L1945?
Report L1945 if a provider supplied a patient with a custom-made AFO (ankle foot orthosis). The AFO is made of plastic and encloses the patient’s front leg and the top of the food.
L1945 is described by HCPCS as follows: “Ankle foot orthosis (AFO), plastic, rigid anterior tibial section (floor reaction), custom-fabricated.”
12. What Is HCPCS Code L1950?
L1950 may be billed if a patient receives a custom-made spiral AFO (ankle foot orthosis) made of plastic. Fitting or adjusting is not included. You could use L1951 if fitting and adjusting were not provided.
HCPCS defines the L1950 code as: “Ankle foot orthosis (AFO), spiral, (institute of rehabilitative medicine type), plastic, custom-fabricated.”
13. What Is HCPCS Code L1951?
The L1951 code also represents a custom-made spiral AFO (ankle foot orthosis) made of plastic. This code does include fitting and adjusting. If this was not provided, use L1950 instead.
HCPCS code L1951 is described by HCPCS as: “Ankle foot orthosis (AFO), spiral, (institute of rehabilitative medicine type), plastic or other material, prefabricated, includes fitting and adjustment.”
14. What Is HCPCS Code L1960?
L1960 can be billed for AFO (ankle foot orthosis) to support the patient’s posterior part of the ankle. The AFO is custom-made for the patient to make it fit perfectly.
L1960 is an HCPCS code defined as: “Ankle foot orthosis (AFO), posterior solid ankle, plastic, custom-fabricated.”
15. What Is HCPCS Code L1970?
The L1970 code covers an AFO (ankle foot orthosis) made out of plastic with an ankle joint that can be moved. This orthosis is adjusted to the needs of the patient.
The book of HCPCS describes HCPCS code L1970 as: “Ankle foot orthosis (AFO), plastic with ankle joint, custom-fabricated.”
16. What Is HCPCS Code L1971?
L1971 can be used for a prefabricated AFO (ankle foot orthosis) made of plastic or other materials. L1971 includes adjustment and fitting of the AFO.
HCPCS L1971 is described by the HCPCS book as: “Ankle foot orthosis (AFO), plastic or other material with ankle joint, prefabricated, includes fitting and adjustment.”
17. What Is HCPCS Code L1980?
L1980 covers the supply of a custom-made AFO (ankle foot orthosis). The AFo has an upright bar that extends over the patient’s entire length of the calf. This technique allows the patient to move the foot up and down.
The L1980 code is defined by the HCPCS book as: “Ankle foot orthosis (AFO), single upright free plantar dorsiflexion, solid stirrup, calf band/cuff (single bar ‘BK’ orthosis), custom-fabricated.”
18. What Is HCPCS Code L1990?
This is the last AFO code and can be reported for a custom-made AFO. The device has a double upright bar that extends over the entire length of the patient’s calf so the foot can bend down and up.
The HCPCS book describes L1990 as follows: “Ankle foot orthosis (AFO), double upright free plantar dorsiflexion, solid stirrup, calf band/cuff (double bar ‘BK’ orthosis), custom-fabricated.”
19. References
https://www.prosthetics.va.gov/psas/Documents/OPSFACHCPClistandclothingallowanceflowchart.pdf
