Durable Medical Equipment Coding System (DMECS)

HCPCS Code L4396 Details

Short Description: STATIC OR DYNAMI AFO PRE CST

Long Description: STATIC OR DYNAMIC ANKLE FOOT ORTHOSIS, INCLUDING SOFT INTERFACE MATERIAL, ADJUSTABLE FOR FIT, FOR POSITIONING, MAY BE USED FOR MINIMAL AMBULATION, PREFABRICATED ITEM THAT HAS BEEN TRIMMED, BENT, MOLDED, ASSEMBLED, OR OTHERWISE CUSTOMIZED TO FIT A SPECIFIC PATIENT BY AN INDIVIDUAL WITH EXPERTISE

Additional Search Terminology:

Product and Service Code(s): OR02 : ORTHOSES: PREFABRICATED (CUSTOM FITTED).

References:

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Product Classification

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Code History

Effective Date Type Notes
01/01/1997 Added to HCPCS Code Set
01/01/1997 Valid for DME MAC submission
01/01/2000 Long Description Change Old Long Description: - ANKLE CONTRACTURE SPLINT
01/01/2001 Long Description Change Old Long Description: - STATIC AFO FOR POSITIONING, PRESSURE REDUCTION, MAY BE USED FOR MINIMAL AMBULATION
01/01/2002 Long Description Change Old Long Description: - STATIC AFO, INCLUDING SOFT INTERFACE MATERIAL, FOR POSITIONING, PRESSURE REDUCTION, MAY BE USED FOR MINIMAL AMBULATION, PREFABRICATED, INCLUDES FITTING AND ADJUSTMENT
01/01/2010 Long Description Change Old Long Description: - STATIC ANKLE FOOT ORTHOSIS, INCLUDING SOFT INTERFACE MATERIAL, ADJUSTABLE FOR FIT, FOR POSITIONING, PRESSURE REDUCTION, MAY BE USED FOR MINIMAL AMBULATION, PREFABRICATED, INCLUDES FITTING AND ADJUSTMENT
01/01/2014 Long Description Change Old Long Description: - STATIC OR DYNAMIC ANKLE FOOT ORTHOSIS, INCLUDING SOFT INTERFACE MATERIAL, ADJUSTABLE FOR FIT, FOR POSITIONING, MAY BE USED FOR MINIMAL AMBULATION, PREFABRICATED, INCLUDES FITTING AND ADJUSTMENT

Crosswalk History

Effective Date From Code To Code Notes
01/01/1999 L4310 L4396
01/01/1997 K0129 L4396

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