L-code: Orthotics and prosthetics Orthotics and prosthetics
943 codes
Billing context
L-codes describe orthotic and prosthetic procedures and devices.
| Code | Long descriptor | Payment limit (Q4 2026) | Added | Status |
|---|---|---|---|---|
| L3901 | Wrist hand finger orthosis, dynamic flexor hinge, reciprocal wrist extension/ flexion, finger flexion/extension, cable driven, custom fabricated | — | Jan 1, 1984 | Active |
| L3904 | Wrist hand finger orthosis, external powered, electric, custom fabricated | — | Jan 1, 1982 | Active |
| L3905 | Wrist hand orthosis, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment | — | Jan 1, 2006 | Active |
| L3906 | Wrist hand orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment | — | Jan 1, 1986 | Active |
| L3908 | Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf | — | Jan 1, 1986 | Active |
| L3912 | Hand finger orthosis (hfo), flexion glove with elastic finger control, prefabricated, off-the-shelf | — | Jan 1, 1982 | Active |
| L3913 | Hand finger orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment | — | Jan 1, 2006 | Active |
| L3915 | Wrist hand orthosis, includes one or more nontorsion joint(s), elastic bands, turnbuckles, may include soft interface, straps, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise | — | Jan 1, 2007 | Active |
| L3916 | Wrist hand orthosis, includes one or more nontorsion joint(s), elastic bands, turnbuckles, may include soft interface, straps, prefabricated, off-the-shelf | — | Jan 1, 2014 | Active |
| L3917 | Hand orthosis, metacarpal fracture orthosis, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise | — | Jan 1, 2004 | Active |
| L3918 | Hand orthosis, metacarpal fracture orthosis, prefabricated, off-the-shelf | — | Jan 1, 2014 | Active |
| L3919 | Hand orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment | — | Jan 1, 2006 | Active |
| L3921 | Hand finger orthosis, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment | — | Jan 1, 2006 | Active |
| L3923 | Hand finger orthosis, without joints, may include soft interface, straps, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise | — | Jan 1, 2001 | Active |
| L3924 | Hand finger orthosis, without joints, may include soft interface, straps, prefabricated, off-the-shelf | — | Jan 1, 2014 | Active |
| L3925 | Finger orthosis, proximal interphalangeal (pip)/distal interphalangeal (dip), non torsion joint/spring, extension/flexion, may include soft interface material, prefabricated, off-the-shelf | — | Jan 1, 2008 | Active |
| L3927 | Finger orthosis, proximal interphalangeal (pip)/distal interphalangeal (dip), without joint/spring, extension/flexion (e.g., static or ring type), may include soft interface material, prefabricated, off-the-shelf | — | Jan 1, 2008 | Active |
| L3929 | Hand finger orthosis, includes one or more nontorsion joint(s), turnbuckles, elastic bands/springs, may include soft interface material, straps, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise | — | Jan 1, 2008 | Active |
| L3930 | Hand finger orthosis, includes one or more nontorsion joint(s), turnbuckles, elastic bands/springs, may include soft interface material, straps, prefabricated, off-the-shelf | — | Jan 1, 2014 | Active |
| L3931 | Wrist hand finger orthosis, includes one or more nontorsion joint(s), turnbuckles, elastic bands/springs, may include soft interface material, straps, prefabricated, includes fitting and adjustment | — | Jan 1, 2008 | Active |
| L3933 | Finger orthosis, without joints, may include soft interface, custom fabricated, includes fitting and adjustment | — | Jan 1, 2006 | Active |
| L3935 | Finger orthosis, nontorsion joint, may include soft interface, custom fabricated, includes fitting and adjustment | — | Jan 1, 2006 | Active |
| L3956 | Addition of joint to upper extremity orthosis, any material; per joint | — | Jan 1, 1997 | Active |
| L3960 | Shoulder elbow wrist hand orthosis, abduction positioning, airplane design, prefabricated, includes fitting and adjustment | — | Jan 1, 1986 | Active |
| L3961 | Shoulder elbow wrist hand orthosis, shoulder cap design, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment | — | Jan 1, 2006 | Active |
| L3962 | Shoulder elbow wrist hand orthosis, abduction positioning, erb's palsey design, prefabricated, includes fitting and adjustment | — | Jan 1, 1982 | Active |
| L3967 | Shoulder elbow wrist hand orthosis, abduction positioning (airplane design), thoracic component and support bar, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment | — | Jan 1, 2006 | Active |
| L3971 | Shoulder elbow wrist hand orthosis, shoulder cap design, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment | — | Jan 1, 2006 | Active |
| L3973 | Shoulder elbow wrist hand orthosis, abduction positioning (airplane design), thoracic component and support bar, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment | — | Jan 1, 2006 | Active |
| L3975 | Shoulder elbow wrist hand finger orthosis, shoulder cap design, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment | — | Jan 1, 2006 | Active |
| L3976 | Shoulder elbow wrist hand finger orthosis, abduction positioning (airplane design), thoracic component and support bar, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment | — | Jan 1, 2006 | Active |
| L3977 | Shoulder elbow wrist hand finger orthosis, shoulder cap design, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment | — | Jan 1, 2006 | Active |
| L3978 | Shoulder elbow wrist hand finger orthosis, abduction positioning (airplane design), thoracic component and support bar, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment | — | Jan 1, 2006 | Active |
| L3980 | Upper extremity fracture orthosis, humeral, prefabricated, includes fitting and adjustment | — | Jan 1, 1982 | Active |
| L3981 | Upper extremity fracture orthosis, humeral, prefabricated, includes shoulder cap design, with or without joints, forearm section, may include soft interface, straps, includes fitting and adjustments | — | Jan 1, 2015 | Active |
| L3982 | Upper extremity fracture orthosis, radius/ulnar, prefabricated, includes fitting and adjustment | — | Jan 1, 1984 | Active |
| L3984 | Upper extremity fracture orthosis, wrist, prefabricated, includes fitting and adjustment | — | Jan 1, 1982 | Active |
| L3995 | Addition to upper extremity orthosis, sock, fracture or equal, each | — | Jan 1, 1989 | Active |
| L3999 | Upper limb orthosis, not otherwise specifiedNOC / NOS | — | Jan 1, 1982 | Active |
| L4000 | Replace girdle for spinal orthosis (ctlso or so) | — | Jan 1, 1985 | Active |
| L4002 | Replacement strap, any orthosis, includes all components, any length, any type | — | Jan 1, 2005 | Active |
| L4010 | Replace trilateral socket brim | — | Jan 1, 1985 | Active |
| L4020 | Replace quadrilateral socket brim, molded to patient model | — | Jan 1, 1985 | Active |
| L4030 | Replace quadrilateral socket brim, custom fitted | — | Jan 1, 1985 | Active |
| L4040 | Replace molded thigh lacer, for custom fabricated orthosis only | — | Jan 1, 1985 | Active |
| L4045 | Replace non-molded thigh lacer, for custom fabricated orthosis only | — | Jan 1, 1988 | Active |
| L4050 | Replace molded calf lacer, for custom fabricated orthosis only | — | Jan 1, 1985 | Active |
| L4055 | Replace non-molded calf lacer, for custom fabricated orthosis only | — | Jan 1, 1988 | Active |
| L4060 | Replace high roll cuff | — | Jan 1, 1985 | Active |
| L4070 | Replace proximal and distal upright for kafo | — | Jan 1, 1986 | Active |
| L4080 | Replace metal bands kafo, proximal thigh | — | Jan 1, 1986 | Active |
| L4090 | Replace metal bands kafo-afo, calf or distal thigh | — | Jan 1, 1985 | Active |
| L4100 | Replace leather cuff kafo, proximal thigh | — | Jan 1, 1986 | Active |
| L4110 | Replace leather cuff kafo-afo, calf or distal thigh | — | Jan 1, 1985 | Active |
| L4130 | Replace pretibial shell | — | Jan 1, 1984 | Active |
| L4205 | Repair of orthotic device, labor component, per 15 minutes | — | Jan 1, 1997 | Active |
| L4210 | Repair of orthotic device, repair or replace minor parts | — | Jan 1, 1985 | Active |
| L4350 | Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, off-the-shelf | — | Jan 1, 1989 | Active |
| L4360 | Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise | — | Jan 1, 1989 | Active |
| L4361 | Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf | — | Jan 1, 2014 | Active |
| L4370 | Pneumatic full leg splint, prefabricated, off-the-shelf | — | Jan 1, 1989 | Active |
| L4386 | Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise | — | Jan 1, 2003 | Active |
| L4387 | Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated, off-the-shelf | — | Jan 1, 2014 | Active |
| L4392 | Replacement, soft interface material, static afo | — | Jan 1, 1997 | Active |
| L4394 | Replace soft interface material, foot drop splint | — | Jan 1, 1997 | Active |
| L4396 | 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 | — | Jan 1, 1997 | Active |
| L4397 | Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated, off-the-shelf | — | Jan 1, 2014 | Active |
| L4398 | Foot drop splint, recumbent positioning device, prefabricated, off-the-shelf | — | Jan 1, 1997 | Active |
| L4631 | Ankle foot orthosis, walking boot type, varus/valgus correction, rocker bottom, anterior tibial shell, soft interface, custom arch support, plastic or other material, includes straps and closures, custom fabricated | — | Jan 1, 2011 | Active |
| L5000 | Partial foot, shoe insert with longitudinal arch, toe filler | — | Jan 1, 1982 | Active |
| L5010 | Partial foot, molded socket, ankle height, with toe filler | — | Jan 1, 1982 | Active |
| L5020 | Partial foot, molded socket, tibial tubercle height, with toe filler | — | Jan 1, 1982 | Active |
| L5050 | Ankle, symes, molded socket, sach foot | — | Jan 1, 1985 | Active |
| L5060 | Ankle, symes, metal frame, molded leather socket, articulated ankle/foot | — | Jan 1, 1985 | Active |
| L5100 | Below knee, molded socket, shin, sach foot | — | Jan 1, 1982 | Active |
| L5105 | Below knee, plastic socket, joints and thigh lacer, sach foot | — | Jan 1, 1989 | Active |
| L5150 | Knee disarticulation (or through knee), molded socket, external knee joints, shin, sach foot | — | Jan 1, 1982 | Active |
| L5160 | Knee disarticulation (or through knee), molded socket, bent knee configuration, external knee joints, shin, sach foot | — | Jan 1, 1982 | Active |
| L5200 | Above knee, molded socket, single axis constant friction knee, shin, sach foot | — | Jan 1, 1982 | Active |
| L5210 | Above knee, short prosthesis, no knee joint ('stubbies'), with foot blocks, no ankle joints, each | — | Jan 1, 1982 | Active |
| L5220 | Above knee, short prosthesis, no knee joint ('stubbies'), with articulated ankle/foot, dynamically aligned, each | — | Jan 1, 1982 | Active |
| L5230 | Above knee, for proximal femoral focal deficiency, constant friction knee, shin, sach foot | — | Jan 1, 1982 | Active |
| L5250 | Hip disarticulation, canadian type; molded socket, hip joint, single axis constant friction knee, shin, sach foot | — | Jan 1, 1982 | Active |
| L5270 | Hip disarticulation, tilt table type; molded socket, locking hip joint, single axis constant friction knee, shin, sach foot | — | Jan 1, 1982 | Active |
| L5280 | Hemipelvectomy, canadian type; molded socket, hip joint, single axis constant friction knee, shin, sach foot | — | Jan 1, 1982 | Active |
| L5301 | Below knee, molded socket, shin, sach foot, endoskeletal system | — | Jan 1, 2002 | Active |
| L5312 | Knee disarticulation (or through knee), molded socket, single axis knee, pylon, sach foot, endoskeletal system | — | Jan 1, 2012 | Active |
| L5321 | Above knee, molded socket, open end, sach foot, endoskeletal system, single axis knee | — | Jan 1, 2002 | Active |
| L5331 | Hip disarticulation, canadian type, molded socket, endoskeletal system, hip joint, single axis knee, sach foot | — | Jan 1, 2002 | Active |
| L5341 | Hemipelvectomy, canadian type, molded socket, endoskeletal system, hip joint, single axis knee, sach foot | — | Jan 1, 2002 | Active |
| L5400 | Immediate post surgical or early fitting, application of initial rigid dressing, including fitting, alignment, suspension, and one cast change, below knee | — | Jan 1, 1982 | Active |
| L5410 | Immediate post surgical or early fitting, application of initial rigid dressing, including fitting, alignment and suspension, below knee, each additional cast change and realignment | — | Jan 1, 1986 | Active |
| L5420 | Immediate post surgical or early fitting, application of initial rigid dressing, including fitting, alignment and suspension and one cast change 'ak' or knee disarticulation | — | Jan 1, 1982 | Active |
| L5430 | Immediate post surgical or early fitting, application of initial rigid dressing, incl. fitting, alignment and supension, 'ak' or knee disarticulation, each additional cast change and realignment | — | Jan 1, 1986 | Active |
| L5450 | Immediate post surgical or early fitting, application of non-weight bearing rigid dressing, below knee | — | Jan 1, 1982 | Active |
| L5460 | Immediate post surgical or early fitting, application of non-weight bearing rigid dressing, above knee | — | Jan 1, 1982 | Active |
| L5500 | Initial, below knee 'ptb' type socket, non-alignable system, pylon, no cover, sach foot, plaster socket, direct formed | — | Jan 1, 1986 | Active |
| L5505 | Initial, above knee - knee disarticulation, ischial level socket, non-alignable system, pylon, no cover, sach foot, plaster socket, direct formed | — | Jan 1, 1986 | Active |
| L5510 | Preparatory, below knee 'ptb' type socket, non-alignable system, pylon, no cover, sach foot, plaster socket, molded to model | — | Jan 1, 1986 | Active |
| L5520 | Preparatory, below knee 'ptb' type socket, non-alignable system, pylon, no cover, sach foot, thermoplastic or equal, direct formed | — | Jan 1, 1986 | Active |