WebCoverage of a replacement interface is limited to a maximum of one (1) per 6 months. ... ANKLE FOOT ORTHOSIS, ANKLE GAUNTLET, PREFABRICATED, OFF-THE-SHELF L1904 ANKLE ORTHOSIS, ANKLE GAUNTLET, CUSTOM-FABRICATED ... ANKLE JOINT, PREFABRICATED, INCLUDES FITTING AND ADJUSTMENT L1980 ANKLE … Webl1904 ankle foot orthosis, molded ankle gauntlet, custom-fabricated l1906 ankle foot orthosis, multiligamentus ankle support, prefabricated, includes fitting and adjustment l1907 afo, supramalleolar with straps, with or without interface/pads, custom fabricated l1910 ankle foot orthosis, posterior, single bar, clasp attachment to shoe
2nd Ankle Gauntlet - Freedom fabrication Lower Extremity …
WebL1902 Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf HCPCS Code L1902 The Healthcare Common Prodecure Coding System (HCPCS) is a collection of codes that represent procedures, supplies, products and services which may be provided to Medicare beneficiaries and to individuals enrolled in private Web89% of Cigna Medicare Advantage customers are enrolled in a plan rated 4-Stars or greater in 2024. 1. Certain Cigna Medicare Advantage plans may offer coverage for dental care. … rawtherapee jpg
LCD for Ankle-Foot/Knee-Ankle-Foot Orthosis (L142)
WebL1902 - ANKLE FOOT ORTHOSIS, ANKLE GAUNTLET, PREFABRICATED, INCLUDES FITTING AND ADJUSTMENT This decision applies to the application that we received on October 23,2009. If ... If you have questions about claim coverage or reimbursement, please contact the DME MAC for your jurisdiction. If you disagree with this decision, you … WebAnkle-Foot Orthoses. Ankle-Foot Orthoses. Functional AFO. VIEW PRODUCT. Ankle-Foot Orthoses ... VIEW PRODUCT. Ankle-Foot Orthoses. Matrix and Matrix Max Prefab AFOs. VIEW PRODUCT. Become a Client. ProLab is known for its exceptional custom orthoses, evidence-based approach to orthotic therapy, and DPM Medical Consultants. If … WebAn L4396 (Static or dynamic positioning ankle-foot orthosis) is covered if either all of criteria 1 - 4 or criterion 5 is met: 1. Plantar flexion contracture of the ankle (ICD-9 diagnosis code 718.47) with dorsiflexion on passive range of motion testing of at least 10 degrees (i.e., a nonfixed contracture); and 2. raw therapee latest version