HCPCS Code L1902

Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf
Short DescriptionAfo ankle gauntlet pre ots
Year2026
Coverage CodeC = Carrier judgment
Action CodeN = No maintenance for this code
Action Effective DateJanuary 01, 2016
Code Added DateJanuary 01, 1988
Pricing Indicator38 = Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)
Type of ServiceP = Lump sum purchase of DME, prosthetics, orthotics