HCPCS Code L4050

Replace molded calf lacer, for custom fabricated orthosis only
Short DescriptionReplace molded calf lacer
Year2026
Coverage CodeC = Carrier judgment
Action CodeN = No maintenance for this code
Action Effective DateJanuary 01, 2005
Code Added DateJanuary 01, 1985
Pricing Indicator38 = Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)
Type of ServiceP = Lump sum purchase of DME, prosthetics, orthotics