HCPCS Code L4055
Replace non-molded calf lacer, for custom fabricated orthosis only
| Short Description | Replace non-molded calf lace |
|---|---|
| Year | 2026 |
| Coverage Code | C = Carrier judgment |
| Action Code | N = No maintenance for this code |
| Action Effective Date | January 01, 2005 |
| Code Added Date | January 01, 1988 |
| Pricing Indicator | 38 = Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings) |
| Type of Service | P = Lump sum purchase of DME, prosthetics, orthotics |