HCPCS Code L4090

Replace metal bands kafo-afo, calf or distal thigh
Short DescriptionRepl met band kafo-afo calf/
Year2026
Coverage CodeC = Carrier judgment
Action CodeN = No maintenance for this code
Action Effective DateJanuary 01, 1996
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