What is the suggested L Code for the Acute XAB Brace that Medical Providers can use?
For the Acute XAB Brace, the suggested code is L1971, defined as "AFO, plastic or other material with ankle join, prefabricated, includes fitting and adjustment."
This means Providers MUST DOCUMENT custom fitting by bending, molding, or trimming. I.E. Because every patient’s anatomy is unique, examples could be: “I bent the uprights to fit the patient’s calf.” OR “I molded the footplate to accommodate fitting the 5th metatarsal exostosis.”
What are the suggested L Codes for the Custom AFO Brace that Medical Providers can use?
For the Custom AFO Brace, the suggested codes are as follows:
- L1970: AFO, plastic with ankle joint, custom fabricated
- L2820: Addition to lower extremity orthosis, soft interface for molded plastic, below knee section
- L2755 (x2): Addition to lower extremity orthosis, high strength, lightweight material, all hybrid lamination/prepreg composite, per segment, for custom fabricated orthosis only.
To receive a suggested coding and reimbursement guide for your specific state, please contact us or send an email help@taycobrace.com.
