In most cases, the Arizona AFO is covered by Medicare reimbursement when prescribed by a physician for approved applications. However it is the patient’s responsibility to verify coverage and secure any necessary pre-approvals.
Health insurance reimbursement
The Arizona AFO is usually covered for approved applications by most health insurance plans. However it is the patient’s responsibility to verify coverage and secure any necessary pre-approvals. Always consult your health plan.
L-Code Descriptions
L-1940 A semi-rigid molded plastic orthosis to hold the foot in neutral position (dorsi -plantar flexion), controls foot position, custom molded from a model of the patient, custom fabricated, includes casting and cast preparation.
L-1960A rigid orthosis to control the foot and ankle, custom molded from a model of the patient, custom fabricated, includes casting and cast preparation.
L-2275An extension of a molded plastic orthosis that's padded or lined and designed to control pronation of the ankle
L-2280A custom fabricated foot and ankle section molded from a model of the patient, plastic or leather includes casting and cast preparation.
L-2330 A leather, or similar material, lacer molded from a model of the patient, that fits around the calf area, includes casting and cast preparation.
L-2820 Addition to Lower Extremity Orthosis, Soft Interface for Molded Plastic, Below Knee Section.
L-5000 Partial foot, shoe insert, with longitudinal arch, toe filler.
Suggested L-Codes by Product Styles
Standard-Short (L-1940, L-2275, L-2280, L-2820 - For a total of four codes)
Standard-Tall (L-1940, L-2275, L-2280, L-2820 - For a total of four codes)
Extended ( L-1960, L-2275, L-2280, L-2820 For a total of four codes)
Weightbearing ( L-1960, L-2330, L-2275, L-2280, L-2820 - For a total of five codes)
Partial Foot ( L-1940, L-5000, L-2275, L-2280, L-2820 - For a total of five codes)
The final and sole responsibility for the correct coding, within established laws, rules, and standards of practice, rests upon the party submitting the claim.
