L1904 (587)    PROSTHETIC HCPCS (661.1)

Name Value
HCPCS L1904
SHORT NAME AFO MOLDED ANKLE GAUNTLET
CPT File: 81, IEN: 104840
ITEM
  • AFO MOLDED ANKLE GAUNTLET/COMMERCIAL
STATUS ACTIVE
NPPD REPAIR CODE R40
NPPD NEW CODE 400 A
DESCRIPTION
  • AFO, MOLDED ANKLE GAUNTLET, MOLDED TO PATIENT MODEL
  • AFO MOLDED ANKLE GAUNTLET, CUSTOM FAB