L4090 (854) PROSTHETIC HCPCS (661.1)
Name
Value
HCPCS
L4090
SHORT NAME
REPL MET BAND KAFO-AFO CALF/
CPT
File: 81, IEN: 104840
ITEM
REPL MET BAND KAFO-AFO CAL/COMMERCIAL
STATUS
ACTIVE
NPPD REPAIR CODE
R40
DESCRIPTION
REPLACE METAL BANDS KAFO-AFO, CALF OR DISTAL THIGH