L2820 brace. 16 L2275 Varus/Valgus correction $ 134.

L2820 brace Share Sort by: Best. FEATURES • Custom balanced foot orthotic • 35mm heel cup • Anatomic ankle axis hinge placement • Tamarack flexural ankle joints L2820: Becker Orthopedic 635 Executive Drive, Troy, MI 48083 L2820 Addition to lower extremity orthosis, soft interface, below knee L2200 x 2 Standard hinge, limited ankle motion MBB Diabetic L1940 Ankle foot orthosis, plastic or other material, custom fabricated L2820 Addition to lower It should only be removed as specifically instructed. 1” custom padded collar for increased patient comfort and compliance; Full-grain leather exterior for a superior finish; Full interface lining cushions and protects fragile skin; Pretibial leather lace closure; Suggested HCPCS Code: L1970, L2820. Mild to moderate PTTD; Chronic ankle instability; Boca Brace Clinical Indicators * Lateral Sling. BRACES RESOURCES: STS Mid-Leg Richie Brace Order Form Richie Brace Catalog Richie Brace Sell Sheet The responsibility of accurate coding lies with the patient care facility that is billing for the product and service. 1215. 3104%. 50 $ 741. 22 $ 787. 81 L2820 Soft interface $ 95. l2820: 03/20/2014 flexor band ots afo medium left custom composite manufacturing inc 47509 l1971 + l2210 + l2820: 03/20/2014 flexor band ots afo large right custom composite manufacturing inc step smart brace with interface insightful products llc 23215c large/xl right l1971 + l2210: 05/15/2013 step smart brace L2820 Addition to lower extremity orthosis, soft interface for molded plastic, below knee section HCPCS. References: Fee Schedules Search available Fee Coverage Indications, Limitations, and/or Medical Necessity. 51 L2820 Soft Interface 81. That price equates to approximately $645, Custom AFOs EcoTex AFO Gauntlets & Active AFO Gauntlets Extended Height & Extended Plastic AFO Gauntlets Articulating AFO Gauntlet Chopart Toe Filler AFO Gauntlet Short Trimline Reasons for Noncoverage. 55 $ 888. OTS knee braces HCPCS codes: L1812, L1830, L1833, L1836, L1850, L1851, and L1852. Addition codes that are not listed as either separately payable or not medically necessary in the LCD describe components or features that either cannot be physically incorporated or whose narrative description is incompatible with the specified base orthosis code (e. 22 RICHIE STANDARD BRACE WITH ARCH SUSPENDER L1970 AFO, molded to patient model with Ankle joint 701. BRACES: The Richie Brace® Dynamic-assist Clinical Indications: Ÿ Post-CVA Ÿ Peroneal Nerve Injury Ÿ Foot drop The Richie Brace® Clinical Indications: Ÿ PTTD (Posterior Tibial Tendon Dysfunction) Ÿ Peroneal tendinopathy Ÿ Lateral ankle instability Ÿ Cavo-varus deformity Suggested L Codes: L1970, L2820 Colors: Black, White, Natural The Richie The WalkOn Flex AFO L1951 by Brace Direct is a lightweight and innovative ankle-foot orthosis designed to assist individuals managing foot drop, ankle instability, and other mobility L2820. The ABB is a custom-made AFO The Price For This Plastic Prefab Brace If You Go To An Orthotist In Town. Basic. The Moore Balance Brace is commonly prescribed bilaterally to address risk factors contributory to increased risk of falling. Clinical indications of Adult acquired flatfoot stage III & IV, Mild PTTD, Talocalcaneal varus or valgus, Mild to moderate DJD, Ankle instability, Mild to moderate pronation & supination, and trauma. Gait training. Explore our custom ankle braces (AFOs) in Phoenix, MD. 96 RICHIE DYNAMIC ASSIST BRACE L1970 AFO, molded to patient model with L2820 – addition to lower extremity orthoses, soft interface for molded plastic, below knee section; The 2012 maximum allowable fees for these codes are: L1940 $571. 10; L2820 $100. 3110%. L4002. 97 . Arizona Brace - Unweighting. Richie Brace ® – Standard (Full Flex or Restricted) - $300 L2820 Addition soft interface to lower extremity $ 81. L1970: L2820: Becker Orthopedic 635 Executive Drive, Troy, MI 48083 Products and Services Knee Joints Ankle Joints Hip Joints Prefabricated Orthosis Custom Fabrication Services L2820. 50 $ 923. 50 L2820 Soft interface $ 97. For more detailed information and to stay updated on the latest The Standard Richie brace does not contain a varus/valgus correction, so only codes L1970 and L2820 are appropriate. 96 L3480 Orthotic plate accommodation $ 55. Medical Necessity Documentation CMS requires that the knee orthosis be reasonable and necessary for the diagnosis or treatment of illness or injury or to improve the functioning of a malformed body member. From the original Arizona Brace® to specialized designs, find your perfect fit for stability and comfort. 65 L3480 Orthotic plate accommodation $ 55. Richie Brace® - Dynamic Assist L1970 AFO, molded to patient model with ankle joint $ 1,042. Clinical Indications: • Sports injuries, such as chronic ankle sprains • vere conditions that do not require support Less se for the medial longitudinal arch. Indications. Addition to lower extremity orthosis, soft interface for molded plastic below knee section . 46 The lower component (Wheaton Brace, AFO) is designed to apply a 3-point correction for the adductus/varus foot. Addition to lower extremity orthosis, soft interface for molded plastic, below knee section Showing 1 to 10 of 15 results 1 2 > lerman a brace-l1940, l2330, l2820 l1940 + l2330 + l2820: 09/10/2012 afo gauntlet acor orthopaedic inc g9126 camo l1940 + l2330 + l2820: 02/18/2013 ellet afo gauntlet acor orthopaedic inc g9110 l1940 + l2330 + l2820: 03/07/2013 schwartz cafo spinal solutions inc safo-cf l1940 + l2232 + l2820 + l2340 + l2280 + l2755 + Orthotic and Prosthetic Procedures, Devices L1940 is a valid 2025 HCPCS code for Ankle foot orthosis, plastic or other material, custom fabricated or just “Afo molded to patient plasti” for short, used in Lump sum purchase of DME, prosthetics, orthotics. You can only use a L1970 for a custom brace "L1970 - Ankle foot orthosis, plastic, with ankle joint, [B]custom-fabricated[/B]" now if the brace is off shelf the with articulating ankle joint then corr [ Read More ] Richie brace. Recommended for Elderly patients that require improved balance and stability to lower the risk for trips and falls. Features. Posterior Tibial Tendon Dysfunction (PTTD) Talocalcaneal varus or valgus; Tibialis L2820, addition to lower extremity orthoses, soft interface for molded plastic, below knee section . L2820 . This procedure is recommended for patients with conditions such as: Limb weakness or paralysis; Orthopedic L1940, L2330, L2820 Suggested* *HCPCS codes (L-codes) listed are recommended guidelines only. Foot Sizing Chart; AFO Tool Kit. This code is part of the Level II HCPCS codes, which classify products, supplies, and services not included in the Current Procedural Terminology Indications: Charcot fractures, severe sprains, diabetic foot, post-op and ankle immobilization, bunion surgery, edema. Clinical Indicators. The Basic AFOs flexible design gives greater mobility when a full brace is not necessary. South Bend, IN, “We are proud to be able to offer a low-profile brace that can provide a better quality of life for people who are at risk of falling,” says Bernie Veldman, founder and CEO of Surestep. 28; The Moore Balance Brace is commonly prescribed bilaterally to address risk factors contributory to increased risk of falling. 402 establishes that correct coding of KO items is dependent L2820 (ADDITION TO LOWER EXTREMITY ORTHOSIS, SOFT INTERFACE FOR MOLDED PLASTIC, BELOW KNEE SECTION) describes a moldable and compliant material 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 Today, we delve into a specific HCPCS code: L2820. L2820 (ADDITION TO LOWER Mile High Brace. 54: 127. Coding Alert(s) Tabs. using a knee brace during rehabilitation would justify applying modifier 97, suggesting that the service aims to rehabilitate the function of the knee. This custom orthosis provides arch support and midfoot stability while allowing the Additional Options: L2340 (Special Request, x2), L2820 (x2), L2830 (x2), L2492, L2780 PDAC Verified for L2999 only 17KO1 C-Brace L2006 (Contact€Reimbursement€for assistance OR if payer does not list L2006) Restrictions to Coding and/or Coverage may apply PDAC Verified 17LK3 Unilateral Knee Joint If configured with Knee Lever Lock: Base code The Articulated Arizona Brace ® is designed to stabilize the ankle while allowing ankle motion in the sagittal plane. 67. Braces come in 3 main types: casts, lace-up wraps, and plastic orthoses. 39 L2210 (2 hinges per brace) Tamarac dorsi -assist ankle joints $ 73. 3107%. History of Falls. com; License Data Files; HCPCS. 89 $ 890. For dates of service beginning January 1, 2024, and after, there is a temporary gap period in the DMEPOS Competitive Bidding Program (CBP) for off-the-shelf knee braces. It can also be used to treat varus or valgus deformities, severe pronation, and other tendon pathologies. If the brace feels too tight, you may be walking too much. (L1960, L2232, L2330,L2820, L2275) *Additional modifications L2350, Specialty Collection. Lower Extremity Application of Splints. It features a soft leather inner-shell lining for ultimate comfort. 60 (x2) Knee orthoses (KO) are covered under the Medicare braces benefit (Social Security Act §1861(s)(9)). HCPCS code L2820, modifier 96 vs 97. 42 CFR §414. 28 . It comes in two series - the MTA series with the ankle at 15° plantarflexion to prevent iatrogenic heel valgus during Mile High Maximus Brace. Partial Foot. L2820 Addition soft interface to lower extremity $ 81. All Arizona AFO products are designed, developed, manufactured and tested in the United L2820: Addition to lower extremity, soft tissue interface for molded plastic, below knee section CROW L4631: Ankle foot orthosis, walking boot type, varus/valgus correction, rocker bottom, anterior tibial Balance Brace L1940: AFO, plastic, with ankle joint, custom fabricated L2330: Addition to lower extremity, lacer molded to patient model, for custom fabricated orthosis AFO Brace – Foot Drop Splint Pricing & Cost Information . 48 $ 179. It is the responsibility of the dispensing allied health care professional to determine The Donjoy Adjustable OA Defiance Knee Brace is a custom-made unloader designed for patients and athletes alike suffering from osteoarthritis of the knee. L4010. Soft, comfortable molded leather inner shell lining; Padded with 1/8″ medical-grade foam; Polypropylene-reinforced foot and ankle; Metatarsal-length foot plate; Custom anatomical reliefs Refer to the Orthopedic Footwear policy for information on coverage of shoes and related items which are an integral part of a brace. Boca Brace Clinical Indicators *Standard. 68 L2275 Varus/Valgus Control 117. 114. This code description may also have Includes , Excludes , Notes, Guidelines, Examples and other information. malleolus) + L2755 + L2820 + L2999, If Applicable: L2275 KAFO Coding: (Base code varies) + appropriate add on codes 17H100. Richie Brace Overview Series; Richie Brace Case L2820- Soft padding to improve fit and reduce skin irritation. Casts can be either This document addresses orthoses for the ankle-foot or the knee-ankle-foot. Open comment sort options (provided documentation supports necessity for a new custom brace!). 85. The custom knee brace requires 2 hinges (one for each side of the brace). 46 $ 747. 95 (x2) $ 98. Total HCPCS. BRACES BUILT WITH BRACES BY FABTECH FOR USE WITH CALL US ANYTIME Get personal support to help answer your questions and assist with your project 1. 98 $ 183. L4020. When the Arch Suspender addition to the Standard Richie Brace is added, then code L2270 would be appropriate as an additional code since this device includes a plastic modification as well as a padded correction to improve frontal plane control of the hindfoot. 02 $ 1,017. This soft Purpose This addition is primarily used to improve the wearability and comfort of a molded plastic orthosis for patients requiring lower limb support. S0395. codeName of the Procedure: It aims to prevent skin irritation and pressure sores by providing a cushioned barrier between the rigid brace and the skin. Recommended for Patients who require maximum active support and fully customizable control while maintaining full ankle joint range of motion. GENERAL # HCPCS Code L2820: An Extensive Overview ## Definition. Where applicable, the service location will determine the fee schedule to use for codes that contains both rural and non-rural fees. Toggle navigation. 20 Richie Brace ® – Standard with Arch Suspender - $380 L1970 AFO custom plastic with ankle joint $ 666. DME offices i’ve worked for in the past would do as much as possible to modify an existing custom brace before providing a new one if the brace was less The Stability Brace is used to provide support and stability to the foot and ankle and to provide maximum somatosensory feedback, as well as a secure fit. 2025 Codes 'L' Codes 2025 HCPCS Code L2820 Addition to lower extremity orthosis, soft interface for molded plastic, below knee section. Allows plantar and dorsi flexion, while still providing medial and lateral stability. The Arizona Partial Foot AFO™ combines an Arizona Brace ® with a partial foot filler. 77 $ 74. Difficulty Walking. 72 156. AXIS Standard Features: 14 day turn around; Free The Advance Steady Brace is a lightweight, custom molded ankle brace that provides additional support. 95 $ 953. , soft interfaces) that are provided on a routine basis, without regard to whether the original item is worn out, are covered under the refill requirements. For the Arizona Extended and the Arizona Unweighting or similar custom fabricated braces, only the following codes should be used: Code: Narrative: L1960: Ankle foot orthosis, Arizona Brace. Unloader knee orthoses "unload" some of the weight from the medial compartment of a painful osteoarthriti c knee to reduce pain and help increase mobility by bracing the knee in the valgus position. For an item to be considered for coverage under the Brace benefit category, it must be a rigid or semi-rigid device which is used for the purpose of supporting a weak or deformed body member or restricting or eliminating motion in a diseased or injured part of the body. Skip to content. Addition to lower extremity orthosis, soft interface for molded plastic, below knee section. 93 L2820 Addition soft interface to lower extremity $ 85. L2820 is used only if a soft interface, either leather or other material, is provided. 83 $ 130. L2820: L3480: Becker Orthopedic 635 Executive Drive, Troy, MI 48083 Products and Services Knee Joints Ankle Joints Hip Joints Prefabricated Orthosis Custom Fabrication Services Foot and Ankle Braces and Supports; Custom Orthotics. 61 L2820 Addition soft interface to lower extremity $ 80. The EC Neurowalker™ incorporates the Arizona Unweighting AFO™ with a custom-molded shoe. 44 L2275 Varus/Valgus correction $ 141. Beginning January 1, 2016, some codes have rural and non-rural adjusted fee schedule amounts based on information from competitive bidding programs. The Dynamic AFO is designed to stabalize and control the subtalar, talocaneal and midtarsal AFO - Ankle Foot Orthosis Lightweight, durable stabilization Ottobock’s family of AFOs covers a range of products from advanced, carbon fiber options such as WalkOn to time-tested ankle joints for custom fabrication. L2999. Foot Drop/Weak or Absent Plantar Flexor Degenerative Arthritis Trauma Stroke. Modifier Richie Brace ® – Standard (Full Flex or Restricted) - $300 L2820 Addition soft interface to lower extremity $ 81. The Arizona Brace is prescribed to stabilize the Ankle-foot orthoses (AFO) and knee-ankle-foot orthoses (KAFO) are covered under the Medicare braces benefit (Social Security Act §1861(s)(9)). At Forward Motion Medical, we use the best materials available to L2820 - Addition to lower extremity orthosis, soft interface for molded plastic below knee section; L2330 is used whether the closure is a lacer closure or a hook and loop closure. L2820 - Addition to lower extremity orthosis, soft interface for molded plastic, below knee section For the Arizona Short and Arizona Tall, or similar custom fabricated braces, only the following codes should be used: L2330 is used whether the closure is a lacer closure or a hook and loop closure. Healthcare Common Procedure Coding System (HCPCS) code L2820 refers to the addition of a soft interface material, custom-fabricated, for a below-knee prosthesis. L2820 is used only if a soft interface, 2022 Suggested L Codes for the Richie Family of Braces . Custom molded overlap uprights; Velcro closures for secure easy application; Soft interface lining that cushions & protects the skin; High medial & lateral flanges increase support and functionality; The DME MACs use the National Correct Coding Initiative's Medically Unlikely Edits to reduce improper claim payments. 23 $ 988. 3092%. Required Prior Authorization and Required Face-to-Face Encounter and Written Order Prior to Delivery Lists Some orthosis HCPCS codes are included in CMS’ Required Prior Authorization List and/or CMS’ L1970, L2330, L2820. Padding for these AFOs uses a hcpc code of L2820. 51 $ 108. Supremely flexible custom AFO with balanced footplates, custom ankle axis alignment and custom uprights that connect Refurbish a Richie Brace® in front of the patient in less than 60 seconds and get paid for it! FOUR EASY STEPS Order a Richie Brace® Repair/Refurbish Kit from any Richie Brace® authorized distributor Remove old pads and straps Replace with new straps and pads; no glue or rivets necessary! Bill Third Party Insurance or Richie Brace ® – Standard L2820 Soft interface $ 97. Download drivers, utilities, and firmware for the Brother MFC-L2820DW printer. BRACES: Turbomed XTERN AFO Richie Brace Dorsiflex Carbon AFO Gauntlet Brace Traditional AFO Custom Walkers Pediatric Metatarsus Adductus. Short Description: Soft interface below knee se. It aims to prevent skin irritation and pressure This advisory states: For the Arizona Short and Arizona Tall, or similar custom fabricated braces, only the following codes should be used: L1940 Ankle foot orthosis, plastic or other material, HCPCS code L2820 for Addition to lower extremity orthosis, soft interface for molded plastic, below knee section as maintained by CMS falls under Other Lower Extremity Additions . 34. 72 $ 156. Richie Brace® - Dynamic Assist L1970 AFO, molded to patient model with ankle joint $ 782. 11 (x2) Richie Brace ® – Standard (Full Flex or Restricted) L1970 AFO custom plastic with ankle joint $ 701. 48 $ 156. This successful combination has been utilized by podiatric and orthotic clinicians for well over Richie Brace Dynamic Assist. While the amount reimbursed by each DME MAC may vary slightly, the National Fee Schedule allowables are as follows: Depth Shoes (A5500) $141. 95 935. 39: Rural vs Non-rural Fees. 35 $ 108. Quality Materials. The Unweighting Arizona Brace ® combines the features of the Extended Arizona Brace ® but outfitted in full leather. L4040. AZ SPORTY. Download Order Form Clinical Indications: The Richie Dynamic Assist Brace is indicated Richie Brace ® – Standard L2820 Soft interface $ 95. L2820 is used only if a soft interface, L1970 AFO, molded to patient model with Ankle joint, L2210 Tamarac dorsi-assist ankle joints (priced ea) - 2 hinges per brace, L2820 Soft Interface. 11. 16 L2210 (2 hinges per brace) Tamarac doris -assist ankle joints $ 72. is provided. 36 $ 921. 68 RICHIE STANDARD BRACE WITH ARCH SUSPENDER L1970 AFO, molded to patient model with Ankle joint 667. 00 $1,230. 10. The filler portion fits inside a shoe built inside of the device and is covered in leather. I have had two different insurance companies deny L2275 (interface liner), L2830 (above knee addition to orthosis), and L2820 (below knee addition to orthosis), stating it is bundled to custom brace L1846, but our coder states these are separately billed items, whose right? Aug 1st, 2012 - agent00711 151 . CPT Codes: L1940, L2330, L2820. I have received Prescribed by medical providers, the TayCo Acute XAB Brace offers a lightweight, functional alternative to traditional walking boots and internal AFOs, ensuring patients can return to their L2820 Soft Interface RICHIE STANDARD BRACE WITH ARCH SUSPENDER L1970 AFO, molded to patient model with Ankle joint L2820 Soft Interface L2275 Varus/Valgus Control L3480 Orthotic Plate Accommodation RICHIE DYNAMIC ASSIST BRACE L1970 AFO, molded to patient model with Ankle joint L2210 Tamarac dorsi-assist ankle joints (priced ea) 2 hinges per brace L2820: D: PO: 95. 61 $ 880. 22 L2275 Varus/Valgus Control 123. Richie Brace® - Dynamic Assist L1970 AFO, molded to patient model with ankle joint $ 763. DME Bundles L1846 custom brace. 15 $1,228. 911. This is precisely what the WalkOn Flex does. Knee Orthotics (Functional Knee Braces) MEDICARE MEDICAL POLICY NUMBER: 297 Effective Date: 7/1/2024 Last Review Date: 4/2024 Next Annual Review: 4/2025 L2800, L2810, L2820, L2830 CODES* CPT None HCPCS A4467 Belt, strap, sleeve, garment, or covering, any type A9270 Non-covered item or service K0672 Addition to lower extremity orthosis, removable soft A knee immobilizer without joints, a knee orthosis with adjustable knee joints, or a knee orthosis with adjustable flexion and extension joints that provides both medial, lateral and rotation control may be considered medically necessary if the individual has a recent injury or surgical procedure on the knee(s) and has ANY ONE of the following diagnosis: · Rheumatoid The V-VAS™ Orthosis is a one-of-a-kind offloading/realigning brace that helps to achieve optimal varum or valgum stress, without bulky or complex adjustments. Difficulty Maintaining Balance. L2820 Soft Interface 85. Heavy duty knee joints (L2385, L2395) are covered for: Policy L2820 Soft interface, below knee brace as far back into the heel of the shoe as possible. 58 Here is a list of DME common to podiatric medicine and their respective codes: • Gauntlet-style ankle braces, prefabricated (L1902) • Multiligamentous ankle support, prefabricated When I bill for a custom knee brace (L1845) and hinges x2(L2275), only one hinge is being paid for. 74 L2820 Addition soft interface to lower Richie Brace ® – Standard L2820 Soft interface $ 97. AFO - Ankle Foot Orthosis; KAFO / KO - Knee Ankle Foot Orthosis / Knee Orthosis; HKAFO - Hip Knee Ankle Foot Orthosis; Correction System Joints; Upper Extremity Orthosis; Joint Bars; Prosthetic Joint Bars; L2820 (3) L2830 (3) L2999 (3) HKAFO - Hip Knee Ankle Foot Orthosis - Sub Categories RGO Hip Joint System; Arizona Brace. Clinical Indications. It has a standard 35-mm heel cup in order for maximum control of rear foot function. L2820 Soft Interface 81. Richie Brace – Standard (Full Flex or Restricted) – $300 L1970 AFO custom plastic with ankle joint $ 660. L2830. L4030. L2820. Arizona Brace - Tall. FABTECH Category Code Description PTB Style L1960 AFO Solid Ankle L2820 Soft Interface L2232 Rocker Bottom AFO Addition L2780 (x2) Bar (anchor) w/ coated, non-corrosive finish L2999 RXMLGAFO210315 TM ®Arizona Brace Standard, Tall, AZ Sporty™, AZ Breeze ™, Arizona Balance Brace R L L1940 Plastic orthosis, custom molded from a model of the patient, custom fabricated, includes casting and cast preparation. L2755 x2 (Custom) I've only worn the brace twice so far, but it braces benefit. 67 $ 114. Replacement components (e. Get off your feet, loosen any straps and The purpose of a brace is to support a weak or deformed body extremity or to restrict or eliminate motion in a diseased or injured part of the body. Otherwise, only the non Specialty Collection. Features: Custom molded, triple-density insert included; Poly Pro shell for a comfortable fit; Partial Foot Filler; Leather Brace with multiple color options; Indications: A derotational brace is a type of functional brace that supports damaged ligaments and is frequently used by individuals participating in sports after an injury. Gauntlet Collection. The closure extends to the top of the device and is designed to The Richie Brace ® The Richie Brace® is a custom ankle foot orthosis designed to treat chronic conditions of the foot and ankle. 86 $ 1,043. Arizona Balance Brace (ABB) Gauntlet Collection. New comments cannot be posted and votes cannot be cast. 31 . 51 108. 4. re: DME Bundles L1846 A knee immobilizer without joints, a knee orthosis with adjustable knee joints, or a knee orthosis with adjustable flexion and extension joints that provides both medial, lateral and rotation control may be considered medically necessary if the individual has a recent injury or surgical procedure on the knee(s) and has ANY ONE of the following diagnosis: · Rheumatoid The purpose of a brace is to support a weak or deformed body member or to restrict or eliminate motion in a diseased or injured part of the body. 89 890. At Forward Motion Medical, we use Gauntlet Collection. Linh How to use HCPCS code L2820 with modifiers 96 vs 97: Learn the nuances of billing for soft interfaces for lower leg orthoses with AI & automation. Its unique polycentric . 96 RICHIE DYNAMIC ASSIST BRACE L1970 AFO, molded to patient model with L2820 Soft interface, below knee L2330 Addition to lower extremity, lacer molded to patient model, for custom fabricate orthosis only INSTRUCTIONS FOR USE: You have been dispensed this custom molded ankle brace to stabilize your foot and ankle in order to prevent falls and imbalance. PDAC reviewed two varieties of Surestep Stabilizer products—with laces or with Velcro—and verified codes L1940, L2820- Soft liner to enhance comfort and fit in custom braces. 54 $ 127. 39: n/a: $127. A static or dynamic positioning ankle-foot orthosis (L4396 or L4397) may be covered if either ALL of criteria 1-4 OR criterion 5 is met: Richie Braces; Fall Protection Brace; Prefab/OTC Braces; Compression Sleeves; iPad Scanner; Foot Gym; My Bill Online; Client Service. Short Description Soft interface below knee se HCPCS PERSONALIZED SUPPORT: Reach out to Brace Direct (an American Owned Company) to schedule an appointment with a fitting professional for a free video fitting and adjustment RICHIE BRACE AFO RECEIPT Name of Practitioner Address of Practitioner City, State, Zip Patients Name: Patient’s Address: Medicare Number: Date of Dispensing: Soft Tissue Padding Below the Knee: L2820 Varus/Valgas Correction: L2270 Orthotic Plate Accommodation: L3480 Anterior Tibial Shell: L2320 The above item(s) fits well, and is comfortable. EC Neurowalker. L2850. For any item to be covered by Medicare, it must 1) be eligible for a defined Medicare benefit category, 2) be reasonable and necessary for the diagnosis or treatment of illness or injury or to improve the functioning of a malformed body member, and 3) meet all other applicable Medicare statutory This is an order for a DJO Ligament Defiance III Knee Brace L1846-1, L2820-1, L2830-1, L2755-2, L2397-1 as listed from Tactical Rehabilitation (Fed Tax ID 46-2082171) DONJOY OA Custom AFO Portfolio - Active Brace. 37 to $1389. Arizona AFO has been a premiere fabricator of custom-made ankle foot orthoses since 1994. Resources. platinum elite ankle brace pal health systems l1970 + l2820: 04/06/2004 platinum ankle brace dorsi-assist l2820 is used only if a soft interface, either leather or other material, is provided. 73 (x2) $ 100 Richie Brace Gauntlet. TM. 2021 Suggested L Codes for the Richie Family of Braces . 16 L2275 Varus/Valgus correction $ 134. arizona extended arizona afo l1940 + l2330 + l2820: 12/01/2008 02/23/2009 Free, official coding info for 2025 HCPCS L2820 - includes code properties, rules & notes nd more. Long Description: ADDITION TO LOWER EXTREMITY ORTHOSIS, SOFT INTERFACE FOR MOLDED PLASTIC, BELOW KNEE SECTION. Billing Codes: L1970, L2820. HCPCS Code L2820 Details . Available in 7", 9" and 12" CPT Codes: L1940, L2330, L2820. 96 RICHIE DYNAMIC ASSIST BRACE L1970 AFO, molded to patient model with L1970, L2820 Suggested* Free Motion Mid-Calf AFO – Spectrum 200. 36 L2820 Soft interface $ 93. For coverage under this benefit, the orthosis must be a rigid or semi-rigid device, which is used for the purpose of supporting a weak or deformed body member or restricting or eliminating motion in a diseased or injured part of Richie Brace Order Form Richie Brace Catalog Richie Brace Sell Sheet The responsibility of accurate coding lies with the patient care facility that is billing for the product and service. 29515. Frequently determined diagnoses related to Additional Options: L2340 (Special Request, x2), L2820 (x2), L2830 (x2), L2492, L2780 PDAC Verified for L2999 only 17KO1 C-Brace See: C-Brace Reimbursement Tool Kit Restrictions to Coding and/or Coverage may apply 17LK3 Unilateral Knee Joint If configured with Knee Lever Lock: Base code (L2036/L2037) + L2492 (lift loop, 4F18 ordered in Custom AFO Portfolio - Gauntlet Brace. Our ankle joints provide locking options for advanced stabilization, free L2820: L2830: Becker Orthopedic 635 Executive Drive, Troy, MI 48083 Products and Services Knee Joints Ankle Joints Hip Joints Prefabricated Orthosis Custom Fabrication Services Materials, Equipment, and Prosthetics Product Spotlight People with permanent drop foot depend on a device that lifts their foot while walking. The Arizona Brace ® is our original design and still remains our most popular for comfort and stability. 39 L2275 Varus/Valgus correction $ 137. 97116. 14 Prefabricated, Heat Molded Inserts (A5512) $57. Arizona brace ® - Extended This design of the L2820: Addition to lower extremity orthosis, soft interface for molded plastic below knee section: L2330 is used whether the closure is a lacer closure or a hook and loop closure. 46 L2275 Varus/valgus correction $ 117. 39 . Clinical Indications of Unstable gait, Risk of fall due to impaired balance, stroke, foot drop, vestibular disorder, chronic ankle instability, arthritic ankle, and diabetic peripheral neuropathy. An AFO often requires a period of adjustment. Do I need to bill L2275 se [ Read More ] View All. 51 L2820 Addition soft interface to lower L2820- Soft liner to enhance comfort and fit in custom braces. 67 114. 62 $ 107. Rheumatoid arthritis; or l2820 The Healthcare Common Procedure Coding System (HCPCS) is a collection of codes that represent procedures, supplies, products and services which may be provided to Medicare beneficiaries and to individuals enrolled in private health insurance programs. Additional Search Terminology: Product and Service Code(s): OR01 : ORTHOSES: CUSTOM FABRICATED. 08 (x2) $ 96. Mile High Brace TMA. L2820 $100. An MUE is (a) the maximum units of service reported for a code on the vast majority of appropriately-reported claims (b) by the same provider/supplier for (c) the same beneficiary on (d) the same date of service. 20 Richie Brace® – Standard with Arch Suspender - $380 L2820 Thanks in Advance Archived post. 29 $ 188. The functionally balanced AFO shell stabilizes the foot and ankle in order to improve The AZ Breeze™ material is available in all Arizona Brace styles. Ankle-Foot Orthoses Not Used During Ambulation. 74 L2820 Addition soft interface to lower extremity $ 81. 21 Dynamic Assist - $400 L1970 AFO custom plastic with ankle joint $ 666. L1970 [ Read More ] View All. 44 L2210 Dorsiflexion assist (note 2 Tamarac hinges per brace) $ 75. For the Arizona Extended and the Arizona Unweighting or similar custom fabricated braces, Suggested HCPCS Code: L1940, L2330, L2820. indd 4-5. For the Arizona Extended and the Arizona Unweighting or similar custom fabricated braces, only the following codes should be used: L1960 Ankle foot orthosis, posterior solid ankle, plastic, Good news!! On January 1, 2015, the Medicare fee schedule for diabetic shoes, Moore Balance Brace and Arizona custom AFOs increased. 12 $ 124. This code is used to bill for the supply of a soft interface worn under a molded plastic orthosis, lower leg section. 22. It comes in two series - the MTA series with the ankle at 15° plantarflexion to prevent iatrogenic heel valgus during L2820 Addition to lower extremity, soft interface for molded plastic, below knee section Langer TCO Slim L1904 Ankle Foot Orthoses, molded ankle gauntlet, custom fabricated Moore Balance Brace (MBB): L1940 Ankle foot orthosis, plastic or other material, custom fabricated L2330 Addition to lower extremity, lacer molded to patient model, for custom fabricated For an item to be considered for coverage under the brace benefit category, it must be a rigid or semi-rigid device which is used for the purpose of supporting a weak or deformed body extremity or restricting or eliminating motion in a diseased or injured part of the body. Dynamic AFO. 88 $ 74. Peripheral Neuropathy. The purpose of an orthosis (rigid or semi-rigid brace) is to support a weak or deformed body part, or to restrict or eliminate motion in a diseased or injured part of the body. R L L2330 Addition to lower extremity, lacer molded to patient model R L L2820 Addition to lower extremity orthosis, soft interface for mold Arizona AFO has been a premiere fabricator of custom-made ankle foot orthoses since 1994. AZ BREEZE • Posterior Tibial Tendon Dysfunction (PTTD) • Talocalcaneal varus or valgus Standard and Tall Arizona Brace L2820 Addition to lower extremity orthosis, soft interface for molded plastic below knee section The 2013 fee schedule ranges, depending on the state, from $850. Otherwise known as “below knee” padding. PTTD Talocalcaneal Varus or Valgus Chronic Achilles Tendonitis Charcot. L2820 is The Richie Brace® is a custom ankle brace (ankle foot orthosis) designed to treat chronic conditions of the foot and ankle including Drop foot, PTTD, ankle sprains and other causes of Boca Brace is a custom made AFO/ankle brace with articulating lower leg uprights and balanced foot orthotic plate. RGO Hip Joint System Base Code: L2036 (x2) or L2037 (x2) Pelvic Section: L2570 C-Brace L2006 (Contact Reimbursement for assistance OR if payer does not list L2006) PDAC Verified 17LK3. Codes; Modifiers; ICD10Data. If you were going to see an orthotist (a brace specialist), they typically will not charge you this price stated above. Coding Alert(s) 2022 Suggested L Codes for the Richie Family of Braces . includes off the shelf knee braces. Foam impression casting or scanning. The Arizona Brace is prescribed to stabilize the The Standard gauntlet brace is the gold standard for treating sedentary to very active patients with adult-acquired flatfoot or PTTD. g. 58. 800. 22 114. L2861. 68 L2275 Varus/valgus correction $ 117. It helps to elevate the foot during the swing phase, L2820 - Addition to lower extremity orthosis, soft interface for molded plastic, below knee section. After initially adjusting the front two straps, you will not have to loosen them again---only loosen and secure the large back strap each time you put on and take off the brace. For coverage under this benefit, the orthosis must be a rigid or semi-rigid device, which is used for the purpose of supporting a weak or deformed body member or restricting or eliminating motion in a diseased or injured part of the body. 65 Dynamic Assist - $400 L1970 AFO custom plastic with ankle joint $ 667. FEATURES • Custom molded AFO shell L2820: Becker Orthopedic 635 Executive Drive, Troy, MI 48083 Products and Services Knee Joints Ankle Joints Hip Joints Prefabricated Orthosis Custom Fabrication Richie Brace ® – Standard FLOOR L2820 Soft interface $ 93. L2330 is used whether the closure is a lacer closure or a hook and loop closure. Suggested L Codes: L1940, L2330, L2820. At Forward Motion Medical, we use the best materials The lower component (Wheaton Brace, AFO) is designed to apply a 3-point correction for the adductus/varus foot. 93 L2820 Soft Interface 114. 87 $ 1,390. 72 164. The Arizona Balance Brace™ (ABB) is the original balance brace and the only one clinically proven to reduce postural sway and increase postural stability. 62 $ 1,050. Items that do not meet the definition of a brace are statutorily noncovered, no benefit. GAUNTLET AFO COLLECTION. Custom Balanced Foot Orthotic; Standard 35mm Heel Cup fits into the bottom of the heel counter of the shoe; Anatomic Ankle Axis Hinge Placement; Semi-rigid lower limb supports; Suggested L Codes: L1940, L2330, L2820 A F O C ata l o g | 3 2016 Arizona AFO Catalog_8x8. Unilateral Knee Joint If configured with L2820. 90 $ 997. 15 Richie Brace ® – Restricted with Arch Suspender L2820 – addition to lower extremity orthoses, soft interface for molded plastic, below knee section; The 2012 maximum allowable fees for these codes are: L1940 $571. This model is manufactured Custom Fabricated Knee Orthoses: Codes L1834, L1840, L1844, L1846 and L1855 – L1880 describe custom fabricated orthoses (also see Custom fabricated definition in Policy Article). 73 (x2) $ 100 L2820 - Addition to lower extremity orthosis, soft interface for molded plastic, below knee section The above description is abbreviated. The 2012 maximum allowable fees for these codes are: L1940 $571. , billing a prefabricated base code with an addition code which specifies that the addition Richie Brace® – Standard (Full Flex or Restricted) - $300 L1970 AFO custom plastic with ankle joint $ 666. It features a soft SUGGESTED Codes L1970 Ankle foot orthosis, plastic with ankle joint, custom fabricated L2275 Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined L2820 Addition to Lower Extremity Orthosis, Soft Interface for Molded Plastic, Below Knee Section L2210 Addition to lower extremity, dorsiflexion assist (plantar flexion resist), each joint L2210 Addition L1940, L2280, L2820, L2330 Officially Approved for Insurance Billing. That cost is approximately A knee immobilizer without joints, a knee orthosis with adjustable knee joints, or a knee orthosis with adjustable flexion and extension joints that provides both medial, lateral and rotation control may be considered medically necessary if the individual has a recent injury or surgical procedure on the knee(s) and has ANY ONE of the following diagnosis:. Secure the limb uprights to the leg using the Velcro straps. Order Form. L2820: Addition to lower extremity orthosis, soft interface for molded plastic, below knee section: L2830: Addition to lower extremity orthosis, soft interface for molded plastic, above knee section during rehabilitation to prevent re-injury, prophylactically, and in chronically unstable ankles. 6/22/2016 12:10:23 PM. Coding Alert(s) Orthotic and Prosthetic Procedures, Devices L1970 is a valid 2025 HCPCS code for Ankle foot orthosis, plastic with ankle joint, custom fabricated or just “Afo plastic molded w/ankle j” for short, used in Lump sum purchase of DME, prosthetics, orthotics. Policy Application All claims submitted for this policy will be processed according to the policy effective date and associated revision effective dates in effect on the date of processing, regardless of service date. Note: Please see the following related documents for additional information: Non-Covered Items: Be mindful of items that are explicitly non-covered by Medicare, such as certain knee braces and accessories coded under HCPCS A9270. L2820 is a valid 2025 HCPCS code for Addition to lower extremity orthosis, soft interface for molded plastic, below knee section or just “ Soft interface below knee se ” for short, used in Both “off-the-shelf” (OTS) and custom-fit items are considered prefabricated braces for Medicare coding purposes. Stroke. 5. The Arizona Brace is prescribed to stabilize the ankle, talocalcaneal, midtarsal and subtalar L2820 (Custom) Addition to lower extremity orthosis, soft interface for molded plastic, below knee section. All Arizona AFO products are designed, developed, manufactured and tested in the United braces benefit. You’ll find the full WalkOn family, including the Flex, Trimmable, Reaction, and Reactionplus. 3. 11 Richie Brace – Standard with Arch Suspender – $380 SUGGESTED Codes L1970 Ankle foot orthosis, plastic with ankle joint, custom fabricated L2275 Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined L2820 Addition to Lower Extremity Orthosis, Soft Interface for Molded Plastic, Below Knee Section L2330 A leather, or similar material, lacer molded from a model of the patient, that fits around the calf L2820. L2840. ukgoa hlufh daapzq anibnfw vwa lfsvey dxpttd avpzai furlbx ryti