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Hinged Ankle Brace with Footplate

Suggested HCPCS Code:Β L1906

  • Adjustable Velcro closures for perfect fit
  • Full flexion ankle joints for ease of or restriction of motion
  • Orthotic foot plate supports foot and ankle


Underlying Conditions:

  • Ankle/Foot Sprain
  • Ankle/Foot Contracture
  • Ankle/Foot derangement
  • Osteoarthritis


Coverage Criteria:Β Patient is ambulatory with weakness or deformity of the foot and ankle requiring stabilization for medical reasons and has the potential to benefit functionally from the boot

Hinged Ankle Brace with Calf Panel

Suggested HCPCS Code:Β L1971

  • Ambidextrous design fits left or right foot
  • Adjustable velcro closures
  • Calf and lateral supports
  • Full flexion hinge
  • Lightweight and easy to adjust
  • Moldable foot plate


Underlying Conditions:

  • Ankle/Foot Sprain/Fracture
  • Ankle/Foot Contracture
  • Ankle/Foot derangement
  • Osteoarthritis
  • Non-traumatic ruptures of tendon


Coverage Criteria:Β Patient is ambulatory with weakness or deformity of the foot and ankle requiring stabilization for medical reasons and has the potential to benefit functionally from the boot

Quick Lace Ankle Brace

Suggested HCPCS Code:Β L1902

  • Lightweight breathable construction
  • Figure 8 design mimics ankle taping
  • Quick-lace design for easy application


Underlying Conditions:

  • Ankle Sprain
  • Ankle Fracture
  • Tendinitis
  • Plantar Fascitis


Coverage Criteria:Β Patient is ambulatory with weakness or deformity of the foot and ankle requiring stabilization for medical reasons and has the potential to benefit functionally

Drop Foot Splint

Suggested HCPCS Code:Β L1930

  • Anatomical design compensates for atrophy and avoids calcaneus irritation
  • To be used for mild to moderate drop foot
  • Thin, flexible foot part can be trimmed with a pair of cast scissors
  • Excellent fit for most types of shoes


Underlying Conditions:

  • Drop Foot
  • Ankle/Foot Contracture
  • Ankle/Foot Derangement
  • Osteoarthritis


Coverage Criteria:Β Patient is ambulatory with weakness or deformity of the foot and ankle requiring stabilization for medical reasons and has the potential to benefit functionally from the boot

Anterior Carbon Fiber AFO

Suggested HCPCS Code:Β L1932

  • Best choice for patients who pronate (valgus or eversion)
  • Lateral Strut spirals to anterior aspect. One piece, continuous strand design
  • β€œY” proximal, anterior trim line relieves the tibia tuberosity area
  • Super-flexible calf band accommodates a wide range of circumferences
  • Weight limit: 275 lbs.


Underlying Conditions:

  • Drop Foot
  • Ankle/Foot Contracture
  • Ankle/Foot Derangement
  • Osteoarthritis


Coverage Criteria:Β Patient is ambulatory with weakness or deformity of the foot and ankle requiring stabilization for medical reasons and has the potential to benefit functionally from the boot

Posterior Spiral Carbon Fiber AFO

Suggested HCPCS Code:Β L1951

  • True Spiral design. Lateral strut spirals to medial aspect.
  • Posterior one-piece continuous design.
  • Super-flexible calf band accommodates a wide range of circumferences
  • Weight limit: 275lbs


Underlying Conditions:

  • Drop Foot
  • Ankle/Foot Contracture
  • Ankle/Foot Derangement
  • Osteoarthritis


Coverage Criteria:Β Patient is ambulatory with weakness or deformity of the foot and ankle requiring stabilization for medical reasons and has the potential to benefit functionally from the boot

Custom Arizona Brace

Suggested HCPCS Code:Β L1940, L2330, L2820

  • Soft, comfortable molded leather inner shell lining
  • Padded with 1/8β€³ medical-grade foam
  • Polypropylene-reinforced foot and ankle
  • Metatarsal-length foot plate
  • Custom anatomical reliefs


Underlying Conditions:

  • PTTD (Posterior Tibial Tendon Dysfunction)
  • Talocalcaneal varus or valgus
  • Tibialis tendonitis (posterior or anterior)
  • Severe pronation or pes planus
  • Ankle arthritis or Degenerative Joint Disease (DJD)
  • Charcot foot
  • Ankle, subtalar or mid-tarsal trauma
  • Chronic Achilles tendonitis

Custom Crow Walker Boot

Suggested HCPCS Code:Β L4631

  • Thermoplastic shell
  • Optional 1/8β€³ medical grade foam padding


Underlying Conditions:

  • Charcot foot

Custom Thermoplastic AFO

Suggested HCPCS Code:Β L1960

  • Thermoplastic shell
  • Metatarsal, sulcus, or full length footplate
  • Closure with tibial pad


Underlying Conditions:

  • Foot drop
  • Weak or absent plantar flexors and/or dorsiflexors
  • Severe degenerative arthritis
  • Lateral and medial instability of subtalar joint
  • Trauma

Custom Articulated Thermoplastic AFO

Suggested HCPCS Code:Β L1970

  • Thermoplastic shell
  • Available with Free Motion or Dorsi-Assist ankle joint
  • Available with varus or valgus correction
  • Metatarsal, sulcus, or full length footplate
  • Optional 1/8β€³ medical-grade foam padding
  • Closure with tibial pad


Underlying Conditions:

  • Mild Posterior Tibial Tendon Dysfunction (PTTD)
  • Mild degenerative arthritis
  • Lateral and medial instability of subtalar joint
  • Foot drop
  • Severe pronation
  • Trauma

Distinctive and Bold

Suggested HCPCS Code:Β L1970, L2820

  • 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
  • Custom contoured footplate attachment


Underlying Conditions:

  • Mild Posterior Tibial Tendon Dysfunction (PTTD)
  • Mild degenerative arthritis
  • Chronic Ankle Instabilityma