L21 — HCPCS Level II Codes

• L2106 Ankle foot orthosis, fracture orthosis, tibial fracture cast orthosis, thermoplastic type casting material, custom fabricated billable
• L2108 Ankle foot orthosis, fracture orthosis, tibial fracture cast orthosis, custom fabricated billable
• L2112 Ankle foot orthosis, fracture orthosis, tibial fracture orthosis, soft, prefabricated, includes fitting and adjustment billable
• L2114 Ankle foot orthosis, fracture orthosis, tibial fracture orthosis, semi-rigid, prefabricated, includes fitting and adjustment billable
• L2116 Ankle foot orthosis, fracture orthosis, tibial fracture orthosis, rigid, prefabricated, includes fitting and adjustment billable
• L2126 Knee ankle foot orthosis, fracture orthosis, femoral fracture cast orthosis, thermoplastic type casting material, custom fabricated billable
• L2128 Knee ankle foot orthosis, fracture orthosis, femoral fracture cast orthosis, custom fabricated billable
• L2132 Kafo, fracture orthosis, femoral fracture cast orthosis, soft, prefabricated, includes fitting and adjustment billable
• L2134 Kafo, fracture orthosis, femoral fracture cast orthosis, semi-rigid, prefabricated, includes fitting and adjustment billable
• L2136 Kafo, fracture orthosis, femoral fracture cast orthosis, rigid, prefabricated, includes fitting and adjustment billable
• L2180 Addition to lower extremity fracture orthosis, plastic shoe insert with ankle joints billable
• L2182 Addition to lower extremity fracture orthosis, drop lock knee joint billable
• L2184 Addition to lower extremity fracture orthosis, limited motion knee joint billable
• L2186 Addition to lower extremity fracture orthosis, adjustable motion knee joint, lerman type billable
• L2188 Addition to lower extremity fracture orthosis, quadrilateral brim billable
• L2190 Addition to lower extremity fracture orthosis, waist belt billable
• L2192 Addition to lower extremity fracture orthosis, hip joint, pelvic band, thigh flange, and pelvic belt billable