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L1904

Afo molded ankle gauntlet

✓ CURRENT — JULY 2026
Source: CMS
Imported: Aug 10 2026

Full descriptor

Ankle orthosis, ankle gauntlet or similar, with or without joints, custom fabricated

Details

Code
L1904
Short descriptor
Afo molded ankle gauntlet
Code set
HCPCS Level II
Release
July 2026
Status
Active
Added
Jan 1 1988

Nearby codes

Code sets are published in blocks, so neighbours are usually related.

L1902

Afo ankle gauntlet pre ots

L1906

Afo multilig ank sup pre ots

L1907

Afo supramalleolar custom

L1900

Afo sprng wir drsflx calf bd

L1910

Afo sing bar clasp attach sh

L1920

Afo sing upright w/ adjust s

L1930

Afo plastic

L1932

Afo rig ant tib tcf/= custom

Sources

Reference information only. Not billing advice. Verify against the payer before you file.