|
L4000 | Replace girdle for spinal orthosis (ctlso or so) |
|
L4002 | Replacement strap, any orthosis, includes all components, any length, any type |
|
L4010 | Replace trilateral socket brim |
|
L4020 | Replace quadrilateral socket brim, molded to patient model |
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L4030 | Replace quadrilateral socket brim, custom fitted |
|
L4040 | Replace molded thigh lacer, for custom fabricated orthosis only |
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L4045 | Replace non-molded thigh lacer, for custom fabricated orthosis only |
|
L4050 | Replace molded calf lacer, for custom fabricated orthosis only |
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L4055 | Replace non-molded calf lacer, for custom fabricated orthosis only |
|
L4060 | Replace high roll cuff |
|
L4070 | Replace proximal and distal upright for kafo |
|
L4080 | Replace metal bands kafo, proximal thigh |
|
L4090 | Replace metal bands kafo-afo, calf or distal thigh |
|
L4100 | Replace leather cuff kafo, proximal thigh |
|
L4110 | Replace leather cuff kafo-afo, calf or distal thigh |
|
L4130 | Replace pretibial shell |
