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October 22, 2020

Ankle-Foot Orthoses – Arizona-Type – Correct Coding – REVISED

Joint DME MAC Article

Arizona AFO is a company that manufactures a line of custom fabricated ankle-foot orthoses. Other companies manufacture similar products. The Pricing, Data Analysis, and Coding (PDAC) contractor has listed the Arizona AFO line of products on the Product Classification List (PCL).

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, custom fabricated

L2330

Addition to lower extremity, lacer molded to patient model, for custom fabricated orthosis only

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 is used only if a soft interface, either leather or other material, is provided.

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, custom-fabricated

L2330

Addition to lower extremity, lacer molded to patient model, for custom fabricated orthosis only

L2820

Addition to lower extremity orthosis, soft interface for molded plastic below knee section

The following codes must not be used for these orthoses:

L2275

Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined

L2280

Addition to lower extremity, molded inner boot

For the Arizona Partial Foot model or similar orthosis, use codes:

L1940

Ankle foot orthosis, plastic or other material, custom-fabricated

L2330

Addition to lower extremity, lacer molded to patient model, for custom fabricated orthosis only

L2820

Addition to lower extremity orthosis, soft interface for molded plastic below knee section

L5000

Partial foot, shoe insert with longitudinal arch, toe filler

Suppliers, manufacturers and distributors are reminded to check the product listing on the Product Classification List located on Durable Medical Equipment Coding System (DMECS); if there are any changes they are to notify the PDAC.

Suppliers who have incorrectly coded these orthoses should submit a voluntary refund to the DME MAC.

For questions about correct coding, contact the PDAC Contact Center at (877) 735-1326 during the hours of 8:30 a.m. to 5:00 p.m. ET, Monday through Friday, or e-mail the PDAC by completing the DME PDAC Contact Form located on the PDAC websiteExternal Website.

Publication History

December 2008

Originally Published

November 2011

Revised – Section related to Arizona Extended and the Arizona Unweighting or similar custom fabricated braces

October 2020

Reviewed and Revised to make current

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