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Brace Align Adjustable Night Splint - PDAC Approved
PDAC Approval Information:
- Product Name: Brace Align Adjustable Night Splint
- Document Control Number (DCN): 21005C25100000
- Effective Date: 2021-02-23
- Download Official PDAC Approval Letter (PDF)
This assignment of HCPCS codes does not imply Medicare endorsement nor guarantee reimbursement or coverage.
HCPCS Code: L4397 Model Number: NSPFP L0004397XX
Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated, off-the-shelf
HCPCS Code: L4396 Model Number: NSPFP L0004397XX
Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise
