Custom-Fit Ankle Foot Orthosis (AFO) HCPCS Code L1930

To bill for custom-fit ankle foot orthoses (AFOs), you'll need to use HCPCS Level II codes, which are designed for healthcare products and services that fall outside the CPT system. All bracing and orthotic devices are categorized under the "L" series of HCPCS codes.

HCPCS Code:

L1930

Definition:

Ankle foot orthosis, plastic or other material, prefabricated, includes fitting and adjustment

This code applies to custom-fit AFOs made from plastic or other materials, designed to provide ankle stabilization, motion control, and improved gait mechanics. These orthoses are professionally trimmed, bent, molded, or adjusted by a healthcare provider to ensure optimal fit, comfort, and effectiveness. Ideal for post-stroke rehabilitation, drop foot correction, and neuromuscular support, these Medicare-compliant AFOs help patients regain mobility and confidence in daily activities.

Clinical Use Cases for L1930 Ankle Foot Orthoses (AFOs)

Drop Foot Correction

Provides essential dorsiflexion support, preventing toe dragging and improving walking mechanics.

Post-Stroke or Neuromuscular Weakness

Enhances stability and mobility for patients experiencing ankle weakness due to stroke or neurological conditions.

Ankle Instability and Gait Support

Supports proper alignment and controlled movement, reducing fall risk and improving ambulation for patients with weakness or deformities.

Why Healthcare Providers Choose Brace Direct

Comprehensive Product Selection

Our extensive range of PDAC-approved braces ensures you'll find the perfect solution for every patient's unique needs. From off-the-shelf options to specialized supports, we provide high-quality products that meet stringent medical standards.
Streamlined Ordering Process

Our user-friendly online platform allows for quick and efficient product selection. Search by specific codes, patient conditions, or product features to find exactly what you need with minimal effort.
Expert Clinical Support

Access a wealth of educational resources including detailed fitting guides, instructional videos, and direct support from our team of bracing specialists. We're committed to supporting healthcare providers in delivering optimal patient care.

Cost-Effective Solutions

Benefit from competitive pricing, volume discounts, and our Provider Discount Program. We help you manage costs without compromising on the quality of patient care and support.

Provider Discount Program

Save on wholesale orders and access exclusive volume discounts for your practice. Our program makes it easy to stock high-quality, PDAC-approved braces at competitive prices, ensuring your patients receive the best care while keeping your costs low.

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Become an Affiliate

Earn commissions by referring patients to trusted, high-quality braces. Our Affiliate Program offers a seamless way to recommend PDAC-approved products to your patients while creating an additional revenue stream for your practice.

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Explore Our L1930 PDAC Approved Ankle Foot Orthoses (AFOs)

Provide your patients with stabilization, gait correction, and support using our PDAC Approved ankle foot orthoses (AFOs). Designed for comfort, mobility, and Medicare compliance, these prefabricated orthoses offer effective lower limb stabilization.

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Frequently Asked Questions

How can I ensure correct billing for DME (Durable Medical Equipment)? + –

To bill for DME, you’ll need proper documentation, including patient diagnosis, medical necessity, and a detailed prescription. Be sure to use the appropriate modifiers (e.g., KX, RT, LT) and maintain compliance with Medicare guidelines.

Why doesn't Brace Direct work with insurance or Medicare? + –

Brace Direct follows a direct-to-consumer model to offer affordable prices, upfront pricing transparency, and faster access to braces without the delays and complexities of insurance or Medicare billing. Many products are FSA and HSA eligible for added convenience.
Direct-to-Consumer Medical Braces & Supports: No Insurance Hassles

How does Brace Direct support healthcare providers? + –

We offer an extensive range of PDAC-approved products, educational resources, and a user-friendly ordering platform. Additionally, our Provider Discount Program helps practices manage costs while delivering high-quality care.

What does PDAC approval mean, and why is it important? + –

PDAC (Pricing, Data Analysis, and Coding) approval ensures that a brace meets Medicare’s strict requirements for quality, design, and function. Using PDAC-approved products simplifies reimbursement processes and helps avoid claim denials.

Where can I learn more about Medicare's requirements for braces and billing? + –

For more details on Medicare’s coding and reimbursement guidelines for orthotics, visit the official Medicare website below.
Medicare's DME Coverage

What is the CPT Code for a Custom-Fit Ankle Foot Orthosis (AFO)?