Custom-Fit Spiral Ankle Foot Orthosis (AFO) HCPCS Code L1951

To bill for custom-fit spiral 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:

L1951

Definition:

Ankle foot orthosis, spiral, (institute of rehabilitative medicine type), plastic or other material, prefabricated, includes fitting and adjustment

This code applies to custom-fit spiral AFOs, also known as Institute of Rehabilitative Medicine (IRM)-type AFOs, made from plastic or other rigid materials. These braces provide lightweight stability while allowing controlled movement, making them ideal for patients needing ankle and foot support without full rigidity. Professionally trimmed, bent, molded, or adjusted by healthcare providers, these AFOs ensure a precise fit for patients with foot drop, neuromuscular weakness, or post-stroke rehabilitation needs. Medicare-compliant and designed for improved mobility, these orthoses enhance gait efficiency and balance.

Clinical Use Cases for L1951 Custom-Fit Spiral AFOs

Foot Drop Correction

Provides dynamic dorsiflexion assistance, reducing toe dragging and improving walking mechanics.

Post-Stroke or Neuromuscular Weakness

Enhances stability and controlled movement for patients recovering from stroke or neurological conditions affecting gait.

Flexible Support for Gait Improvement

Offers a balance between rigidity and flexibility, supporting natural ankle movement while preventing excessive motion.

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 L1951 PDAC Approved Custom-Fit Spiral AFOs

Provide your patients with lightweight, dynamic support using our PDAC Approved custom-fit spiral AFOs. Designed for controlled flexibility, superior stabilization, and Medicare compliance, these IRM-type AFOs ensure optimal mobility and patient comfort.

View Custom-Fit Spiral AFO Collection

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 Spiral Ankle Foot Orthosis (AFO)?