HCPCS Level II · Section L

L1904 Afo molded ankle gauntlet

← Section L: Orthotic and Prosthetic Procedures

Full Description

Ankle orthosis, ankle gauntlet or similar, with or without joints, custom

Code: L1904
Short Description: Afo molded ankle gauntlet
Section: L — Orthotic and Prosthetic Procedures
Pricing Indicator: 38

Source: CMS HCPCS October 2026 quarterly release.

Last reviewed: September 2026