L4055 Replace non-molded calf lace

Full Description

Replace non-molded calf lacer, for custom fabricated orthosis only

Code
L4055
Short Description
Replace non-molded calf lace
Section
L — Orthotic and Prosthetic Procedures
Pricing Indicator
38
Source: CMS HCPCS October 2026 quarterly release.

Last reviewed: September 2026