Suggested Codes and Fees of Ortho-AFO Brace
The following fees and codes are based on prior experience from other customers who have billed out this product. They are suggestions only, they do not represent Ortho-Rite, Inc. recommendations. We suggest that you contact your insurance carrier or Medicare office’s to verify the exact billing codes for related fee’s.
|
Description
|
CPT Code |
Suggested Fee |
| First Visit |
99213 |
$ 50.00 – $ 75.00 |
|
Second Visit
Semi-rigid molded plastic orthosis to hold the foot in neutral position. Custom molded from a model of the patient. Includes casting.
|
L 1940 |
$ 470.00 |
| Addition to lower extremity orthosis, soft interface for molded plastic below knee |
L 2820 |
$ 85.00 |
| Addition to lower extremity lower molded inner boot. Plastic or leather includes casting. |
L 2280 |
$ 390.00 |
| Addition or extension to the lower extremity, varus, valgus correction plastic modification, padded and lined |
L 2275 |
$ 100,00 |
| Total suggested fee for Ortho-AFO (single foot, single AFO) |
$ 1,110.00 |