The Centers for Medicare & Medicaid Services (CMS) has recently released their final determinations from the First Biannual 2026 Healthcare Common Procedure Coding System (HCPCS) code application meetings. The final determinations resulted in one new lower-limb code, which will be active and valid for claims with dates of service on or after October 1, 2026.
- L1972: Ankle foot orthosis, plastic or other material with ankle joint, with or without dorsiflexion assist, prefabricated, off-the shelf
The final determinations also resulted in descriptor changes for one lower-limb code, which will be active and valid for claims with dates of service on or after October 1, 2026. Changes are in bold.
- L1971: Old descriptor – Ankle foot orthosis, plastic or other material with ankle joint, with or without dorsiflexion assist, prefabricated, includes fitting and adjustment
- L1971: New descriptor – Ankle foot orthosis, plastic or other material with ankle joint, with or without dorsiflexion assist, prefabricated, item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise
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