L1904
HCPCSAfo molded ankle gauntlet
Official HCPCS Level II long descriptor
Ankle orthosis, ankle gauntlet or similar, with or without joints, custom fabricated
HCPCS Level II code L1904 is maintained by CMS and is active in the current quarterly release.
Short descriptor
Afo molded ankle gauntlet
Added to HCPCS: 1988-01-01
Nearby codes in L1
- L1847Ko dbl upright w/air pre cst
- L1848Ko dbl upright w/air pre ots
- L1850Ko swedish type pre ots
- L1851Ko single upright prefab ots
- L1852Ko double upright prefab ots
- L1860Ko supracondylar socket mold
- L1900Afo sprng wir drsflx calf bd
- L1902Afo ankle gauntlet pre ots
- L1906Afo multilig ank sup pre ots
- L1907Afo supramalleolar custom
- L1910Afo sing bar clasp attach sh
- L1920Afo sing upright w/ adjust s
- L1930Afo plastic
- L1932Afo rig ant tib tcf/= custom
- L1933Afo rig ant tib tcf/= ots
- L1940Afo molded to patient plasti
Where this code sits
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HCPCS Level II July 2026 quarterly update. Centers for Medicare & Medicaid Services (CMS), “July 2026 Alpha-Numeric HCPCS File” (HCPC2026_JUL_ANWEB_06172026.txt). Download the original file from cms.gov. Public domain (US Government work). Descriptors, billable flags and instructional notes on this page are reproduced from that file without modification. Krasyn adds no clinical guidance.