According to the Medicare Pricing, Data Analysis, and Coding (PDAC) website, the article titled, “Coding Verification Reviews for Custom Fabricated Ankle-Foot Orthoses,” published May 16, concerning coding verification for three Healthcare Common Procedure Coding System (HCPCS) codes is currently under review by the Durable Medical Equipment Medicare Administrative Contractors (DME MACs). The affected codes are: L-1940 (ankle foot orthosis, plastic or other material, custom-fabricated); L-1960 (ankle foot orthosis, posterior solid ankle, plastic, custom-fabricated); and L-1970 (ankle foot orthosis, plastic with ankle joint, custom-fabricated).
The September 1, 2012 effective date stated in the article is on hold until further notice. PDAC has suggested that suppliers and providers should monitor the DME MAC and PDAC websites for a final decision following this review.