Wednesday, February 28, 2024

L-code: PFFD extension prosthesis

Hi List,
I have a little 3 year old girl w/ PFFD/absent femur who needs a new extension prosthesis. Her current setup is basically a conventional AFO with free motion ankle joints on top of an alignable pylon and sach foot.(Solid stirrup of “afo” section mounted on bottom of sole and rivited onto a 4-hole pyramid). I’d like to give her a similar setup except that I will limit dorsiflexion (which is basically hyperextension at the “knee” joint for her. Problem is, I have no idea how to code this (L-codes). The socket is just a shoe, which works well for her as we can just mount a new shoe on as she grows…but there is no prosthetic code that allows the use of a shoe as a socket! Any thoughts?
– Karen Lynch, CPO, Sunrise P&O
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