HCPCS code L1971 — Afo w/ankle joint, prefab.
Status: Active.
Effective Apr 1, 2025.
Source: CMS HCPCS Level II.
L1971
ActiveAfo w/ankle joint, prefab
Ankle foot orthosis, plastic or other material with ankle joint, with or without dorsiflexion assist, prefabricated, includes fitting and adjustment
Category:
Orthotics & Prosthetics
Section:
L-codes: Orthotic and Prosthetic Procedures
Effective:
Apr 1, 2025
Code type:
alphanumeric
OPPS Status:
A
— Paid under a separate fee schedule (not OPPS)
MUE — Medically Unlikely Edits
Maximum units of L1971 Medicare will pay for one beneficiary on one date of service. Claims exceeding the MUE are denied or returned for review.
| Service Type | Max Units / Day |
|---|---|
| DME Supplier | 2 |
| Outpatient Hospital | 2 |
| Practitioner Services | 0 |
Source: CMS Medicare NCCI Medically Unlikely Edits
Change History
Quarterly changes published by CMS. Revisions may affect the code description, coverage, or rate — review each quarter's changes before submitting claims.
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New Code 2025-Q2Afo w/ankle joint, prefab