HCPCS Code Details - L4205

HCPCS Level II Code
Orthotic and Prosthetic Procedures, Devices
HCPCS Code L4205
Description

Long description:
Repair of orthotic device, labor component, per 15 minutes

Short description:
Ortho dvc repair per 15 min

HCPCS Modifier1
HCPCS Pricing indicator 46 - Carrier priced (e.g., not otherwise classified, individual determination, carrier discretion, gap-filled amounts)
Multiple pricing indicator A - Not applicable as HCPCS priced under one methodology
Coverage code D - Special coverage instructions apply
BETOS2 code D1F - Prosthetic/Orthotic devices
HCPCS Action code N - No maintenance for this code
Type of service P - Lump sum purchase of DME, prosthetics, orthotics
Effective date Effective Jan 01, 1997
Date added Added Jan 01, 1997
HCPCS Coding Procedures

HCPCS Modifiers

In HCPCS Level II, modifiers are composed of two alpha or alphanumeric characters.

Example: E0260-NU - Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress
NU” identifies the hospital bed as new equipment

See also

  • HCPCS L4130 · Replace pretibial shell

  • HCPCS L4210 · Repair of orthotic device, repair or replace minor parts


1 Two-digit numeric codes are Level I code modifiers copyrighted© by the American Medical Association's Current Procedural Terminology (CPT).

2 BETOS stands for “Berenson-Eggers Type Of Service”