Suggested HCPCS Code: L1970, L2820

• Custom Balanced Foot Orthotic
• Standard 35mm Heel Cup fits into the bottom of the heel counter of the shoe
• Anatomic Ankle Axis Hinge Placement
• Semi-rigid lower limb supports
• Custom contoured footplate attachment

Underlying Conditions:

• Mild Posterior Tibial Tendon Dysfunction (PTTD)
• Mild degenerative arthritis
• Chronic Ankle Instability

Suggested HCPCS Code: L1970

• Thermoplastic shell
• Available with Free Motion or Dorsi-Assist ankle joint
• Available with varus or valgus correction
• Metatarsal, sulcus, or full length footplate
• Optional 1/8″ medical-grade foam padding
• Closure with tibial pad

Underlying Conditions:

• Mild Posterior Tibial Tendon Dysfunction (PTTD)
• Mild degenerative arthritis
• Lateral and medial instability of subtalar joint
• Foot drop
• Severe pronation
• Trauma

Suggested HCPCS Code: L1960

• Thermoplastic shell
• Metatarsal, sulcus, or full length footplate
• Closure with tibial pad

Underlying Conditions:

• Foot drop
• Weak or absent plantar flexors and/or dorsiflexors
• Severe degenerative arthritis
• Lateral and medial instability of subtalar joint
• Trauma

Suggested HCPCS Code: L4631

• Thermoplastic shell
• Optional 1/8″ medical grade foam padding

Underlying Conditions:

• Charcot foot

Suggested HCPCS Code: L1940, L2330, L2820

• Soft, comfortable molded leather inner shell lining
• Padded with 1/8″ medical-grade foam
• Polypropylene-reinforced foot and ankle
• Metatarsal-length foot plate
• Custom anatomical reliefs

Underlying Conditions:

• PTTD (Posterior Tibial Tendon Dysfunction)
• Talocalcaneal varus or valgus
• Tibialis tendonitis (posterior or anterior)
• Severe pronation or pes planus
• Ankle arthritis or Degenerative Joint Disease (DJD)
• Charcot foot
• Ankle, subtalar or midtarsal trauma
• Chronic Achilles tendonitis