L1906 HCPCS code: Ankle foot orthosis, multiligamentous ankle support, prefabricated, off-the-shelf

L1906 is the HCPCS Level II code for ankle foot orthosis, multiligamentous ankle support, prefabricated, off-the-shelf. The 2026 Medicare DMEPOS fee schedule pays $138.20 to $318.48 depending on the state. Its Medicare coverage code is C (Carrier judgment): Coverage is decided by the Medicare contractor (MAC) case by case. The NCCI unit limit is 2 per day on DME suppliers. Medicare volume rose 72% from 2022 to 2024 (13,212 to 22,738 services). In 2024, 1,253 suppliers billed Medicare for L1906 (purchases), serving 14,764 beneficiaries; California, New York, Florida accounted for 29% of services. Its average fee ranks 2 of 20 L19 codes (family range $102.92–$1,226.57).

Code details

2026 Medicare DMEPOS fee schedule for L1906

How the L1906 fee compares

Who bills L1906 (2024)

Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.

Medicare utilization for L1906, 2022–2024

States with the most L1906 services (2024)

NCCI unit limits (MUE)

Medicare policy articles for this code

• A52457: Ankle-Foot/Knee-Ankle-Foot Orthoses - Policy Article (CGS Administrators, LLC (DME MAC) Noridian Healthcare Solutions, LLC (DME MAC)) — mentions this code in its coding guidance

Covered diagnoses (12 ICD-10-CM codes)

The diagnoses most often listed as covered in the policy articles above:

Showing 10 of 12. The full list, non-covered diagnoses and CSV export are in Caduvo.

What changed for L1906

• 2026-01-01: Average state fee rose 2.0%: $154.36 to $157.45
• 1988-01-01: L1906 added to HCPCS Level II
• Next scheduled CMS quarterly update (HCPCS and DMEPOS fee schedule): 2027-01-01

Frequently asked questions

What is HCPCS code L1906?

L1906 is the HCPCS Level II code for ankle foot orthosis, multiligamentous ankle support, prefabricated, off-the-shelf. Short descriptor: "Afo multilig ank sup pre ots".

How much does Medicare pay for L1906?

Under the 2026 DMEPOS fee schedule, non-rural state fees are base (base fee): $138.20–$318.48. Rural fees can be higher.

Does Medicare cover L1906?

Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.

Which diagnoses support coverage for L1906?

Medicare policy articles that cite L1906 list 12 covered ICD-10-CM diagnosis codes across 1 article. The most cited include A52.16 (Charcot's arthropathy (tabetic)), E08.610 (Diabetes mellitus due to underlying condition with diabetic neuropathic arthropathy), E09.610 (Drug or chemical induced diabetes mellitus with diabetic neuropathic arthropathy). A listed diagnosis is necessary but not sufficient; the policy's other criteria still apply.

Did the Medicare fee for L1906 change in 2026?

The average non-rural state fee moved from $154.36 in 2025 to $157.45 in 2026 (+2.0%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.

How many units of L1906 can be billed per day?

2 on DME suppliers; 2 on outpatient hospital claims (NCCI medically unlikely edits).

Related L19 codes

• L1900 — Ankle foot orthosis, spring wire, dorsiflexion assist calf band, custom fabricated ($310.01–$398.09)
• L1902 — Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf ($85.68–$122.31)
• L1904 — Ankle orthosis, ankle gauntlet or similar, with or without joints, custom fabricated ($540.36–$990.72)
• L1907 — Ankle orthosis, supramalleolar with straps, with or without interface/pads, custom fabricated ($674.95–$742.46)
• L1910 — Ankle foot orthosis, posterior, single bar, clasp attachment to shoe counter, prefabricated, includes fitting and adjustment ($307.30–$590.09)
• L1920 — Ankle foot orthosis, single upright with static or adjustable stop (phelps or perlstein type), custom fabricated ($374.16–$761.40)
• L1930 — Ankle foot orthosis, plastic or other material, prefabricated, includes fitting and adjustment ($225.00–$459.82)
• L1932 — Ankle foot orthosis, rigid anterior tibial section, total carbon fiber or equal material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise ($1,070.39–$1,177.42)
• L1933 — Ankle foot orthosis, rigid anterior tibial section, total carbon fiber or equal material, prefabricated, off-the-shelf ($1,070.39–$1,177.42)
• L1940 — Ankle foot orthosis, plastic or other material, custom fabricated ($568.30–$1,522.87)
• L1945 — Ankle foot orthosis, plastic, rigid anterior tibial section (floor reaction), custom fabricated ($780.45–$1,589.54)
• L1950 — Ankle foot orthosis, spiral, (institute of rehabilitative medicine type), plastic, custom fabricated ($855.92–$1,328.25)

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Next steps

• Run a reimbursement report for a device billed under L1906
• Watch L1906 for fee, coverage and descriptor changes
• Build a full Medicare revenue model for L1906

Sources: CMS HCPCS Level II release October 2025; CMS DMEPOS fee schedule 2026; CMS NCCI MUE tables; CMS Medicare utilization (physician and DME supplier files); CMS Medicare Coverage Database articles. Fees are Medicare allowables, not commercial rates. Not billing or legal advice.

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