Ankle brace HCPCS code
An ankle brace is usually billed under HCPCS code L1902 (Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf); related codes are L1906, L1907, L4350. The 2026 Medicare DMEPOS fee schedule pays $85.68 to $122.31 for L1902, depending on the state. Medicare paid for 60,440 L1902 services from 4,987 suppliers in 2024.
HCPCS codes for ankle brace
| Code | Description | Medicare coverage | DMEPOS fee (state range) | Medicare services |
|---|---|---|---|---|
| L1902 | Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf | Carrier judgment | $85.68–$122.31 | 60,440 (2024) |
| L1906 | Ankle foot orthosis, multiligamentous ankle support, prefabricated, off-the-shelf | Carrier judgment | $138.20–$318.48 | 22,738 (2024) |
| L1907 | Ankle orthosis, supramalleolar with straps, with or without interface/pads, custom fabricated | Carrier judgment | $674.95–$742.46 | 1,325 (2024) |
| L4350 | Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, off-the-shelf | Carrier judgment | $79.39–$207.41 | 11,666 (2024) |
Medicare revenue estimate for L1902
Units per month × state fee = monthly Medicare revenue. At 10 units a month, L1902 pays $1,223.10 in AR and $856.80 in PR, before the 20% patient coinsurance.
Medicare coverage policy
Frequently asked questions
What is the HCPCS code for an ankle brace?
L1902: Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf. Other ankle brace codes: L1906 (Afo multilig ank sup pre ots); L1907 (Afo supramalleolar custom); L4350 (Ankle control ortho pre ots).
Does Medicare cover an ankle brace?
By HCPCS coverage code — L1902: Carrier judgment; L1906: Carrier judgment; L1907: Carrier judgment; L4350: Carrier judgment.
How much does Medicare pay for an ankle brace?
Under the 2026 DMEPOS fee schedule (non-rural state fees): L1902 $85.68 to $122.31; L1906 $138.20 to $318.48; L1907 $674.95 to $742.46; L4350 $79.39 to $207.41.
Next steps
- Run a reimbursement report for a device billed under L1902
- Watch L1902 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for L1902
Part of Orthotic braces.
Related equipment
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- Knee brace HCPCS code
- Elbow brace HCPCS code
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Sources: CMS HCPCS Level II; CMS DMEPOS fee schedule 2026; CMS Medicare utilization; CMS Medicare Coverage Database. Fees are Medicare allowables (non-rural, by state), not commercial rates. Code choice depends on the exact item; check the descriptor. Not billing or legal advice.