Ankle-Foot/Knee-Ankle-Foot Orthosis
National · Effective Apr 1, 2026
1 active Medicare policy lists L4396, and 2 commercial payer policies list it. See each policy's status for the code and its official source. Listing a code is not a coverage decision: read each policy’s source for the requirements that apply.
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National · Effective Apr 1, 2026
2 policies from 2 payers
Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
| Policy | Effective | Status of L4396 |
|---|---|---|
| Ankle Orthoses, Ankle-Foot Orthoses (AFOs), and Knee-Ankle-Foot Orthoses (KAFOs) | Jul 28, 2023 | Covered |
| Policy | Effective | Status of L4396 |
|---|---|---|
| Cigna Medicare Advantage Durable Medical Equipment Code List | Jan 1, 2025 | Prior auth required |