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See a sample rate comparisonHCPCS L1902 Fee Schedule
Last Verified: September 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf
| Key Fact | Detail |
|---|---|
| Service Type | Orthotic Procedures and services Ankle-foot Orthotics |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for L1902 |
National average reimbursement for HCPCS L1902 by major payers:
$79.03
$54.33
$67.02
$103.68
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HCPCS L1902
5 of 25 sample ratesHigher to lower in this preview
Jack Klem
$138.10Published rateLori Lane
La Medical Associates
$46.16Published rateJulio Ortiz
Certified Foot Ankle Specialists
$45.20Published rateHenkin Neurosurgery P A
Henkin Neurosurgery, P.A.
$43.02Published rateMedic Infusion PA
$39.74Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS L1902 vs. Other Ankle-foot Orthotics Codes
The HCPCS L1902 code is part of the Orthotic Procedures and services services used for Ankle-foot Orthotics. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The HCPCS L1902 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| L1900-HCPCS | Moderate | Ankle foot orthosis (AFO), spring wire, dorsiflexion assist calf band, custom-fabricated |
| L1902-HCPCS | Low | Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf |
| L1904-HCPCS | Moderate | Ankle orthosis, ankle gauntlet or similar, with or without joints, custom fabricated |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS L1902. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the L1902 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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