What is the diagnosis code for walking boot?
Asked by: Mrs. Edwina Dickens | Last update: November 8, 2025Score: 4.6/5 (43 votes)
What is the code for a walking boot?
HCPCS code L4387 for Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated, off-the-shelf as maintained by CMS falls under Other Lower Extremity Orthotics .
What is diagnosis code L4361?
HCPCS code L4361 for Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf as maintained by CMS falls under Other Lower Extremity Orthotics .
What is diagnosis code L4397?
HCPCS code L4397 for Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated, off-the-shelf as maintained by CMS falls under Other Lower Extremity Orthotics .
Is a walking boot covered by insurance?
Coverage for Walking Boots may be covered for ambulatory beneficiaries with weakness or deformity of the foot AND ankle, who: Requires stabilization for medical reasons; and, Have the potential to benefit functionally.
Low vs High Walking Boot - When should I use a low vs high walking boot?
What conditions require a walking boot?
Typically, small foot fractures or even shin fractures require these boots. A foot that needs to be immobilized after surgery may be kept still in this type of brace, too. Severe sprains, Achilles tendon injuries, and torn muscles are all often treated with this style of cast.
Does insurance pay for a boot?
You have to ask. Insurers might approve coverage of medical equipment only if a provider certifies it's medically necessary. Even with a doctor's OK, approval isn't assured. The "fancier" a piece of equipment is, the more challenging it is to get an insurer to agree that it's medically necessary, says Dr.
What is the code L4396?
Codes L4396 and L4397 are used for an ankle-foot orthosis which is worn when a beneficiary is nonambulatory, or minimally ambulatory. Code L4398 is used for an ankle-foot orthosis which is worn when a beneficiary is nonambulatory.
What is the ICD-10 code for gait and mobility dysfunction?
ICD-10 code R26. 89 for Other abnormalities of gait and mobility is a medical classification as listed by WHO under the range - Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified .
What is diagnosis code L1902?
L1902 (ANKLE ORTHOSIS, ANKLE GAUNTLET OR SIMILAR, WITH OR WITHOUT JOINTS, PREFABRICATED, OFF-THE-SHELF) describes a prefabricated ankle orthosis (AO) designed to provide compression and resist motion of the ankle foot complex.
What is the diagnosis code for L4360?
Which diagnosis codes will be paid by Medicare for L4360? Response: L4360 represents a pneumatic walking boot. Typically, it is used when there is a medical necessity for a specific patient to wear it instead of the less expensive non-pneumatic walking boot (L4386).
How much does a medical Walking boot cost?
You can buy these things online for $50. When I google it, the average charged for these at a Dr is $250. $390 seems SO excessive, especially when 2 of these were given to me, when I had no idea how pricey they were, or if I could buy them myself.
What is the ICD-10 code for ambulation training?
Gait Training/Functional Ambulation Treatment using Prosthesis. ICD-10-PCS F07Z9UZ is a specific/billable code that can be used to indicate a procedure.
What is the medical term for walking boot?
A Controlled Ankle Motion (CAM) boot – also known as a 'Moon Boot' – is an orthopedic device prescribed for the treatment and stabilization of severe sprains, fractures, tendon or ligament tears in the ankle or foot. Unlike plaster casts, CAM Boots are adjustable.
What is the boot code?
The boot code of a microprocessor unit is a complex program set consisting mainly of BIOS and kernel, master boot record (MBR), and boot program.
What is the CPT code for walking boots?
HCPCS code L4386 for Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise as maintained by CMS falls under Other Lower Extremity ...
What is the ICD-10 code for mobility disability?
For patients experiencing impaired mobility without a specific medical diagnosis, you can use the ICD-10 code for other reduced mobility Z74. 09, which is described in this resource as applicable to patients who are chair-ridden or have reduced mobility that is “NOS” (medical speak for not otherwise specified).
What is diagnosis code F82?
ICD-10 code F82 for Specific developmental disorder of motor function is a medical classification as listed by WHO under the range - Mental, Behavioral and Neurodevelopmental disorders .
What is the diagnosis code Z91-81?
Z91. 81 - History of falling | ICD-10-CM.
What is the HCPCS code for Walking boot?
HCPCS codes L4360, L4361, L4386 and L4387 describe an ankle-foot orthosis commonly referred to as a walking boot. Walking boots that are used to provide immobilization as treatment for an orthopedic condition or following orthopedic surgery are eligible for coverage under the Brace benefit.
What is diagnosis code E0935?
HCPCS code E0935 for Continuous passive motion exercise device for use on knee only as maintained by CMS falls under Traction and Other Orthopedic Devices .
What is the ICD-10 code for G97 82?
82 for Other postprocedural complications and disorders of nervous system is a medical classification as listed by WHO under the range - Diseases of the nervous system .
Can a doctor prescribe a walking boot?
Suffering from a foot or ankle injury can be a frustrating and challenging experience. When it comes to the recovery process, one common solution prescribed by medical professionals is the walking boot.
Does Medicare pay for foot boot?
Medicare Part B covers therapeutic shoes and inserts for people with diabetes and severe diabetes-related foot disease, as well as medically necessary ankle-foot orthoses and knee-ankle foot orthoses. After a person meets the Part B deductible, which is $240 in 2024, they pay 20% of the Medicare-approved amount.
Can you legally drive with a walking boot?
Legal and Insurance Implications
Many jurisdictions have specific regulations regarding driving with medical devices that impair mobility. Additionally, your insurance companies could deny coverage if an accident occurs while wearing a walking boot, stating that the driver was not in complete control of the vehicle.