L4070 HCPCS Level II code: Replace proximal and distal upright for kafo
L4070 is the HCPCS code for “Replace proximal and distal upright for kafo” in CMS’s October 2026 release, in effect from Oct 1, 2026.
Official description
L4070Replace proximal and distal upright for kafo
Short description: Replace prox & dist upright
HCPCS · United States
Medicare details
The indicators CMS publishes with L4070 in its October 2026 file. They describe Medicare’s handling, not another payer’s.
- Medicare coverage
- Carrier judgment
- Medicare pricing
- DMEPOS fee schedule – Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)
- Type of service
- Lump sum purchase of DME, prosthetics, orthotics
- BETOS category
- Prosthetic/Orthotic devices
- Added
- Jan 1, 1986
Where L4070 sits
- 1L codesOrthotics and prosthetics
- 2Active code L4070Replace proximal and distal upright for kafo
Source and release
- Data release
- HCPCS Level II · October 2026
- Effective date
- Oct 1, 2026
- Publisher
- CMS
This page is built from the HCPCS Level II catalog that Vero Codes reads when it suggests codes: Centers for Medicare & Medicaid Services’s October 2026 release, imported from the publisher’s file and checked against it. The description, notes and structured data come from the same record.
Frequently asked questions
What does HCPCS code L4070 mean?
L4070 is the HCPCS code for “Replace proximal and distal upright for kafo” in CMS’s HCPCS Level II October 2026 release.
Does Medicare cover L4070?
CMS lists L4070’s Medicare coverage as “Carrier judgment” and its pricing as “DMEPOS fee schedule – Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)”. Coverage and payment still depend on the patient, the setting, the documentation and the payer.
Which HCPCS Level II release does this page use?
It uses CMS’s October 2026 release, in effect from Oct 1, 2026 to Dec 31, 2026. It is a reference: confirm the code against the current list and the payer’s rules before you submit it.
Codes beside L4070
All L codesL4030Replace quadrilateral socket brim, custom fittedL4040Replace molded thigh lacer, for custom fabricated orthosis onlyL4045Replace non-molded thigh lacer, for custom fabricated orthosis onlyL4050Replace molded calf lacer, for custom fabricated orthosis onlyL4055Replace non-molded calf lacer, for custom fabricated orthosis onlyL4060Replace high roll cuffL4080Replace metal bands kafo, proximal thighL4090Replace metal bands kafo-afo, calf or distal thighL4100Replace leather cuff kafo, proximal thighL4110Replace leather cuff kafo-afo, calf or distal thighL4130Replace pretibial shellL4205Repair of orthotic device, labor component, per 15 minutes