L4090 HCPCS Level II code: Replace metal bands kafo-afo, calf or distal thigh
L4090 is the HCPCS code for “Replace metal bands kafo-afo, calf or distal thigh” in CMS’s October 2026 release, in effect from Oct 1, 2026.
Official description
L4090Replace metal bands kafo-afo, calf or distal thigh
Short description: Repl met band kafo-afo calf/
HCPCS · United States
Medicare details
The indicators CMS publishes with L4090 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, 1985
Where L4090 sits
- 1L codesOrthotics and prosthetics
- 2Active code L4090Replace metal bands kafo-afo, calf or distal thigh
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 L4090 mean?
L4090 is the HCPCS code for “Replace metal bands kafo-afo, calf or distal thigh” in CMS’s HCPCS Level II October 2026 release.
Does Medicare cover L4090?
CMS lists L4090’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 L4090
All L codesL4045Replace 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 cuffL4070Replace proximal and distal upright for kafoL4080Replace metal bands kafo, proximal thighL4100Replace leather cuff kafo, proximal thighL4110Replace leather cuff kafo-afo, calf or distal thighL4130Replace pretibial shellL4205Repair of orthotic device, labor component, per 15 minutesL4210Repair of orthotic device, repair or replace minor partsL4350Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, off-the-shelf