SCOPe Orthotics and Prosthetics  



(Codes are subject to change after initial evaluation of Patient and M.D. notification)

Product L-Code  

ACL Knee Braces

  • Ossur
  • FlexTech
  • Townsend
  • DonJoy

L 1858, L 1840, L 1895, L 1899

 ACL Knee Braces
Air Cast Ankle Brace L 4350 Aircast Ankle Brace
Ankle Fracture Brace L 2114 Ankle Fracture Brace
Arch Supports/Foot Orthotics L 3020 x 2 Arch Supports
Articulating AFO L 1970 & L 2200 UltraFlex AFO
AFO (off the shelf) L 1930 AFO
AFO (Posterior Leaf Spring) L 1940 AFO Posterior Leaf Spring
Hinged Knee Brace (Neoprene) L 1820 Hinged Knee Brace
Hip Abduction Brace L 1686 & L 2624 Hip Abduction Brace
Jewett Hyperextension, TLSO L 0472 Jewett Hyperextension, TLSO
Lace-Up Ankle Brace L 1906 Lace-Up Ankle Brace
Lumbar Corset (Semi-rigid) L 0630 Lumbar Corset
Night Splint, Ankle L 1930 & L 2820 Night Splint Ankle
Prosthesis Evaluation Necessary - Pictured is an example of a Below Knee Prosthetic BK Prosthesis
R.O.M. Knee Brace L 1832 ROM Knee Brace
R.O.M. Walker Boot (pneumatic walking splint) L 4360 ROM Walker Boot
Stabilizing Knee Brace L 1800 & L 2800 Stabilizing Knee Brace
Solid Ankle AFO (Standard) L 1960, L 2270, L 2840 Solid Ankle AFO
TLSO (Custom) L 0486 & L 0984 TLSO - Custom

Unloader Knee Brace

  • FlexTech
  • Townsend
  • Ossur
  • DonJoy

L 1844, L 1385, L 2275

L 1840, L 1846, L 1345, or L 1844 with Add-On Codes

 Unloader Knee Brace
Wrist Cock-Up Splint L 3914 or L 3908 Wrist Cock Up Splint