Correct Coding of Arizona-Type AFO

For the Arizona Short and Arizona Tall, or similar custom fabricated braces, only the following codes should be used:

• L1940 - Ankle foot orthosis, plastic or other material, custom fabricated
• L2330 - Addition to lower extremity, lacer molded to patient model, for custom fabricated orthosis only
• L2820 - Addition to lower extremity orthosis, soft interface for molded plastic below knee section
• L2330 is used whether the closure is a lacer closure or a hook and loop closure. L2820 is used only if a soft interface, either leather or other material, is provided.

For the Arizona Extended and the Arizona Unweighting or similar custom fabricated braces, only the following codes should be used:

• L1960 - Ankle foot orthosis, posterior solid ankle, plastic, custom-fabricated
• L2330 - Addition to lower extremity, lacer molded to patient model, for custom fabricated orthosis only
• L2820 - Addition to lower extremity orthosis, soft interface for molded plastic below knee section

The following codes must not be used for these orthoses:

• L2275 - Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined
• L2280 - Addition to lower extremity, molded inner boot

For the Arizona Partial Foot model or similar orthosis, use codes:

• L1940 - Ankle foot orthosis, plastic or other material, custom-fabricated
• L2330 - Addition to lower extremity, lacer molded to patient model, for custom fabricated orthosis only
• L2820 - Addition to lower extremity orthosis, soft interface for molded plastic below knee section
• L5000 - Partial foot, shoe insert with longitudinal arch, toe filler

You may find more information here:  https://www.cgsmedicare.com/jc/pubs/news/2020/10/cope19279.html