| L4000 | Repl girdle milwaukee orth |
| L4002 | Replace strap, any orthosis |
| L4010 | Replace trilateral socket br |
| L4020 | Replace quadlat socket brim |
| L4030 | Replace socket brim cust fit |
| L4040 | Replace molded thigh lacer |
| L4045 | Replace non-molded thigh lac |
| L4050 | Replace molded calf lacer |
| L4055 | Replace non-molded calf lace |
| L4060 | Replace high roll cuff |
| L4070 | Replace prox & dist upright |
| L4080 | Repl met band kafo-afo prox |
| L4090 | Repl met band kafo-afo calf/ |
| L4100 | Repl leath cuff kafo prox th |
| L4110 | Repl leath cuff kafo-afo cal |
| L4130 | Replace pretibial shell |
| L4205 | Ortho dvc repair per 15 min |
| L4210 | Orth dev repair/repl minor p |
| L4350 | Ankle control ortho pre ots |
| L4360 | Pneumat walking boot pre cst |
| L4361 | Pneuma/vac walk boot pre ots |
| L4370 | Pneum full leg splnt pre ots |
| L4380 | Pneumatic knee splint |
| L4386 | Non-pneum walk boot pre cst |
| L4387 | Non-pneum walk boot pre ots |
| L4392 | Replace afo soft interface |
| L4394 | Replace foot drop spint |
| L4396 | Static or dynami afo pre cst |
| L4397 | Static or dynami afo pre ots |
| L4398 | Foot drop splint pre ots |
| L4631 | Afo, walk boot type, cus fab |
