HCPCS Level II L1960: Ankle Foot Orthosis, Posterior Solid, Custom Fabricated

HCPCS Level II code L1960 describes a custom-fabricated posterior solid ankle foot orthosis (AFO) made of plastic, intended to provide rigid ankle support and control for the lower extremity; the service is orthotic fabrication and fitting, typically provided in an outpatient orthotics/prosthetics clinic or specialty durable medical equipment setting where custom molding and adjustments occur.

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HCPCS Level II L1960: Ankle Foot Orthosis, Posterior Solid, Custom Fabricated

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Get alerted when payer policies referencing L1960 are released or updated.

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Clinical & Coding Specifications

Clinical Context

A 68-year-old patient with a chronic stroke-related hemiparesis presents to an orthotics clinic for persistent foot drop and ankle instability causing frequent tripping and difficulty with ambulation. After gait assessment by a physiatrist and an orthotist, a decision is made to fabricate a L1960 — a custom fabricated posterior solid ankle ankle-foot orthosis (AFO) — to provide rigid sagittal and coronal control, maintain the ankle at neutral to prevent plantarflexion, and improve safety during community ambulation. The clinical workflow includes: referral from the treating physician, a comprehensive lower-extremity evaluation (range of motion, spasticity, skin integrity), casting or 3D scanning of the foot/ankle for a custom negative, fabrication by an orthotics lab, fitting and initial adjustments in clinic, and documented patient education on donning/doffing and skin checks. Follow-up visits for alignment tuning and pressure-relief modifications are scheduled at 2–6 weeks and periodically thereafter based on skin tolerance and functional progress.

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`97763`	Orthotic and prosthetic evaluation, established patient, with fitting and adjustments	Used for clinical evaluation and fitting of the custom AFO during follow-up visits.
`97760`	Orthotic management and training, initial encounter	Used for training the patient in use, donning/doffing, and functional training after delivery of the AFO.
`99070`	Supplies and materials (non-covered)	Used when billing for additional non-covered supplies or components related to the orthosis (payer-dependent).
`99080`	Special reports or forms, completion of medical records	Used when specific documentation or forms are completed for authorization or insurer requirements.
`97110`	Therapeutic exercises to develop strength and endurance	Frequently performed by physical therapists before or after AFO delivery to improve ambulation and function.

Related Modifiers

5 rows

Modifier	Description	When to Use
59	Modifier 59 indicates a distinct procedural service when two procedures that are not normally billed together are clinically and procedurally separate. The CPT definition (as reiterated by CMS)…	- Use modifier -59 to report a distinct procedural service when documentation supports that the procedure reported is not normally billed together with another service on the same day because of a…
52	Modifier ‑52 (Reduced Services) indicates that a service or procedure was partially reduced or omitted at the provider’s discretion, allowing reporting of the basic procedure number with a qualifier…	- Use modifier -52 when a physician or qualified health professional electively reduces or omits part of a procedure or service (for example, performing fewer required views or omitting a portion of…
53	Modifier 53 (Discontinued Procedure) signals that a surgical or diagnostic service was begun by the physician but terminated because of extenuating circumstances that threatened the patient’s…	- Use modifier -53 when a physician/qualified healthcare professional has started a surgical or diagnostic procedure (e.g., anesthesia administered, incision or scope insertion) and then discontinues…
22	Modifier –22 (Increased Procedural Services) is used when a reported procedure is substantially more extensive than normally required. The CPT Manual and CMS state it may be appended only when the…	- When to use: Append modifier -22 to a procedural CPT code when the service performed is substantially more extensive than the usual service described by that code — i.e., the procedure required…
P4	Modifier P4 indicates the patient is ASA Physical Status IV — a patient with severe systemic disease that is a constant threat to life. It is assigned by the anesthesia provider and must be supported…	- When to apply: Use modifier P4 only on anesthesia CPT codes (00100–01999) to indicate ASA Physical Status IV — a patient with severe systemic disease that is a constant threat to life (examples:…

Related Provider Taxonomies

8 rows

Taxonomy Code	Specialty	Notes
207K00000X	Allergy & Immunology Physician	An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Select…
103T00000X	Psychologist	A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, a…
261QS1200X	Sleep Disorder Diagnostic Clinic/Center	Ambulatory Health Care Facilities · Clinic/Center
1223S0112X	Oral and Maxillofacial Surgery (Dentist)	The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functi…
247ZC0005X	Clinical Laboratory Director (Non-physician)	An individual who is state-licensed as a clinical laboratory director and meets the qualifications in the Clinical Laboratory Improvement Amendments o…
2471R0002X	Radiation Therapy Radiologic Technologist	A radiologic technologist who specializes in radiation therapy and is appropriately educated and trained, consistent with nationally recognized standa…
261QM1000X	Migrant Health Clinic/Center	Ambulatory Health Care Facilities · Clinic/Center
347C00000X	Private Vehicle	An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.

HCPCS L0112: Cranial Cervical Orthosis, Congenital Torticollis Type

HCPCS-L0113-CRANIAL-CERVICAL-ORTHOSIS-TORTICOLLIS

HCPCS Level II L0113: Prefabricated Cranial Cervical Orthosis for Torticollis

HCPCS-L0130-CERVICAL-FLEXIBLE-THERMOPLASTIC-COLLAR-MOLDED-TO-PATIENT

HCPCS Level II L0130: Cervical Flexible Thermoplastic Collar, Molded to Patient

HCPCS-L0140-CERVICAL-SEMI-RIGID-ADJUSTABLE-PLASTIC-COLLAR

HCPCS Level II L0140: Cervical Semi-Rigid Adjustable Plastic Collar

HCPCS-L0150-CERVICAL-SEMI-RIGID-ADJUSTABLE-CHIN-CUP

HCPCS Level II L0150: Cervical Semi-Rigid Adjustable Chin Cup

HCPCS-L0160-CERVICAL-SEMI-RIGID-OCCIPITAL-MANDIBULAR-SUPPORT

HCPCS Level II L0160: Cervical Semi-Rigid Occipital/Mandibular Support

HCPCS-L0170-CERVICAL-COLLAR-MOLDED-TO-PATIENT-MODEL

HCPCS Level II L0170: Cervical Collar, Custom-Molded

HCPCS-L0172-CERVICAL-COLLAR-SEMI-RIGID-THERMOPLASTIC-FOAM

HCPCS L0172: Cervical Collar, Semi-Rigid Prefabricated

HCPCS-L0174-CERVICAL-COLLAR-SEMI-RIGID-THORACIC-EXTENSION

HCPCS L0174: Cervical Collar, Semi-Rigid Thermoplastic with Thoracic Extension

HCPCS-L0180-CERVICAL-MULTIPLE-POST-COLLAR-OCCIPITAL-MANDIBULAR-ADJUSTABLE

HCPCS Level II L0180: Cervical Orthosis with Occipital/Mandibular Supports

Showing 1–10 of 466

Frequently Asked Questions

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.

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Clinical & Coding Specifications

Clinical Context

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`97763`	Orthotic and prosthetic evaluation, established patient, with fitting and adjustments	Used for clinical evaluation and fitting of the custom AFO during follow-up visits.
`97760`	Orthotic management and training, initial encounter	Used for training the patient in use, donning/doffing, and functional training after delivery of the AFO.
`99070`	Supplies and materials (non-covered)	Used when billing for additional non-covered supplies or components related to the orthosis (payer-dependent).
`99080`	Special reports or forms, completion of medical records	Used when specific documentation or forms are completed for authorization or insurer requirements.
`97110`	Therapeutic exercises to develop strength and endurance	Frequently performed by physical therapists before or after AFO delivery to improve ambulation and function.

Related Modifiers

5 rows

Modifier	Description	When to Use
59	Modifier 59 indicates a distinct procedural service when two procedures that are not normally billed together are clinically and procedurally separate. The CPT definition (as reiterated by CMS)…	- Use modifier -59 to report a distinct procedural service when documentation supports that the procedure reported is not normally billed together with another service on the same day because of a…
52	Modifier ‑52 (Reduced Services) indicates that a service or procedure was partially reduced or omitted at the provider’s discretion, allowing reporting of the basic procedure number with a qualifier…	- Use modifier -52 when a physician or qualified health professional electively reduces or omits part of a procedure or service (for example, performing fewer required views or omitting a portion of…
53	Modifier 53 (Discontinued Procedure) signals that a surgical or diagnostic service was begun by the physician but terminated because of extenuating circumstances that threatened the patient’s…	- Use modifier -53 when a physician/qualified healthcare professional has started a surgical or diagnostic procedure (e.g., anesthesia administered, incision or scope insertion) and then discontinues…
22	Modifier –22 (Increased Procedural Services) is used when a reported procedure is substantially more extensive than normally required. The CPT Manual and CMS state it may be appended only when the…	- When to use: Append modifier -22 to a procedural CPT code when the service performed is substantially more extensive than the usual service described by that code — i.e., the procedure required…
P4	Modifier P4 indicates the patient is ASA Physical Status IV — a patient with severe systemic disease that is a constant threat to life. It is assigned by the anesthesia provider and must be supported…	- When to apply: Use modifier P4 only on anesthesia CPT codes (00100–01999) to indicate ASA Physical Status IV — a patient with severe systemic disease that is a constant threat to life (examples:…

Related Provider Taxonomies

8 rows

Taxonomy Code	Specialty	Notes
207K00000X	Allergy & Immunology Physician	An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Select…
103T00000X	Psychologist	A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, a…
261QS1200X	Sleep Disorder Diagnostic Clinic/Center	Ambulatory Health Care Facilities · Clinic/Center
1223S0112X	Oral and Maxillofacial Surgery (Dentist)	The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functi…
247ZC0005X	Clinical Laboratory Director (Non-physician)	An individual who is state-licensed as a clinical laboratory director and meets the qualifications in the Clinical Laboratory Improvement Amendments o…
2471R0002X	Radiation Therapy Radiologic Technologist	A radiologic technologist who specializes in radiation therapy and is appropriately educated and trained, consistent with nationally recognized standa…
261QM1000X	Migrant Health Clinic/Center	Ambulatory Health Care Facilities · Clinic/Center
347C00000X	Private Vehicle	An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.

HCPCS L0112: Cranial Cervical Orthosis, Congenital Torticollis Type

HCPCS-L0113-CRANIAL-CERVICAL-ORTHOSIS-TORTICOLLIS

HCPCS Level II L0113: Prefabricated Cranial Cervical Orthosis for Torticollis

HCPCS-L0130-CERVICAL-FLEXIBLE-THERMOPLASTIC-COLLAR-MOLDED-TO-PATIENT

HCPCS Level II L0130: Cervical Flexible Thermoplastic Collar, Molded to Patient

HCPCS-L0140-CERVICAL-SEMI-RIGID-ADJUSTABLE-PLASTIC-COLLAR

HCPCS Level II L0140: Cervical Semi-Rigid Adjustable Plastic Collar

HCPCS-L0150-CERVICAL-SEMI-RIGID-ADJUSTABLE-CHIN-CUP

HCPCS Level II L0150: Cervical Semi-Rigid Adjustable Chin Cup

HCPCS-L0160-CERVICAL-SEMI-RIGID-OCCIPITAL-MANDIBULAR-SUPPORT

HCPCS Level II L0160: Cervical Semi-Rigid Occipital/Mandibular Support

HCPCS-L0170-CERVICAL-COLLAR-MOLDED-TO-PATIENT-MODEL

HCPCS Level II L0170: Cervical Collar, Custom-Molded

HCPCS-L0172-CERVICAL-COLLAR-SEMI-RIGID-THERMOPLASTIC-FOAM

HCPCS L0172: Cervical Collar, Semi-Rigid Prefabricated

HCPCS-L0174-CERVICAL-COLLAR-SEMI-RIGID-THORACIC-EXTENSION

HCPCS L0174: Cervical Collar, Semi-Rigid Thermoplastic with Thoracic Extension

HCPCS-L0180-CERVICAL-MULTIPLE-POST-COLLAR-OCCIPITAL-MANDIBULAR-ADJUSTABLE

HCPCS Level II L0180: Cervical Orthosis with Occipital/Mandibular Supports

Showing 1–10 of 466

Frequently Asked Questions

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.

Published by

Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.

OpenPayer

HCPCS Level II L1960: Ankle Foot Orthosis, Posterior Solid, Custom Fabricated

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HCPCS Level II L1960: Ankle Foot Orthosis, Posterior Solid, Custom Fabricated

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Clinical & Coding Specifications

Clinical Context

Related CPT Codes

Related Modifiers

Related Provider Taxonomies

Related Codes

References

Clinical & Coding Specifications

Clinical Context

Related CPT Codes

Related Modifiers

Related Provider Taxonomies

Related Codes

References

HCPCS Level II L1960: Ankle Foot Orthosis, Posterior Solid, Custom Fabricated

Sign up for hcpcs L1960 policy alerts

HCPCS Level II L1960: Ankle Foot Orthosis, Posterior Solid, Custom Fabricated

Sign up for hcpcs L1960 policy alerts

Clinical & Coding Specifications

Clinical Context

Related CPT Codes

Related Modifiers

Related Provider Taxonomies

Related Codes

What does HCPCS code L1960 represent and where is this service typically provided?

For which clinical conditions or patient scenarios is L1960 described as appropriate in the provided content?

What clinical workflow and related services are described for delivering a custom L1960 posterior solid AFO?

Which payers are noted as covered in the page metadata, and does the content include payer-specific coverage details?

What related CPT/HCPCS and ICD-10 diagnosis codes are listed alongside L1960, and does the page provide billing rules for using L1960?

References

Clinical & Coding Specifications

Clinical Context

Related CPT Codes

Related Modifiers

Related Provider Taxonomies

Related Codes

What does HCPCS code L1960 represent and where is this service typically provided?

For which clinical conditions or patient scenarios is L1960 described as appropriate in the provided content?

What clinical workflow and related services are described for delivering a custom L1960 posterior solid AFO?

Which payers are noted as covered in the page metadata, and does the content include payer-specific coverage details?

What related CPT/HCPCS and ICD-10 diagnosis codes are listed alongside L1960, and does the page provide billing rules for using L1960?

References