HCPCS Level II L1980: Ankle Foot Orthosis, Single Upright, Custom Fabricated

HCPCS Level II code L1980 describes a custom-fabricated ankle foot orthosis (AFO) with a single upright allowing free plantarflexion and dorsiflexion, a solid stirrup, and calf band/cuff (single bar 'bk' orthosis); this item is an orthotic device used to support and stabilize the ankle and foot and is typically provided as durable medical equipment for outpatient orthotics or prosthetics clinics, rehabilitation centers, or specialty orthopedic practices.

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HCPCS Level II L1980: Ankle Foot Orthosis, Single Upright, Custom Fabricated

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Clinical & Coding Specifications

Clinical Context

A typical patient is an adult with post-stroke hemiparesis and persistent foot drop who presents to an orthotics clinic for evaluation. The patient reports frequent tripping and difficulty clearing the toes during the swing phase of gait. The orthotist performs a clinical assessment including gait observation, range of motion, muscle tone, and footwear fit, and documents the need for a supportive ankle-foot orthosis that allows free plantarflexion and dorsiflexion at the ankle while providing medial-lateral stability via a solid stirrup and calf cuff. Custom fabrication is selected because of unique limb anatomy and the need for precise alignment and fit.

The workflow includes: initial evaluation by an orthotist or prosthetist, measurement and casting or digital scanning of the lower extremity, ordering of custom-fabricated L1980 (single upright free plantar dorsiflexion, solid stirrup, calf band/cuff), fabrication by an orthotic lab, delivery and fitting session with adjustment, and follow-up visits for alignment checks and wear tolerance. Typical site of service is an outpatient orthotics/prosthetics clinic or hospital-based orthotics department. The service supports ambulation, fall prevention, and rehabilitation goals.

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`99203`	Office or other outpatient visit for evaluation and management, new patient, low to moderate complexity	Initial orthotic evaluation and ordering of `L1980`
`97760`	Orthotic management and training, initial encounter	Gait training and instruction in use and care of the custom AFO after delivery
`97763`	Orthotic/prosthetic management and training, each additional 15 minutes	Additional billing for extended fitting or training time beyond initial session
`99070`	Supplies and materials (unless included in the procedure)	Used when non-standard supplies are separately billable during fitting or modification
`97530`	Therapeutic activities, direct one-on-one, each 15 minutes	Functional rehabilitation tasks incorporating the orthosis during therapy sessions

Related Modifiers

5 rows

Modifier	Description	When to Use
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…
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…
76	Modifier -76, Repeat Procedure or Service by Same Physician or Other Qualified Health Care Professional, is appended when the same provider performs an identical, medically necessary procedure or…	- Use modifier -76 when the same physician or other qualified health care professional performs an identical procedure or service a second (or subsequent) time on the same date of service and the…
78	CPT modifier -78 indicates an unplanned, related return to the operating or procedure room by the same provider during the global postoperative period. It is appended when treatment for a…	- Use modifier -78 when an unplanned, related complication during the original procedure’s global postoperative period requires the patient to return to a formal operating or procedure room and the…
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Related Provider Taxonomies

8 rows

Taxonomy Code	Specialty	Notes
207RA0000X	Adolescent Medicine (Internal Medicine) Physician	An internist who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and so…
2083C0008X	Clinical Informatics Physician	Physicians who practice Clinical Informatics collaborate with other health care and information technology professionals to analyze, design, implement…
207QP0002X	Physician Nutrition Specialist (Family Medicine)	A physician who specializes in the diagnosis and treatment of primary nutritional diseases (e.g., undernutrition, overnutrition, and genetic or acquir…
171W00000X	Contractor	For the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patie…
261QI0500X	Infusion Therapy Clinic/Center	Ambulatory Health Care Facilities · Clinic/Center
1835G0000X	Deactivated - Pharmacist
152WX0102X	Occupational Vision Optometrist	Optometrists who work in Occupational Vision, the branch of environmental optometry, consider all aspects of the relationship between work and vision,…
207X00000X	Orthopaedic Surgery Physician	An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated…

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
`99203`	Office or other outpatient visit for evaluation and management, new patient, low to moderate complexity	Initial orthotic evaluation and ordering of `L1980`
`97760`	Orthotic management and training, initial encounter	Gait training and instruction in use and care of the custom AFO after delivery
`97763`	Orthotic/prosthetic management and training, each additional 15 minutes	Additional billing for extended fitting or training time beyond initial session
`99070`	Supplies and materials (unless included in the procedure)	Used when non-standard supplies are separately billable during fitting or modification
`97530`	Therapeutic activities, direct one-on-one, each 15 minutes	Functional rehabilitation tasks incorporating the orthosis during therapy sessions

Related Modifiers

5 rows

Modifier	Description	When to Use
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…
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…
76	Modifier -76, Repeat Procedure or Service by Same Physician or Other Qualified Health Care Professional, is appended when the same provider performs an identical, medically necessary procedure or…	- Use modifier -76 when the same physician or other qualified health care professional performs an identical procedure or service a second (or subsequent) time on the same date of service and the…
78	CPT modifier -78 indicates an unplanned, related return to the operating or procedure room by the same provider during the global postoperative period. It is appended when treatment for a…	- Use modifier -78 when an unplanned, related complication during the original procedure’s global postoperative period requires the patient to return to a formal operating or procedure room and the…
[object Object]

Related Provider Taxonomies

8 rows

Taxonomy Code	Specialty	Notes
207RA0000X	Adolescent Medicine (Internal Medicine) Physician	An internist who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and so…
2083C0008X	Clinical Informatics Physician	Physicians who practice Clinical Informatics collaborate with other health care and information technology professionals to analyze, design, implement…
207QP0002X	Physician Nutrition Specialist (Family Medicine)	A physician who specializes in the diagnosis and treatment of primary nutritional diseases (e.g., undernutrition, overnutrition, and genetic or acquir…
171W00000X	Contractor	For the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patie…
261QI0500X	Infusion Therapy Clinic/Center	Ambulatory Health Care Facilities · Clinic/Center
1835G0000X	Deactivated - Pharmacist
152WX0102X	Occupational Vision Optometrist	Optometrists who work in Occupational Vision, the branch of environmental optometry, consider all aspects of the relationship between work and vision,…
207X00000X	Orthopaedic Surgery Physician	An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated…

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 L1980: Ankle Foot Orthosis, Single Upright, Custom Fabricated

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OpenPayer

HCPCS Level II L1980: Ankle Foot Orthosis, Single Upright, 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 L1980: Ankle Foot Orthosis, Single Upright, Custom Fabricated

Sign up for hcpcs L1980 policy alerts

HCPCS Level II L1980: Ankle Foot Orthosis, Single Upright, Custom Fabricated

Sign up for hcpcs L1980 policy alerts

Clinical & Coding Specifications

Clinical Context

Related CPT Codes

Related Modifiers

Related Provider Taxonomies

Related Codes

What does HCPCS code L1980 describe and where is it typically provided?

What patient conditions and clinical workflow are associated with L1980 in the clinical context?

Which CPT codes commonly accompany provision and management of an L1980 AFO?

What diagnoses are listed as related to the medical necessity for L1980?

What is the typical service setting and fabrication/delivery workflow for a custom L1980 AFO?

References

Clinical & Coding Specifications

Clinical Context

Related CPT Codes

Related Modifiers

Related Provider Taxonomies

Related Codes

What does HCPCS code L1980 describe and where is it typically provided?

What patient conditions and clinical workflow are associated with L1980 in the clinical context?

Which CPT codes commonly accompany provision and management of an L1980 AFO?

What diagnoses are listed as related to the medical necessity for L1980?

What is the typical service setting and fabrication/delivery workflow for a custom L1980 AFO?

References