HCPCS L4631 is officially defined as "Ankle foot orthosis, walking boot type, varus/valgus correction, rocker bottom, anterior tibial shell, soft interface, custom arch support, plastic or other material, includes straps and closures, custom fabricated." HCPCS L4631 is referenced in 4 tracked payer policy changes from Humana. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for HCPCS L4631 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.
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