L1952 Insurance Policy Changes

HCPCS L1952 is officially defined as "Ankle foot orthosis, spiral, (institute of rehabilitative medicine type), plastic or other material, prefabricated, off-the-shelf." HCPCS L1952 is referenced in 8 tracked payer policy changes from Medicare/CMS, CareSource, and 3 other payers. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for HCPCS L1952 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.