HCPCS Level II · Orthotic and prosthetic procedures and devices
L4387Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated, off-the-shelf
✓ Active
Source: CMS HCPCS quarterly update, October 2026. Page updated September 29, 2026.
About L4387
L4387 is an HCPCS Level II code in the L series (orthotic and prosthetic procedures and devices), describing walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated, off-the-shelf.
It was added to HCPCS effective 01/01/2014.
Its Medicare coverage code is "C", meaning coverage is left to the Medicare contractor's judgment.
Details
- Short description
- Non-pneum walk boot pre ots
- Date added
- 01/01/2014
- Action effective
- 01/01/2014
- BETOS
- D1F
Related L43xx codes
- L4350Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, off-the-shelf
- L4360Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise
- L4361Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf
- L4370Pneumatic full leg splint, prefabricated, off-the-shelf
- L4386Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise
- L4392Replacement, soft interface material, static afo
- L4394Replace soft interface material, foot drop splint
- L4396Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise
- L4397Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated, off-the-shelf
- L4398Foot drop splint, recumbent positioning device, prefabricated, off-the-shelf
Common questions about L4387
Is HCPCS L4387 still valid?
- Yes. L4387 is active in the CMS October 2026 HCPCS file.
Does Medicare cover L4387?
- Its coverage code is "C": coverage is left to the Medicare contractor's judgment. Check the local coverage determination for your region.