01/22/2018

Correct Coding for Arizona Mezzo AFO & ICD-10 Codes for Ankle Varus and Calcaneal Varus

What billing codes we should use for an Arizona Mezzo Afo (mini gauntlet) and also what is the ICD 10 codes for Ankle Varus and Calcaneal Varus?

The HCPCS code suggested by the manufacturer for the Arizona Mezzo AFO are:

• L1907 (ANKLE ORTHOSIS, SUPRAMALLEOLAR WITH STRAPS, WITH OR WITHOUT INTERFACE/PADS, CUSTOM FABRICATED)
• L2330 (ADDITION TO LOWER EXTREMITY, LACER MOLDED TO PATIENT MODEL, FOR CUSTOM FABRICATED
  ORTHOSIS ONLY)

For the two diagnosis codes listed, below are the ICD-10 diagnosis codes:

• M21.171 (Varus deformity, not elsewhere classified, right ankle)
• M21.172 (Varus deformity, not elsewhere classified, left ankle)
• Depending on laterality, these are the codes for a varus deformity of the ankle
• M21.6X1 (Other acquired deformities of right foot)
• M21.6X2 (Other acquired deformities of left foot)
• Depending on laterality, these are the codes for a varus deformity of the calcaneus

Please remember that the manufacturer of any DME product will also provide the correct HCPCS code assigned to them by CMS.