HCPCS Code L4361: Walking Boot, Pneumatic/Vacuum, Prefabricated, Off-the-Shelf

Yes. Most payers, including Medicare, cover HCPCS code L4361 when proper documentation supports the medical necessity. Coverage generally applies if the device is prescribed after an injury confirmed through imaging, such as X-rays, and when the walking boot is required to provide stabilization and therapeutic compression.

L4361 is the active HCPCS code for a prefabricated pneumatic walking boot with air bladders that deliver adjustable compression. L4386 is a discontinued code that was previously used for a non-pneumatic boot and is no longer valid for billing purposes.

An L4361 boot typically has adjustable air bladders, durable straps for securing the boot, and rigid panels to immobilize the ankle and foot. These features enhance comfort and healing while offering additional support during recovery.