HCPCS Code L4386: Prefabricated Non-Pneumatic Walking Boot That Has Been Bent, Molded, Assembled or Otherwise Customized to Fit a Specific Patient

HCPCS code L4386 is for a non-pneumatic walking boot, prefabricated but customized by an expert for a specific patient, used to support foot or ankle conditions.

The CPT code for an ankle boot varies by type; commonly used CPT codes include 29515 for walking boot application; HCPCS codes L4386 or L4387 are also used for billing.

Medicare covers HCPCS code L4386 if medical necessity is documented, with proper orders and customization; coverage follows durable medical equipment policies for ambulatory patients needing foot or ankle support.

Insurance often covers CAM boots (a type of walking boot) when prescribed for medical necessity; coverage depends on payer policies, documentation, and whether customized or off-the-shelf types are used.