Air Cam Walker (High or Low)

Suggested HCPCS Code: L4360/L4361

Product Number Side Style Size Shoe Size
17-0100 Tall X-Small W: <5.5
17-0101 Short X-Small W: <5.5
17-0102 Tall Small W: 6-8 M: 4.5-7
17-0103 Short Small W: 6-8 M: 4.5-7
17-0104 Tall Medium W: 9-11 M: 7.5-10
17-0105 Short Medium W: 9-11 M: 7.5-10
17-0106 Tall Large W: 11.5-13.5 M: 10.5-12.5
17-0107 Short Large W: 11.5-13.5 M: 10.5-12.5
17-0108 Tall X-Large W: 13.5+ M: 12.5+
17-0109 Short X-Large W: 13.5+ M: 12.5+
Underlying Conditions:
  • Ankle Sprain
  • Ankle Fracture
  • Foot Fracture
  • Tendinitis
  • Flexion Deformity
  • Plantar Fascitis
  • Ankle Instability

Coverage Criteria: Patient is ambulatory with weakness or deformity of the foot and ankle requiring stabilization for medical reasons and has the potential to benefit functionally from the boot

For Product Instructions click HERE.

Our Process is as follows: