HCPCS Code: L0112
Short Description: Cranial cervical orthosis
Long Description: Cranial cervical orthosis, congenital torticollis type, with or without soft interface material, adjustable range of motion joint, custom fabricated
HCPCS Code: L0113
Short Description: Cranial cervical torticollis
Long Description: Cranial cervical orthosis, torticollis type, with or without joint, with or without soft interface material, prefabricated, includes fitting and adjustment
HCPCS Code: L0120
Short Description: Cerv flex n/adj foam pre ots
Long Description: Cervical, flexible, non-adjustable, prefabricated, off-the-shelf (foam collar)
HCPCS Code: L0130
Short Description: Flex thermoplastic collar mo
Long Description: Cervical, flexible, thermoplastic collar, molded to patient
HCPCS Code: L0140
Short Description: Cervical semi-rigid adjustab
Long Description: Cervical, semi-rigid, adjustable (plastic collar)
HCPCS Code: L0150
Short Description: Cerv semi-rig adj molded chn
Long Description: Cervical, semi-rigid, adjustable molded chin cup (plastic collar with mandibular/occipital piece)
HCPCS Code: L0160
Short Description: Cerv sr wire occ/man pre ots
Long Description: Cervical, semi-rigid, wire frame occipital/mandibular support, prefabricated, off-the-shelf
HCPCS Code: L0170
Short Description: Cervical collar molded to pt
Long Description: Cervical, collar, molded to patient model
HCPCS Code: L0172
Short Description: Cerv col sr foam 2pc pre ots
Long Description: Cervical, collar, semi-rigid thermoplastic foam, two-piece, prefabricated, off-the-shelf
HCPCS Code: L0174
Short Description: Cerv sr 2pc thor ext pre ots
Long Description: Cervical, collar, semi-rigid, thermoplastic foam, two piece with thoracic extension, prefabricated, off-the-shelf
HCPCS Code: L0180
Short Description: Cer post col occ/man sup adj
Long Description: Cervical, multiple post collar, occipital/mandibular supports, adjustable
HCPCS Code: L0190
Short Description: Cerv collar supp adj cerv ba
Long Description: Cervical, multiple post collar, occipital/mandibular supports, adjustable cervical bars (somi, guilford, taylor types)
HCPCS Code: L0200
Short Description: Cerv col supp adj bar & thor
Long Description: Cervical, multiple post collar, occipital/mandibular supports, adjustable cervical bars, and thoracic extension
HCPCS Code: L0220
Short Description: Thor rib belt custom fabrica
Long Description: Thoracic, rib belt, custom fabricated
HCPCS Code: L0450
Short Description: Tlso flex trunk/thor pre ots
Long Description: Tlso, flexible, provides trunk support, upper thoracic region, produces intracavitary pressure to reduce load on the intervertebral disks with rigid stays or panel(s), includes shoulder straps and closures, prefabricated, off-the-shelf
HCPCS Code: L0452
Short Description: Tlso flex custom fab thoraci
Long Description: Tlso, flexible, provides trunk support, upper thoracic region, produces intracavitary pressure to reduce load on the intervertebral disks with rigid stays or panel(s), includes shoulder straps and closures, custom fabricated
HCPCS Code: L0454
Short Description: Tlso trnk sj-t9 pre cst
Long Description: Tlso flexible, provides trunk support, extends from sacrococcygeal junction to above t-9 vertebra, restricts gross trunk motion in the sagittal plane, produces intracavitary pressure to reduce load on the intervertebral disks with rigid stays or panel(s), includes shoulder straps and closures, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise
HCPCS Code: L0455
Short Description: Tlso flex trnk sj-t9 pre ots
Long Description: Tlso, flexible, provides trunk support, extends from sacrococcygeal junction to above t-9 vertebra, restricts gross trunk motion in the sagittal plane, produces intracavitary pressure to reduce load on the intervertebral disks with rigid stays or panel(s), includes shoulder straps and closures, prefabricated, off-the-shelf
HCPCS Code: L0456
Short Description: Tlso flex trnk sj-ss pre cst
Long Description: Tlso, flexible, provides trunk support, thoracic region, rigid posterior panel and soft anterior apron, extends from the sacrococcygeal junction and terminates just inferior to the scapular spine, restricts gross trunk motion in the sagittal plane, produces intracavitary pressure to reduce load on the intervertebral disks, includes straps and closures, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise
HCPCS Code: L0457
Short Description: Tlso flex trnk sj-ss pre ots
Long Description: Tlso, flexible, provides trunk support, thoracic region, rigid posterior panel and soft anterior apron, extends from the sacrococcygeal junction and terminates just inferior to the scapular spine, restricts gross trunk motion in the sagittal plane, produces intracavitary pressure to reduce load on the intervertebral disks, includes straps and closures, prefabricated, off-the-shelf
HCPCS Code: L0458
Short Description: Tlso 2mod symphis-xipho pre
Long Description: Tlso, triplanar control, modular segmented spinal system, two rigid plastic shells, posterior extends from the sacrococcygeal junction and terminates just inferior to the scapular spine, anterior extends from the symphysis pubis to the xiphoid, soft liner, restricts gross trunk motion in the sagittal, coronal, and transverse planes, lateral strength is provided by overlapping plastic and stabilizing closures, includes straps and closures, prefabricated, includes fitting and adjustment
HCPCS Code: L0460
Short Description: Tlso 2 shl symphys-stern cst
Long Description: Tlso, triplanar control, modular segmented spinal system, two rigid plastic shells, posterior extends from the sacrococcygeal junction and terminates just inferior to the scapular spine, anterior extends from the symphysis pubis to the sternal notch, soft liner, restricts gross trunk motion in the sagittal, coronal, and transverse planes, lateral strength is provided by overlapping plastic and stabilizing closures, includes straps and closures, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise
HCPCS Code: L0462
Short Description: Tlso 3mod sacro-scap pre
Long Description: Tlso, triplanar control, modular segmented spinal system, three rigid plastic shells, posterior extends from the sacrococcygeal junction and terminates just inferior to the scapular spine, anterior extends from the symphysis pubis to the sternal notch, soft liner, restricts gross trunk motion in the sagittal, coronal, and transverse planes, lateral strength is provided by overlapping plastic and stabilizing closures, includes straps and closures, prefabricated, includes fitting and adjustment
HCPCS Code: L0464
Short Description: Tlso 4mod sacro-scap pre
Long Description: Tlso, triplanar control, modular segmented spinal system, four rigid plastic shells, posterior extends from sacrococcygeal junction and terminates just inferior to scapular spine, anterior extends from symphysis pubis to the sternal notch, soft liner, restricts gross trunk motion in sagittal, coronal, and transverse planes, lateral strength is provided by overlapping plastic and stabilizing closures, includes straps and closures, prefabricated, includes fitting and adjustment
HCPCS Code: L0466
Short Description: Tlso r fram soft ant pre cst
Long Description: Tlso, sagittal control, rigid posterior frame and flexible soft anterior apron with straps, closures and padding, restricts gross trunk motion in sagittal plane, produces intracavitary pressure to reduce load on intervertebral disks, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise
HCPCS Code: L0467
Short Description: Tlso r fram soft pre ots
Long Description: Tlso, sagittal control, rigid posterior frame and flexible soft anterior apron with straps, closures and padding, restricts gross trunk motion in sagittal plane, produces intracavitary pressure to reduce load on intervertebral disks, prefabricated, off-the-shelf
HCPCS Code: L0468
Short Description: Tlso rig fram pelvic pre cst
Long Description: Tlso, sagittal-coronal control, rigid posterior frame and flexible soft anterior apron with straps, closures and padding, extends from sacrococcygeal junction over scapulae, lateral strength provided by pelvic, thoracic, and lateral frame pieces, restricts gross trunk motion in sagittal, and coronal planes, produces intracavitary pressure to reduce load on intervertebral disks, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise
HCPCS Code: L0469
Short Description: Tlso rig fram pelvic pre ots
Long Description: Tlso, sagittal-coronal control, rigid posterior frame and flexible soft anterior apron with straps, closures and padding, extends from sacrococcygeal junction over scapulae, lateral strength provided by pelvic, thoracic, and lateral frame pieces, restricts gross trunk motion in sagittal and coronal planes, produces intracavitary pressure to reduce load on intervertebral disks, prefabricated, off-the-shelf
HCPCS Code: L0470
Short Description: Tlso rigid frame pre subclav
Long Description: Tlso, triplanar control, rigid posterior frame and flexible soft anterior apron with straps, closures and padding, extends from sacrococcygeal junction to scapula, lateral strength provided by pelvic, thoracic, and lateral frame pieces, rotational strength provided by subclavicular extensions, restricts gross trunk motion in sagittal, coronal, and transverse planes, provides intracavitary pressure to reduce load on the intervertebral disks, includes fitting and shaping the frame, prefabricated, includes fitting and adjustment
HCPCS Code: L0472
Short Description: Tlso rigid frame hyperex pre
Long Description: Tlso, triplanar control, hyperextension, rigid anterior and lateral frame extends from symphysis pubis to sternal notch with two anterior components (one pubic and one sternal), posterior and lateral pads with straps and closures, limits spinal flexion, restricts gross trunk motion in sagittal, coronal, and transverse planes, includes fitting and shaping the frame, prefabricated, includes fitting and adjustment
HCPCS Code: L0480
Short Description: Tlso rigid plastic custom fa
Long Description: Tlso, triplanar control, one piece rigid plastic shell without interface liner, with multiple straps and closures, posterior extends from sacrococcygeal junction and terminates just inferior to scapular spine, anterior extends from symphysis pubis to sternal notch, anterior or posterior opening, restricts gross trunk motion in sagittal, coronal, and transverse planes, includes a carved plaster or cad-cam model, custom fabricated
HCPCS Code: L0482
Short Description: Tlso rigid lined custom fab
Long Description: Tlso, triplanar control, one piece rigid plastic shell with interface liner, multiple straps and closures, posterior extends from sacrococcygeal junction and terminates just inferior to scapular spine, anterior extends from symphysis pubis to sternal notch, anterior or posterior opening, restricts gross trunk motion in sagittal, coronal, and transverse planes, includes a carved plaster or cad-cam model, custom fabricated
HCPCS Code: L0484
Short Description: Tlso rigid plastic cust fab
Long Description: Tlso, triplanar control, two piece rigid plastic shell without interface liner, with multiple straps and closures, posterior extends from sacrococcygeal junction and terminates just inferior to scapular spine, anterior extends from symphysis pubis to sternal notch, lateral strength is enhanced by overlapping plastic, restricts gross trunk motion in the sagittal, coronal, and transverse planes, includes a carved plaster or cad-cam model, custom fabricated
HCPCS Code: L0486
Short Description: Tlso rigidlined cust fab two
Long Description: Tlso, triplanar control, two piece rigid plastic shell with interface liner, multiple straps and closures, posterior extends from sacrococcygeal junction and terminates just inferior to scapular spine, anterior extends from symphysis pubis to sternal notch, lateral strength is enhanced by overlapping plastic, restricts gross trunk motion in the sagittal, coronal, and transverse planes, includes a carved plaster or cad-cam model, custom fabricated
HCPCS Code: L0488
Short Description: Tlso rigid lined pre one pie
Long Description: Tlso, triplanar control, one piece rigid plastic shell with interface liner, multiple straps and closures, posterior extends from sacrococcygeal junction and terminates just inferior to scapular spine, anterior extends from symphysis pubis to sternal notch, anterior or posterior opening, restricts gross trunk motion in sagittal, coronal, and transverse planes, prefabricated, includes fitting and adjustment
HCPCS Code: L0490
Short Description: Tlso rigid plastic pre one
Long Description: Tlso, sagittal-coronal control, one piece rigid plastic shell, with overlapping reinforced anterior, with multiple straps and closures, posterior extends from sacrococcygeal junction and terminates at or before the t-9 vertebra, anterior extends from symphysis pubis to xiphoid, anterior opening, restricts gross trunk motion in sagittal and coronal planes, prefabricated, includes fitting and adjustment
HCPCS Code: L0491
Short Description: Tlso 2 piece rigid shell
Long Description: Tlso, sagittal-coronal control, modular segmented spinal system, two rigid plastic shells, posterior extends from the sacrococcygeal junction and terminates just inferior to the scapular spine, anterior extends from the symphysis pubis to the xiphoid, soft liner, restricts gross trunk motion in the sagittal and coronal planes, lateral strength is provided by overlapping plastic and stabilizing closures, includes straps and closures, prefabricated, includes fitting and adjustment
HCPCS Code: L0492
Short Description: Tlso 3 piece rigid shell
Long Description: Tlso, sagittal-coronal control, modular segmented spinal system, three rigid plastic shells, posterior extends from the sacrococcygeal junction and terminates just inferior to the scapular spine, anterior extends from the symphysis pubis to the xiphoid, soft liner, restricts gross trunk motion in the sagittal and coronal planes, lateral strength is provided by overlapping plastic and stabilizing closures, includes straps and closures, prefabricated, includes fitting and adjustment
HCPCS Code: L0621
Short Description: Sio flex pelvic/sacr pre ots
Long Description: Sacroiliac orthosis, flexible, provides pelvic-sacral support, reduces motion about the sacroiliac joint, includes straps, closures, may include pendulous abdomen design, prefabricated, off-the-shelf
HCPCS Code: L0622
Short Description: Sio flex pelvisacral custom
Long Description: Sacroiliac orthosis, flexible, provides pelvic-sacral support, reduces motion about the sacroiliac joint, includes straps, closures, may include pendulous abdomen design, custom fabricated
HCPCS Code: L0623
Short Description: Sio rig pnl pelv/sac pre ots
Long Description: Sacroiliac orthosis, provides pelvic-sacral support, with rigid or semi-rigid panels over the sacrum and abdomen, reduces motion about the sacroiliac joint, includes straps, closures, may include pendulous abdomen design, prefabricated, off-the-shelf
HCPCS Code: L0624
Short Description: Sio panel custom
Long Description: Sacroiliac orthosis, provides pelvic-sacral support, with rigid or semi-rigid panels placed over the sacrum and abdomen, reduces motion about the sacroiliac joint, includes straps, closures, may include pendulous abdomen design, custom fabricated
HCPCS Code: L0625
Short Description: Lo flex l1-below l5 pre ots
Long Description: Lumbar orthosis, flexible, provides lumbar support, posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include pendulous abdomen design, shoulder straps, stays, prefabricated, off-the-shelf
HCPCS Code: L0626
Short Description: Lo sag rig pnl stays pre cst
Long Description: Lumbar orthosis, sagittal control, with rigid posterior panel(s), posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, stays, shoulder straps, pendulous abdomen design, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise
HCPCS Code: L0627
Short Description: Lo sag ri an/pos pnl pre cst
Long Description: Lumbar orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise
HCPCS Code: L0628
Short Description: Lso flex no ri stays pre ots
Long Description: Lumbar-sacral orthosis, flexible, provides lumbo-sacral support, posterior extends from sacrococcygeal junction to t-9 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include stays, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf
HCPCS Code: L0629
Short Description: Lso flex w/rigid stays cust
Long Description: Lumbar-sacral orthosis, flexible, provides lumbo-sacral support, posterior extends from sacrococcygeal junction to t-9 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include stays, shoulder straps, pendulous abdomen design, custom fabricated
HCPCS Code: L0630
Short Description: Lso r post pnl sj-t9 pre cst
Long Description: Lumbar-sacral orthosis, sagittal control, with rigid posterior panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, stays, shoulder straps, pendulous abdomen design, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise
HCPCS Code: L0631
Short Description: Lso sag r an/pos pnl pre cst
Long Description: Lumbar-sacral orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from sacrococcygeal junction to t-9 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise
HCPCS Code: L0632
Short Description: Lso sag rigid frame cust
Long Description: Lumbar-sacral orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from sacrococcygeal junction to t-9 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, custom fabricated
HCPCS Code: L0633
Short Description: Lso sc r pos/lat pnl pre cst
Long Description: Lumbar-sacral orthosis, sagittal-coronal control, with rigid posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panels, produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, stays, shoulder straps, pendulous abdomen design, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise
HCPCS Code: L0634
Short Description: Lso flexion control custom
Long Description: Lumbar-sacral orthosis, sagittal-coronal control, with rigid posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, stays, shoulder straps, pendulous abdomen design, custom fabricated
HCPCS Code: L0635
Short Description: Lso sagit rigid panel prefab
Long Description: Lumbar-sacral orthosis, sagittal-coronal control, lumbar flexion, rigid posterior frame/panel(s), lateral articulating design to flex the lumbar spine, posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, anterior panel, pendulous abdomen design, prefabricated, includes fitting and adjustment
HCPCS Code: L0636
Short Description: Lso sagittal rigid panel cus
Long Description: Lumbar sacral orthosis, sagittal-coronal control, lumbar flexion, rigid posterior frame/panels, lateral articulating design to flex the lumbar spine, posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panels, produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, anterior panel, pendulous abdomen design, custom fabricated
HCPCS Code: L0637
Short Description: Lso sc r ant/pos pnl pre cst
Long Description: Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panels, posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panels, produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise
HCPCS Code: L0638
Short Description: Lso sag-coronal panel custom
Long Description: Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panels, posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panels, produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, custom fabricated
HCPCS Code: L0639
Short Description: Lso s/c shell/panel prefab
Long Description: Lumbar-sacral orthosis, sagittal-coronal control, rigid shell(s)/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, anterior extends from symphysis pubis to xyphoid, produces intracavitary pressure to reduce load on the intervertebral discs, overall strength is provided by overlapping rigid material and stabilizing closures, includes straps, closures, may include soft interface, pendulous abdomen design, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise
HCPCS Code: L0640
Short Description: Lso s/c shell/panel custom
Long Description: Lumbar-sacral orthosis, sagittal-coronal control, rigid shell(s)/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, anterior extends from symphysis pubis to xyphoid, produces intracavitary pressure to reduce load on the intervertebral discs, overall strength is provided by overlapping rigid material and stabilizing closures, includes straps, closures, may include soft interface, pendulous abdomen design, custom fabricated
HCPCS Code: L0641
Short Description: Lo rig pos pnl l1-l5 pre ots
Long Description: Lumbar orthosis, sagittal control, with rigid posterior panel(s), posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, stays, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf
HCPCS Code: L0642
Short Description: Lo sag ri an/pos pnl pre ots
Long Description: Lumbar orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf
HCPCS Code: L0643
Short Description: Lso sag ctr rigi pos pre ots
Long Description: Lumbar-sacral orthosis, sagittal control, with rigid posterior panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, stays, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf
HCPCS Code: L0648
Short Description: Lso sag r an/pos pnl pre ots
Long Description: Lumbar-sacral orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from sacrococcygeal junction to t-9 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf
HCPCS Code: L0649
Short Description: Lso sc r pos/lat pnl pre ots
Long Description: Lumbar-sacral orthosis, sagittal-coronal control, with rigid posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panels, produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, stays, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf
HCPCS Code: L0650
Short Description: Lso sc r ant/pos pnl pre ots
Long Description: Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf
HCPCS Code: L0651
Short Description: Lso sag-co shell pnl pre ots
Long Description: Lumbar-sacral orthosis, sagittal-coronal control, rigid shell(s)/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, anterior extends from symphysis pubis to xyphoid, produces intracavitary pressure to reduce load on the intervertebral discs, overall strength is provided by overlapping rigid material and stabilizing closures, includes straps, closures, may include soft interface, pendulous abdomen design, prefabricated, off-the-shelf
HCPCS Code: L0700
Short Description: Ctlso a-p-l control molded
Long Description: Cervical-thoracic-lumbar-sacral-orthoses (ctlso), anterior-posterior-lateral control, molded to patient model, (minerva type)
HCPCS Code: L0710
Short Description: Ctlso a-p-l control w/ inter
Long Description: Ctlso, anterior-posterior-lateral-control, molded to patient model, with interface material, (minerva type)
HCPCS Code: L0810
Short Description: Halo cervical into jckt vest
Long Description: Halo procedure, cervical halo incorporated into jacket vest
HCPCS Code: L0820
Short Description: Halo cervical into body jack
Long Description: Halo procedure, cervical halo incorporated into plaster body jacket
HCPCS Code: L0830
Short Description: Halo cerv into milwaukee typ
Long Description: Halo procedure, cervical halo incorporated into milwaukee type orthosis
HCPCS Code: L0859
Short Description: Mri compatible system
Long Description: Addition to halo procedure, magnetic resonance image compatible systems, rings and pins, any material
HCPCS Code: L0861
Short Description: Halo repl liner/interface
Long Description: Addition to halo procedure, replacement liner/interface material
HCPCS Code: L0970
Short Description: Tlso corset front
Long Description: Tlso, corset front
HCPCS Code: L0972
Short Description: Lso corset front
Long Description: Lso, corset front
HCPCS Code: L0974
Short Description: Tlso full corset
Long Description: Tlso, full corset
HCPCS Code: L0976
Short Description: Lso full corset
Long Description: Lso, full corset
HCPCS Code: L0978
Short Description: Axillary crutch extension
Long Description: Axillary crutch extension
HCPCS Code: L0980
Short Description: Peroneal straps pair pre ots
Long Description: Peroneal straps, prefabricated, off-the-shelf, pair
HCPCS Code: L0982
Short Description: Stocking sup grips 4 pre ots
Long Description: Stocking supporter grips, prefabricated, off-the-shelf, set of four (4)
HCPCS Code: L0984
Short Description: Protect body sock ea pre ots
Long Description: Protective body sock, prefabricated, off-the-shelf, each
HCPCS Code: L0999
Short Description: Add to spinal orthosis nos
Long Description: Addition to spinal orthosis, not otherwise specified
HCPCS Code: L1
Short Description: Separately payable lab test
Long Description: Provider attestation that the hospital laboratory test(s) is not packaged under the hospital opps
HCPCS Code: L1000
Short Description: Ctlso milwauke initial model
Long Description: Cervical-thoracic-lumbar-sacral orthosis (ctlso) (milwaukee), inclusive of furnishing initial orthosis, including model
HCPCS Code: L1001
Short Description: Ctlso infant immobilizer
Long Description: Cervical thoracic lumbar sacral orthosis, immobilizer, infant size, prefabricated, includes fitting and adjustment
HCPCS Code: L1005
Short Description: Tension based scoliosis orth
Long Description: Tension based scoliosis orthosis and accessory pads, includes fitting and adjustment
HCPCS Code: L1010
Short Description: Ctlso axilla sling
Long Description: Addition to cervical-thoracic-lumbar-sacral orthosis (ctlso) or scoliosis orthosis, axilla sling
HCPCS Code: L1020
Short Description: Kyphosis pad
Long Description: Addition to ctlso or scoliosis orthosis, kyphosis pad
HCPCS Code: L1025
Short Description: Kyphosis pad floating
Long Description: Addition to ctlso or scoliosis orthosis, kyphosis pad, floating
HCPCS Code: L1030
Short Description: Lumbar bolster pad
Long Description: Addition to ctlso or scoliosis orthosis, lumbar bolster pad
HCPCS Code: L1040
Short Description: Lumbar or lumbar rib pad
Long Description: Addition to ctlso or scoliosis orthosis, lumbar or lumbar rib pad
HCPCS Code: L1050
Short Description: Sternal pad
Long Description: Addition to ctlso or scoliosis orthosis, sternal pad
HCPCS Code: L1060
Short Description: Thoracic pad
Long Description: Addition to ctlso or scoliosis orthosis, thoracic pad
HCPCS Code: L1070
Short Description: Trapezius sling
Long Description: Addition to ctlso or scoliosis orthosis, trapezius sling
HCPCS Code: L1080
Short Description: Outrigger
Long Description: Addition to ctlso or scoliosis orthosis, outrigger
HCPCS Code: L1085
Short Description: Outrigger bil w/ vert extens
Long Description: Addition to ctlso or scoliosis orthosis, outrigger, bilateral with vertical extensions
HCPCS Code: L1090
Short Description: Lumbar sling
Long Description: Addition to ctlso or scoliosis orthosis, lumbar sling
HCPCS Code: L1100
Short Description: Ring flange plastic/leather
Long Description: Addition to ctlso or scoliosis orthosis, ring flange, plastic or leather
HCPCS Code: L1110
Short Description: Ring flange plas/leather mol
Long Description: Addition to ctlso or scoliosis orthosis, ring flange, plastic or leather, molded to patient model
HCPCS Code: L1120
Short Description: Covers for upright each
Long Description: Addition to ctlso, scoliosis orthosis, cover for upright, each
HCPCS Code: L1200
Short Description: Furnsh initial orthosis only
Long Description: Thoracic-lumbar-sacral-orthosis (tlso), inclusive of furnishing initial orthosis only
HCPCS Code: L1210
Short Description: Lateral thoracic extension
Long Description: Addition to tlso, (low profile), lateral thoracic extension
HCPCS Code: L1220
Short Description: Anterior thoracic extension
Long Description: Addition to tlso, (low profile), anterior thoracic extension
HCPCS Code: L1230
Short Description: Milwaukee type superstructur
Long Description: Addition to tlso, (low profile), milwaukee type superstructure
HCPCS Code: L1240
Short Description: Lumbar derotation pad
Long Description: Addition to tlso, (low profile), lumbar derotation pad
HCPCS Code: L1250
Short Description: Anterior asis pad
Long Description: Addition to tlso, (low profile), anterior asis pad
HCPCS Code: L1260
Short Description: Anterior thoracic derotation
Long Description: Addition to tlso, (low profile), anterior thoracic derotation pad
HCPCS Code: L1270
Short Description: Abdominal pad
Long Description: Addition to tlso, (low profile), abdominal pad
HCPCS Code: L1280
Short Description: Rib gusset (elastic) each
Long Description: Addition to tlso, (low profile), rib gusset (elastic), each
HCPCS Code: L1290
Short Description: Lateral trochanteric pad
Long Description: Addition to tlso, (low profile), lateral trochanteric pad
HCPCS Code: L1300
Short Description: Body jacket mold to patient
Long Description: Other scoliosis procedure, body jacket molded to patient model
HCPCS Code: L1310
Short Description: Post-operative body jacket
Long Description: Other scoliosis procedure, post-operative body jacket
HCPCS Code: L1499
Short Description: Spinal orthosis nos
Long Description: Spinal orthosis, not otherwise specified
HCPCS Code: L1600
Short Description: Ho flex frejka w/cov pre cst
Long Description: Hip orthosis, abduction control of hip joints, flexible, frejka type with cover, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an inidividual with expertise
HCPCS Code: L1610
Short Description: Ho frejka cov only pre cst
Long Description: Hip orthosis, abduction control of hip joints, flexible, (frejka cover only), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise
HCPCS Code: L1620
Short Description: Ho flex pavlik harns pre cst
Long Description: Hip orthosis, abduction control of hip joints, flexible, (pavlik harness), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise
HCPCS Code: L1630
Short Description: Abduct control hip semi-flex
Long Description: Hip orthosis, abduction control of hip joints, semi-flexible (von rosen type), custom fabricated
HCPCS Code: L1640
Short Description: Pelv band/spread bar thigh c
Long Description: Hip orthosis, abduction control of hip joints, static, pelvic band or spreader bar, thigh cuffs, custom fabricated
HCPCS Code: L1650
Short Description: Ho abduction hip adjustable
Long Description: Hip orthosis, abduction control of hip joints, static, adjustable, (ilfled type), prefabricated, includes fitting and adjustment
HCPCS Code: L1652
Short Description: Ho bi thighcuffs w sprdr bar
Long Description: Hip orthosis, bilateral thigh cuffs with adjustable abductor spreader bar, adult size, prefabricated, includes fitting and adjustment, any type
HCPCS Code: L1660
Short Description: Ho abduction static plastic
Long Description: Hip orthosis, abduction control of hip joints, static, plastic, prefabricated, includes fitting and adjustment
HCPCS Code: L1680
Short Description: Pelvic & hip control thigh c
Long Description: Hip orthosis, abduction control of hip joints, dynamic, pelvic control, adjustable hip motion control, thigh cuffs (rancho hip action type), custom fabricated
HCPCS Code: L1685
Short Description: Post-op hip abduct custom fa
Long Description: Hip orthosis, abduction control of hip joint, postoperative hip abduction type, custom fabricated
HCPCS Code: L1686
Short Description: Ho post-op hip abduction
Long Description: Hip orthosis, abduction control of hip joint, postoperative hip abduction type, prefabricated, includes fitting and adjustment
HCPCS Code: L1690
Short Description: Combination bilateral ho
Long Description: Combination, bilateral, lumbo-sacral, hip, femur orthosis providing adduction and internal rotation control, prefabricated, includes fitting and adjustment
HCPCS Code: L1700
Short Description: Leg perthes orth toronto typ
Long Description: Legg perthes orthosis, (toronto type), custom fabricated
HCPCS Code: L1710
Short Description: Legg perthes orth newington
Long Description: Legg perthes orthosis, (newington type), custom fabricated
HCPCS Code: L1720
Short Description: Legg perthes orthosis trilat
Long Description: Legg perthes orthosis, trilateral, (tachdijan type), custom fabricated
HCPCS Code: L1730
Short Description: Legg perthes orth scottish r
Long Description: Legg perthes orthosis, (scottish rite type), custom fabricated
HCPCS Code: L1755
Short Description: Legg perthes patten bottom t
Long Description: Legg perthes orthosis, (patten bottom type), custom fabricated
HCPCS Code: L1810
Short Description: Ko elastic with joints
Long Description: Knee orthosis, elastic with joints, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise
HCPCS Code: L1812
Short Description: Ko elastic w/joints pre ots
Long Description: Knee orthosis, elastic with joints, prefabricated, off-the-shelf
HCPCS Code: L1820
Short Description: Ko elas w/ condyle pads & jo
Long Description: Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated, includes fitting and adjustment
HCPCS Code: L1830
Short Description: Ko immob canvas long pre ots
Long Description: Knee orthosis, immobilizer, canvas longitudinal, prefabricated, off-the-shelf
HCPCS Code: L1831
Short Description: Knee orth pos locking joint
Long Description: Knee orthosis, locking knee joint(s), positional orthosis, prefabricated, includes fitting and adjustment
HCPCS Code: L1832
Short Description: Ko adj jnt pos r sup pre cst
Long Description: Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise
HCPCS Code: L1833
Short Description: Ko adj jnt pos r sup pre ots
Long Description: Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf
HCPCS Code: L1834
Short Description: Ko w/0 joint rigid molded to
Long Description: Knee orthosis, without knee joint, rigid, custom fabricated
HCPCS Code: L1836
Short Description: Ko rigid w/o joints pre ots
Long Description: Knee orthosis, rigid, without joint(s), includes soft interface material, prefabricated, off-the-shelf
HCPCS Code: L1840
Short Description: Ko derot ant cruciate custom
Long Description: Knee orthosis, derotation, medial-lateral, anterior cruciate ligament, custom fabricated
HCPCS Code: L1843
Short Description: Ko single upright pre cst
Long Description: Knee orthosis, single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise
HCPCS Code: L1844
Short Description: Ko w/adj jt rot cntrl molded
Long Description: Knee orthosis, single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, custom fabricated
HCPCS Code: L1845
Short Description: Ko double upright pre cst
Long Description: Knee orthosis, double upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise
HCPCS Code: L1846
Short Description: Ko w adj flex/ext rotat mold
Long Description: Knee orthosis, double upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, custom fabricated
HCPCS Code: L1847
Short Description: Ko dbl upright w/air pre cst
Long Description: Knee orthosis, double upright with adjustable joint, with inflatable air support chamber(s), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise
HCPCS Code: L1848
Short Description: Ko dbl upright w/air pre ots
Long Description: Knee orthosis, double upright with adjustable joint, with inflatable air support chamber(s), prefabricated, off-the-shelf
HCPCS Code: L1850
Short Description: Ko swedish type pre ots
Long Description: Knee orthosis, swedish type, prefabricated, off-the-shelf
HCPCS Code: L1851
Short Description: Ko single upright prefab ots
Long Description: Knee orthosis (ko), single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf
HCPCS Code: L1852
Short Description: Ko double upright prefab ots
Long Description: Knee orthosis (ko), double upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf
HCPCS Code: L1860
Short Description: Ko supracondylar socket mold
Long Description: Knee orthosis, modification of supracondylar prosthetic socket, custom fabricated (sk)
HCPCS Code: L1900
Short Description: Afo sprng wir drsflx calf bd
Long Description: Ankle foot orthosis, spring wire, dorsiflexion assist calf band, custom fabricated
HCPCS Code: L1902
Short Description: Afo ankle gauntlet pre ots
Long Description: Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf
HCPCS Code: L1904
Short Description: Afo molded ankle gauntlet
Long Description: Ankle orthosis, ankle gauntlet or similar, with or without joints, custom fabricated
HCPCS Code: L1906
Short Description: Afo multilig ank sup pre ots
Long Description: Ankle foot orthosis, multiligamentous ankle support, prefabricated, off-the-shelf
HCPCS Code: L1907
Short Description: Afo supramalleolar custom
Long Description: Ankle orthosis, supramalleolar with straps, with or without interface/pads, custom fabricated
HCPCS Code: L1910
Short Description: Afo sing bar clasp attach sh
Long Description: Ankle foot orthosis, posterior, single bar, clasp attachment to shoe counter, prefabricated, includes fitting and adjustment
HCPCS Code: L1920
Short Description: Afo sing upright w/ adjust s
Long Description: Ankle foot orthosis, single upright with static or adjustable stop (phelps or perlstein type), custom fabricated
HCPCS Code: L1930
Short Description: Afo plastic
Long Description: Ankle foot orthosis, plastic or other material, prefabricated, includes fitting and adjustment
HCPCS Code: L1932
Short Description: Afo rig ant tib prefab tcf/=
Long Description: Afo, rigid anterior tibial section, total carbon fiber or equal material, prefabricated, includes fitting and adjustment
HCPCS Code: L1940
Short Description: Afo molded to patient plasti
Long Description: Ankle foot orthosis, plastic or other material, custom fabricated
HCPCS Code: L1945
Short Description: Afo molded plas rig ant tib
Long Description: Ankle foot orthosis, plastic, rigid anterior tibial section (floor reaction), custom fabricated
HCPCS Code: L1950
Short Description: Afo spiral molded to pt plas
Long Description: Ankle foot orthosis, spiral, (institute of rehabilitative medicine type), plastic, custom fabricated
HCPCS Code: L1951
Short Description: Afo spiral prefabricated
Long Description: Ankle foot orthosis, spiral, (institute of rehabilitative medicine type), plastic or other material, prefabricated, includes fitting and adjustment
HCPCS Code: L1960
Short Description: Afo pos solid ank plastic mo
Long Description: Ankle foot orthosis, posterior solid ankle, plastic, custom fabricated
HCPCS Code: L1970
Short Description: Afo plastic molded w/ankle j
Long Description: Ankle foot orthosis, plastic with ankle joint, custom fabricated
HCPCS Code: L1971
Short Description: Afo w/ankle joint, prefab
Long Description: Ankle foot orthosis, plastic or other material with ankle joint, prefabricated, includes fitting and adjustment
HCPCS Code: L1980
Short Description: Afo sing solid stirrup calf
Long Description: Ankle foot orthosis, single upright free plantar dorsiflexion, solid stirrup, calf band/cuff (single bar 'bk' orthosis), custom fabricated
HCPCS Code: L1990
Short Description: Afo doub solid stirrup calf
Long Description: Ankle foot orthosis, double upright free plantar dorsiflexion, solid stirrup, calf band/cuff (double bar 'bk' orthosis), custom fabricated
HCPCS Code: L2000
Short Description: Kafo sing fre stirr thi/calf
Long Description: Knee ankle foot orthosis, single upright, free knee, free ankle, solid stirrup, thigh and calf bands/cuffs (single bar 'ak' orthosis), custom fabricated
HCPCS Code: L2005
Short Description: Kafo sng/dbl mechanical act
Long Description: Knee ankle foot orthosis, any material, single or double upright, stance control, automatic lock and swing phase release, any type activation, includes ankle joint, any type, custom fabricated
HCPCS Code: L2010
Short Description: Kafo sng solid stirrup w/o j
Long Description: Knee ankle foot orthosis, single upright, free ankle, solid stirrup, thigh and calf bands/cuffs (single bar 'ak' orthosis), without knee joint, custom fabricated
HCPCS Code: L2020
Short Description: Kafo dbl solid stirrup band/
Long Description: Knee ankle foot orthosis, double upright, free ankle, solid stirrup, thigh and calf bands/cuffs (double bar 'ak' orthosis), custom fabricated
HCPCS Code: L2030
Short Description: Kafo dbl solid stirrup w/o j
Long Description: Knee ankle foot orthosis, double upright, free ankle, solid stirrup, thigh and calf bands/cuffs, (double bar 'ak' orthosis), without knee joint, custom fabricated
HCPCS Code: L2034
Short Description: Kafo pla sin up w/wo k/a cus
Long Description: Knee ankle foot orthosis, full plastic, single upright, with or without free motion knee, medial lateral rotation control, with or without free motion ankle, custom fabricated
HCPCS Code: L2035
Short Description: Kafo plastic pediatric size
Long Description: Knee ankle foot orthosis, full plastic, static (pediatric size), without free motion ankle, prefabricated, includes fitting and adjustment
HCPCS Code: L2036
Short Description: Kafo plas doub free knee mol
Long Description: Knee ankle foot orthosis, full plastic, double upright, with or without free motion knee, with or without free motion ankle, custom fabricated
HCPCS Code: L2037
Short Description: Kafo plas sing free knee mol
Long Description: Knee ankle foot orthosis, full plastic, single upright, with or without free motion knee, with or without free motion ankle, custom fabricated
HCPCS Code: L2038
Short Description: Kafo w/o joint multi-axis an
Long Description: Knee ankle foot orthosis, full plastic, with or without free motion knee, multi-axis ankle, custom fabricated
HCPCS Code: L2040
Short Description: Hkafo torsion bil rot straps
Long Description: Hip knee ankle foot orthosis, torsion control, bilateral rotation straps, pelvic band/belt, custom fabricated
HCPCS Code: L2050
Short Description: Hkafo torsion cable hip pelv
Long Description: Hip knee ankle foot orthosis, torsion control, bilateral torsion cables, hip joint, pelvic band/belt, custom fabricated
HCPCS Code: L2060
Short Description: Hkafo torsion ball bearing j
Long Description: Hip knee ankle foot orthosis, torsion control, bilateral torsion cables, ball bearing hip joint, pelvic band/ belt, custom fabricated
HCPCS Code: L2070
Short Description: Hkafo torsion unilat rot str
Long Description: Hip knee ankle foot orthosis, torsion control, unilateral rotation straps, pelvic band/belt, custom fabricated
HCPCS Code: L2080
Short Description: Hkafo unilat torsion cable
Long Description: Hip knee ankle foot orthosis, torsion control, unilateral torsion cable, hip joint, pelvic band/belt, custom fabricated
HCPCS Code: L2090
Short Description: Hkafo unilat torsion ball br
Long Description: Hip knee ankle foot orthosis, torsion control, unilateral torsion cable, ball bearing hip joint, pelvic band/ belt, custom fabricated
HCPCS Code: L2106
Short Description: Afo tib fx cast plaster mold
Long Description: Ankle foot orthosis, fracture orthosis, tibial fracture cast orthosis, thermoplastic type casting material, custom fabricated
HCPCS Code: L2108
Short Description: Afo tib fx cast molded to pt
Long Description: Ankle foot orthosis, fracture orthosis, tibial fracture cast orthosis, custom fabricated
HCPCS Code: L2112
Short Description: Afo tibial fracture soft
Long Description: Ankle foot orthosis, fracture orthosis, tibial fracture orthosis, soft, prefabricated, includes fitting and adjustment
HCPCS Code: L2114
Short Description: Afo tib fx semi-rigid
Long Description: Ankle foot orthosis, fracture orthosis, tibial fracture orthosis, semi-rigid, prefabricated, includes fitting and adjustment
HCPCS Code: L2116
Short Description: Afo tibial fracture rigid
Long Description: Ankle foot orthosis, fracture orthosis, tibial fracture orthosis, rigid, prefabricated, includes fitting and adjustment
HCPCS Code: L2126
Short Description: Kafo fem fx cast thermoplas
Long Description: Knee ankle foot orthosis, fracture orthosis, femoral fracture cast orthosis, thermoplastic type casting material, custom fabricated
HCPCS Code: L2128
Short Description: Kafo fem fx cast molded to p
Long Description: Knee ankle foot orthosis, fracture orthosis, femoral fracture cast orthosis, custom fabricated
HCPCS Code: L2132
Short Description: Kafo femoral fx cast soft
Long Description: Kafo, fracture orthosis, femoral fracture cast orthosis, soft, prefabricated, includes fitting and adjustment
HCPCS Code: L2134
Short Description: Kafo fem fx cast semi-rigid
Long Description: Kafo, fracture orthosis, femoral fracture cast orthosis, semi-rigid, prefabricated, includes fitting and adjustment
HCPCS Code: L2136
Short Description: Kafo femoral fx cast rigid
Long Description: Kafo, fracture orthosis, femoral fracture cast orthosis, rigid, prefabricated, includes fitting and adjustment
HCPCS Code: L2180
Short Description: Plas shoe insert w ank joint
Long Description: Addition to lower extremity fracture orthosis, plastic shoe insert with ankle joints
HCPCS Code: L2182
Short Description: Drop lock knee
Long Description: Addition to lower extremity fracture orthosis, drop lock knee joint
HCPCS Code: L2184
Short Description: Limited motion knee joint
Long Description: Addition to lower extremity fracture orthosis, limited motion knee joint
HCPCS Code: L2186
Short Description: Adj motion knee jnt lerman t
Long Description: Addition to lower extremity fracture orthosis, adjustable motion knee joint, lerman type
HCPCS Code: L2188
Short Description: Quadrilateral brim
Long Description: Addition to lower extremity fracture orthosis, quadrilateral brim
HCPCS Code: L2190
Short Description: Waist belt
Long Description: Addition to lower extremity fracture orthosis, waist belt
HCPCS Code: L2192
Short Description: Pelvic band & belt thigh fla
Long Description: Addition to lower extremity fracture orthosis, hip joint, pelvic band, thigh flange, and pelvic belt
HCPCS Code: L2200
Short Description: Limited ankle motion ea jnt
Long Description: Addition to lower extremity, limited ankle motion, each joint
HCPCS Code: L2210
Short Description: Dorsiflexion assist each joi
Long Description: Addition to lower extremity, dorsiflexion assist (plantar flexion resist), each joint
HCPCS Code: L2220
Short Description: Dorsi & plantar flex ass/res
Long Description: Addition to lower extremity, dorsiflexion and plantar flexion assist/resist, each joint
HCPCS Code: L2230
Short Description: Split flat caliper stirr & p
Long Description: Addition to lower extremity, split flat caliper stirrups and plate attachment
HCPCS Code: L2232
Short Description: Rocker bottom, contact afo
Long Description: Addition to lower extremity orthosis, rocker bottom for total contact ankle foot orthosis, for custom fabricated orthosis only
HCPCS Code: L2240
Short Description: Round caliper and plate atta
Long Description: Addition to lower extremity, round caliper and plate attachment
HCPCS Code: L2250
Short Description: Foot plate molded stirrup at
Long Description: Addition to lower extremity, foot plate, molded to patient model, stirrup attachment
HCPCS Code: L2260
Short Description: Reinforced solid stirrup
Long Description: Addition to lower extremity, reinforced solid stirrup (scott-craig type)
HCPCS Code: L2265
Short Description: Long tongue stirrup
Long Description: Addition to lower extremity, long tongue stirrup
HCPCS Code: L2270
Short Description: Varus/valgus strap padded/li
Long Description: Addition to lower extremity, varus/valgus correction ('t') strap, padded/lined or malleolus pad
HCPCS Code: L2275
Short Description: Plastic mod low ext pad/line
Long Description: Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined
HCPCS Code: L2280
Short Description: Molded inner boot
Long Description: Addition to lower extremity, molded inner boot
HCPCS Code: L2300
Short Description: Abduction bar jointed adjust
Long Description: Addition to lower extremity, abduction bar (bilateral hip involvement), jointed, adjustable
HCPCS Code: L2310
Short Description: Abduction bar-straight
Long Description: Addition to lower extremity, abduction bar-straight
HCPCS Code: L2320
Short Description: Non-molded lacer
Long Description: Addition to lower extremity, non-molded lacer, for custom fabricated orthosis only
HCPCS Code: L2330
Short Description: Lacer molded to patient mode
Long Description: Addition to lower extremity, lacer molded to patient model, for custom fabricated orthosis only
HCPCS Code: L2335
Short Description: Anterior swing band
Long Description: Addition to lower extremity, anterior swing band
HCPCS Code: L2340
Short Description: Pre-tibial shell molded to p
Long Description: Addition to lower extremity, pre-tibial shell, molded to patient model
HCPCS Code: L2350
Short Description: Prosthetic type socket molde
Long Description: Addition to lower extremity, prosthetic type, (bk) socket, molded to patient model, (used for 'ptb' 'afo' orthoses)
HCPCS Code: L2360
Short Description: Extended steel shank
Long Description: Addition to lower extremity, extended steel shank
HCPCS Code: L2370
Short Description: Patten bottom
Long Description: Addition to lower extremity, patten bottom
HCPCS Code: L2375
Short Description: Torsion ank & half solid sti
Long Description: Addition to lower extremity, torsion control, ankle joint and half solid stirrup
HCPCS Code: L2380
Short Description: Torsion straight knee joint
Long Description: Addition to lower extremity, torsion control, straight knee joint, each joint
HCPCS Code: L2385
Short Description: Straight knee joint heavy du
Long Description: Addition to lower extremity, straight knee joint, heavy duty, each joint
HCPCS Code: L2387
Short Description: Add le poly knee custom kafo
Long Description: Addition to lower extremity, polycentric knee joint, for custom fabricated knee ankle foot orthosis, each joint
HCPCS Code: L2390
Short Description: Offset knee joint each
Long Description: Addition to lower extremity, offset knee joint, each joint
HCPCS Code: L2395
Short Description: Offset knee joint heavy duty
Long Description: Addition to lower extremity, offset knee joint, heavy duty, each joint
HCPCS Code: L2397
Short Description: Suspension sleeve lower ext
Long Description: Addition to lower extremity orthosis, suspension sleeve
HCPCS Code: L2405
Short Description: Knee joint drop lock ea jnt
Long Description: Addition to knee joint, drop lock, each
HCPCS Code: L2415
Short Description: Knee joint cam lock each joi
Long Description: Addition to knee lock with integrated release mechanism (bail, cable, or equal), any material, each joint
HCPCS Code: L2425
Short Description: Knee disc/dial lock/adj flex
Long Description: Addition to knee joint, disc or dial lock for adjustable knee flexion, each joint
HCPCS Code: L2430
Short Description: Knee jnt ratchet lock ea jnt
Long Description: Addition to knee joint, ratchet lock for active and progressive knee extension, each joint
HCPCS Code: L2492
Short Description: Knee lift loop drop lock rin
Long Description: Addition to knee joint, lift loop for drop lock ring
HCPCS Code: L2500
Short Description: Thi/glut/ischia wgt bearing
Long Description: Addition to lower extremity, thigh/weight bearing, gluteal/ ischial weight bearing, ring
HCPCS Code: L2510
Short Description: Th/wght bear quad-lat brim m
Long Description: Addition to lower extremity, thigh/weight bearing, quadri- lateral brim, molded to patient model
HCPCS Code: L2520
Short Description: Th/wght bear quad-lat brim c
Long Description: Addition to lower extremity, thigh/weight bearing, quadri- lateral brim, custom fitted
HCPCS Code: L2525
Short Description: Th/wght bear nar m-l brim mo
Long Description: Addition to lower extremity, thigh/weight bearing, ischial containment/narrow m-l brim molded to patient model
HCPCS Code: L2526
Short Description: Th/wght bear nar m-l brim cu
Long Description: Addition to lower extremity, thigh/weight bearing, ischial containment/narrow m-l brim, custom fitted
HCPCS Code: L2530
Short Description: Thigh/wght bear lacer non-mo
Long Description: Addition to lower extremity, thigh-weight bearing, lacer, non-molded
HCPCS Code: L2540
Short Description: Thigh/wght bear lacer molded
Long Description: Addition to lower extremity, thigh/weight bearing, lacer, molded to patient model
HCPCS Code: L2550
Short Description: Thigh/wght bear high roll cu
Long Description: Addition to lower extremity, thigh/weight bearing, high roll cuff
HCPCS Code: L2570
Short Description: Hip clevis type 2 posit jnt
Long Description: Addition to lower extremity, pelvic control, hip joint, clevis type two position joint, each
HCPCS Code: L2580
Short Description: Pelvic control pelvic sling
Long Description: Addition to lower extremity, pelvic control, pelvic sling
HCPCS Code: L2600
Short Description: Hip clevis/thrust bearing fr
Long Description: Addition to lower extremity, pelvic control, hip joint, clevis type, or thrust bearing, free, each
HCPCS Code: L2610
Short Description: Hip clevis/thrust bearing lo
Long Description: Addition to lower extremity, pelvic control, hip joint, clevis or thrust bearing, lock, each
HCPCS Code: L2620
Short Description: Pelvic control hip heavy dut
Long Description: Addition to lower extremity, pelvic control, hip joint, heavy duty, each
HCPCS Code: L2622
Short Description: Hip joint adjustable flexion
Long Description: Addition to lower extremity, pelvic control, hip joint, adjustable flexion, each
HCPCS Code: L2624
Short Description: Hip adj flex ext abduct cont
Long Description: Addition to lower extremity, pelvic control, hip joint, adjustable flexion, extension, abduction control, each
HCPCS Code: L2627
Short Description: Plastic mold recipro hip & c
Long Description: Addition to lower extremity, pelvic control, plastic, molded to patient model, reciprocating hip joint and cables
HCPCS Code: L2628
Short Description: Metal frame recipro hip & ca
Long Description: Addition to lower extremity, pelvic control, metal frame, reciprocating hip joint and cables
HCPCS Code: L2630
Short Description: Pelvic control band & belt u
Long Description: Addition to lower extremity, pelvic control, band and belt, unilateral
HCPCS Code: L2640
Short Description: Pelvic control band & belt b
Long Description: Addition to lower extremity, pelvic control, band and belt, bilateral
HCPCS Code: L2650
Short Description: Pelv & thor control gluteal
Long Description: Addition to lower extremity, pelvic and thoracic control, gluteal pad, each
HCPCS Code: L2660
Short Description: Thoracic control thoracic ba
Long Description: Addition to lower extremity, thoracic control, thoracic band
HCPCS Code: L2670
Short Description: Thorac cont paraspinal uprig
Long Description: Addition to lower extremity, thoracic control, paraspinal uprights
HCPCS Code: L2680
Short Description: Thorac cont lat support upri
Long Description: Addition to lower extremity, thoracic control, lateral support uprights
HCPCS Code: L2750
Short Description: Plating chrome/nickel pr bar
Long Description: Addition to lower extremity orthosis, plating chrome or nickel, per bar
HCPCS Code: L2755
Short Description: Carbon graphite lamination
Long Description: Addition to lower extremity orthosis, high strength, lightweight material, all hybrid lamination/prepreg composite, per segment, for custom fabricated orthosis only
HCPCS Code: L2760
Short Description: Extension per extension per
Long Description: Addition to lower extremity orthosis, extension, per extension, per bar (for lineal adjustment for growth)
HCPCS Code: L2768
Short Description: Ortho sidebar disconnect
Long Description: Orthotic side bar disconnect device, per bar
HCPCS Code: L2780
Short Description: Non-corrosive finish
Long Description: Addition to lower extremity orthosis, non-corrosive finish, per bar
HCPCS Code: L2785
Short Description: Drop lock retainer each
Long Description: Addition to lower extremity orthosis, drop lock retainer, each
HCPCS Code: L2795
Short Description: Knee control full kneecap
Long Description: Addition to lower extremity orthosis, knee control, full kneecap
HCPCS Code: L2800
Short Description: Knee cap medial or lateral p
Long Description: Addition to lower extremity orthosis, knee control, knee cap, medial or lateral pull, for use with custom fabricated orthosis only
HCPCS Code: L2810
Short Description: Knee control condylar pad
Long Description: Addition to lower extremity orthosis, knee control, condylar pad
HCPCS Code: L2820
Short Description: Soft interface below knee se
Long Description: Addition to lower extremity orthosis, soft interface for molded plastic, below knee section
HCPCS Code: L2830
Short Description: Soft interface above knee se
Long Description: Addition to lower extremity orthosis, soft interface for molded plastic, above knee section
HCPCS Code: L2840
Short Description: Tibial length sock fx or equ
Long Description: Addition to lower extremity orthosis, tibial length sock, fracture or equal, each
HCPCS Code: L2850
Short Description: Femoral lgth sock fx or equa
Long Description: Addition to lower extremity orthosis, femoral length sock, fracture or equal, each
HCPCS Code: L2861
Short Description: Torsion mechanism knee/ankle
Long Description: Addition to lower extremity joint, knee or ankle, concentric adjustable torsion style mechanism for custom fabricated orthotics only, each
HCPCS Code: L2999
Short Description: Lower extremity orthosis nos
Long Description: Lower extremity orthoses, not otherwise specified
HCPCS Code: L3000
Short Description: Ft insert ucb berkeley shell
Long Description: Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each
HCPCS Code: L3001
Short Description: Foot insert remov molded spe
Long Description: Foot, insert, removable, molded to patient model, spenco, each
HCPCS Code: L3002
Short Description: Foot insert plastazote or eq
Long Description: Foot, insert, removable, molded to patient model, plastazote or equal, each
HCPCS Code: L3003
Short Description: Foot insert silicone gel eac
Long Description: Foot, insert, removable, molded to patient model, silicone gel, each
HCPCS Code: L3010
Short Description: Foot longitudinal arch suppo
Long Description: Foot, insert, removable, molded to patient model, longitudinal arch support, each
HCPCS Code: L3020
Short Description: Foot longitud/metatarsal sup
Long Description: Foot, insert, removable, molded to patient model, longitudinal/ metatarsal support, each
HCPCS Code: L3030
Short Description: Foot arch support remov prem
Long Description: Foot, insert, removable, formed to patient foot, each
HCPCS Code: L3031
Short Description: Foot lamin/prepreg composite
Long Description: Foot, insert/plate, removable, addition to lower extremity orthosis, high strength, lightweight material, all hybrid lamination/prepreg composite, each
HCPCS Code: L3040
Short Description: Ft arch suprt premold longit
Long Description: Foot, arch support, removable, premolded, longitudinal, each
HCPCS Code: L3050
Short Description: Foot arch supp premold metat
Long Description: Foot, arch support, removable, premolded, metatarsal, each
HCPCS Code: L3060
Short Description: Foot arch supp longitud/meta
Long Description: Foot, arch support, removable, premolded, longitudinal/ metatarsal, each
HCPCS Code: L3070
Short Description: Arch suprt att to sho longit
Long Description: Foot, arch support, non-removable attached to shoe, longitudinal, each
HCPCS Code: L3080
Short Description: Arch supp att to shoe metata
Long Description: Foot, arch support, non-removable attached to shoe, metatarsal, each
HCPCS Code: L3090
Short Description: Arch supp att to shoe long/m
Long Description: Foot, arch support, non-removable attached to shoe, longitudinal/metatarsal, each
HCPCS Code: L3100
Short Description: Hallus-valgus nt dyn pre ots
Long Description: Hallus-valgus night dynamic splint, prefabricated, off-the-shelf
HCPCS Code: L3140
Short Description: Abduction rotation bar shoe
Long Description: Foot, abduction rotation bar, including shoes
HCPCS Code: L3150
Short Description: Abduct rotation bar w/o shoe
Long Description: Foot, abduction rotation bar, without shoes
HCPCS Code: L3160
Short Description: Shoe styled positioning dev
Long Description: Foot, adjustable shoe-styled positioning device
HCPCS Code: L3170
Short Description: Foot plas heel stabi pre ots
Long Description: Foot, plastic, silicone or equal, heel stabilizer, prefabricated, off-the-shelf, each
HCPCS Code: L3201
Short Description: Oxford w supinat/pronat inf
Long Description: Orthopedic shoe, oxford with supinator or pronator, infant
HCPCS Code: L3202
Short Description: Oxford w/ supinat/pronator c
Long Description: Orthopedic shoe, oxford with supinator or pronator, child
HCPCS Code: L3203
Short Description: Oxford w/ supinator/pronator
Long Description: Orthopedic shoe, oxford with supinator or pronator, junior
HCPCS Code: L3204
Short Description: Hightop w/ supp/pronator inf
Long Description: Orthopedic shoe, hightop with supinator or pronator, infant
HCPCS Code: L3206
Short Description: Hightop w/ supp/pronator chi
Long Description: Orthopedic shoe, hightop with supinator or pronator, child
HCPCS Code: L3207
Short Description: Hightop w/ supp/pronator jun
Long Description: Orthopedic shoe, hightop with supinator or pronator, junior
HCPCS Code: L3208
Short Description: Surgical boot each infant
Long Description: Surgical boot, each, infant
HCPCS Code: L3209
Short Description: Surgical boot each child
Long Description: Surgical boot, each, child
HCPCS Code: L3211
Short Description: Surgical boot each junior
Long Description: Surgical boot, each, junior
HCPCS Code: L3212
Short Description: Benesch boot pair infant
Long Description: Benesch boot, pair, infant
HCPCS Code: L3213
Short Description: Benesch boot pair child
Long Description: Benesch boot, pair, child
HCPCS Code: L3214
Short Description: Benesch boot pair junior
Long Description: Benesch boot, pair, junior
HCPCS Code: L3215
Short Description: Orthopedic ftwear ladies oxf
Long Description: Orthopedic footwear, ladies shoe, oxford, each
HCPCS Code: L3216
Short Description: Orthoped ladies shoes dpth i
Long Description: Orthopedic footwear, ladies shoe, depth inlay, each
HCPCS Code: L3217
Short Description: Ladies shoes hightop depth i
Long Description: Orthopedic footwear, ladies shoe, hightop, depth inlay, each
HCPCS Code: L3219
Short Description: Orthopedic mens shoes oxford
Long Description: Orthopedic footwear, mens shoe, oxford, each
HCPCS Code: L3221
Short Description: Orthopedic mens shoes dpth i
Long Description: Orthopedic footwear, mens shoe, depth inlay, each
HCPCS Code: L3222
Short Description: Mens shoes hightop depth inl
Long Description: Orthopedic footwear, mens shoe, hightop, depth inlay, each
HCPCS Code: L3224
Short Description: Woman's shoe oxford brace
Long Description: Orthopedic footwear, woman's shoe, oxford, used as an integral part of a brace (orthosis)
HCPCS Code: L3225
Short Description: Man's shoe oxford brace
Long Description: Orthopedic footwear, man's shoe, oxford, used as an integral part of a brace (orthosis)
HCPCS Code: L3230
Short Description: Custom shoes depth inlay
Long Description: Orthopedic footwear, custom shoe, depth inlay, each
HCPCS Code: L3250
Short Description: Custom mold shoe remov prost
Long Description: Orthopedic footwear, custom molded shoe, removable inner mold, prosthetic shoe, each
HCPCS Code: L3251
Short Description: Shoe molded to pt silicone s
Long Description: Foot, shoe molded to patient model, silicone shoe, each
HCPCS Code: L3252
Short Description: Shoe molded plastazote cust
Long Description: Foot, shoe molded to patient model, plastazote (or similar), custom fabricated, each
HCPCS Code: L3253
Short Description: Shoe molded plastazote cust
Long Description: Foot, molded shoe plastazote (or similar) custom fitted, each
HCPCS Code: L3254
Short Description: Orth foot non-stndard size/w
Long Description: Non-standard size or width
HCPCS Code: L3255
Short Description: Orth foot non-standard size/
Long Description: Non-standard size or length
HCPCS Code: L3257
Short Description: Orth foot add charge split s
Long Description: Orthopedic footwear, additional charge for split size
HCPCS Code: L3260
Short Description: Ambulatory surgical boot eac
Long Description: Surgical boot/shoe, each
HCPCS Code: L3265
Short Description: Plastazote sandal each
Long Description: Plastazote sandal, each
HCPCS Code: L3300
Short Description: Sho lift taper to metatarsal
Long Description: Lift, elevation, heel, tapered to metatarsals, per inch
HCPCS Code: L3310
Short Description: Shoe lift elev heel/sole neo
Long Description: Lift, elevation, heel and sole, neoprene, per inch
HCPCS Code: L3320
Short Description: Shoe lift elev heel/sole cor
Long Description: Lift, elevation, heel and sole, cork, per inch
HCPCS Code: L3330
Short Description: Lifts elevation metal extens
Long Description: Lift, elevation, metal extension (skate)
HCPCS Code: L3332
Short Description: Shoe lifts tapered to one-ha
Long Description: Lift, elevation, inside shoe, tapered, up to one-half inch
HCPCS Code: L3334
Short Description: Shoe lifts elevation heel /i
Long Description: Lift, elevation, heel, per inch
HCPCS Code: L3340
Short Description: Shoe wedge sach
Long Description: Heel wedge, sach
HCPCS Code: L3350
Short Description: Shoe heel wedge
Long Description: Heel wedge
HCPCS Code: L3360
Short Description: Shoe sole wedge outside sole
Long Description: Sole wedge, outside sole
HCPCS Code: L3370
Short Description: Shoe sole wedge between sole
Long Description: Sole wedge, between sole
HCPCS Code: L3380
Short Description: Shoe clubfoot wedge
Long Description: Clubfoot wedge
HCPCS Code: L3390
Short Description: Shoe outflare wedge
Long Description: Outflare wedge
HCPCS Code: L3400
Short Description: Shoe metatarsal bar wedge ro
Long Description: Metatarsal bar wedge, rocker
HCPCS Code: L3410
Short Description: Shoe metatarsal bar between
Long Description: Metatarsal bar wedge, between sole
HCPCS Code: L3420
Short Description: Full sole/heel wedge btween
Long Description: Full sole and heel wedge, between sole
HCPCS Code: L3430
Short Description: Sho heel count plast reinfor
Long Description: Heel, counter, plastic reinforced
HCPCS Code: L3440
Short Description: Heel leather reinforced
Long Description: Heel, counter, leather reinforced
HCPCS Code: L3450
Short Description: Shoe heel sach cushion type
Long Description: Heel, sach cushion type
HCPCS Code: L3455
Short Description: Shoe heel new leather standa
Long Description: Heel, new leather, standard
HCPCS Code: L3460
Short Description: Shoe heel new rubber standar
Long Description: Heel, new rubber, standard
HCPCS Code: L3465
Short Description: Shoe heel thomas with wedge
Long Description: Heel, thomas with wedge
HCPCS Code: L3470
Short Description: Shoe heel thomas extend to b
Long Description: Heel, thomas extended to ball
HCPCS Code: L3480
Short Description: Shoe heel pad & depress for
Long Description: Heel, pad and depression for spur
HCPCS Code: L3485
Short Description: Shoe heel pad removable for
Long Description: Heel, pad, removable for spur
HCPCS Code: L3500
Short Description: Ortho shoe add leather insol
Long Description: Orthopedic shoe addition, insole, leather
HCPCS Code: L3510
Short Description: Orthopedic shoe add rub insl
Long Description: Orthopedic shoe addition, insole, rubber
HCPCS Code: L3520
Short Description: O shoe add felt w leath insl
Long Description: Orthopedic shoe addition, insole, felt covered with leather
HCPCS Code: L3530
Short Description: Ortho shoe add half sole
Long Description: Orthopedic shoe addition, sole, half
HCPCS Code: L3540
Short Description: Ortho shoe add full sole
Long Description: Orthopedic shoe addition, sole, full
HCPCS Code: L3550
Short Description: O shoe add standard toe tap
Long Description: Orthopedic shoe addition, toe tap standard
HCPCS Code: L3560
Short Description: O shoe add horseshoe toe tap
Long Description: Orthopedic shoe addition, toe tap, horseshoe
HCPCS Code: L3570
Short Description: O shoe add instep extension
Long Description: Orthopedic shoe addition, special extension to instep (leather with eyelets)
HCPCS Code: L3580
Short Description: O shoe add instep velcro clo
Long Description: Orthopedic shoe addition, convert instep to velcro closure
HCPCS Code: L3590
Short Description: O shoe convert to sof counte
Long Description: Orthopedic shoe addition, convert firm shoe counter to soft counter
HCPCS Code: L3595
Short Description: Ortho shoe add march bar
Long Description: Orthopedic shoe addition, march bar
HCPCS Code: L3600
Short Description: Trans shoe calip plate exist
Long Description: Transfer of an orthosis from one shoe to another, caliper plate, existing
HCPCS Code: L3610
Short Description: Trans shoe caliper plate new
Long Description: Transfer of an orthosis from one shoe to another, caliper plate, new
HCPCS Code: L3620
Short Description: Trans shoe solid stirrup exi
Long Description: Transfer of an orthosis from one shoe to another, solid stirrup, existing
HCPCS Code: L3630
Short Description: Trans shoe solid stirrup new
Long Description: Transfer of an orthosis from one shoe to another, solid stirrup, new
HCPCS Code: L3640
Short Description: Shoe dennis browne splint bo
Long Description: Transfer of an orthosis from one shoe to another, dennis browne splint (riveton), both shoes
HCPCS Code: L3649
Short Description: Orthopedic shoe modifica nos
Long Description: Orthopedic shoe, modification, addition or transfer, not otherwise specified
HCPCS Code: L3650
Short Description: So 8 abd restraint pre ots
Long Description: Shoulder orthosis, figure of eight design abduction restrainer, prefabricated, off-the-shelf
HCPCS Code: L3660
Short Description: So 8 ab rstr can/web pre ots
Long Description: Shoulder orthosis, figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf
HCPCS Code: L3670
Short Description: So acro/clav can web pre ots
Long Description: Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf
HCPCS Code: L3671
Short Description: So cap design w/o jnts cf
Long Description: Shoulder orthosis, shoulder joint design, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment
HCPCS Code: L3674
Short Description: So airplane w/wo joint cf
Long Description: Shoulder orthosis, abduction positioning (airplane design), thoracic component and support bar, with or without nontorsion joint/turnbuckle, may include soft interface, straps, custom fabricated, includes fitting and adjustment
HCPCS Code: L3675
Short Description: So vest canvas/web pre ots
Long Description: Shoulder orthosis, vest type abduction restrainer, canvas webbing type or equal, prefabricated, off-the-shelf
HCPCS Code: L3677
Short Description: So hard plas stabili pre cst
Long Description: Shoulder orthosis, shoulder joint design, without joints, may include soft interface, straps, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise
HCPCS Code: L3678
Short Description: So hard plas stabili pre ots
Long Description: Shoulder orthosis, shoulder joint design, without joints, may include soft interface, straps, prefabricated, off-the-shelf
HCPCS Code: L3702
Short Description: Eo w/o joints cf
Long Description: Elbow orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment
HCPCS Code: L3710
Short Description: Eo elas w/metal jnts pre ots
Long Description: Elbow orthosis, elastic with metal joints, prefabricated, off-the-shelf
HCPCS Code: L3720
Short Description: Forearm/arm cuffs free motio
Long Description: Elbow orthosis, double upright with forearm/arm cuffs, free motion, custom fabricated
HCPCS Code: L3730
Short Description: Forearm/arm cuffs ext/flex a
Long Description: Elbow orthosis, double upright with forearm/arm cuffs, extension/ flexion assist, custom fabricated
HCPCS Code: L3740
Short Description: Cuffs adj lock w/ active con
Long Description: Elbow orthosis, double upright with forearm/arm cuffs, adjustable position lock with active control, custom fabricated
HCPCS Code: L3760
Short Description: Eo adj jt prefab custom fit
Long Description: Elbow orthosis (eo), with adjustable position locking joint(s), prefabricated, item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise
HCPCS Code: L3761
Short Description: Eo, adj lock joint prefab ot
Long Description: Elbow orthosis (eo), with adjustable position locking joint(s), prefabricated, off-the-shelf
HCPCS Code: L3762
Short Description: Eo rigid w/o joints pre ots
Long Description: Elbow orthosis, rigid, without joints, includes soft interface material, prefabricated, off-the-shelf
HCPCS Code: L3763
Short Description: Ewho rigid w/o jnts cf
Long Description: Elbow wrist hand orthosis, rigid, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment
HCPCS Code: L3764
Short Description: Ewho w/joint(s) cf
Long Description: Elbow wrist hand orthosis, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment
HCPCS Code: L3765
Short Description: Ewhfo rigid w/o jnts cf
Long Description: Elbow wrist hand finger orthosis, rigid, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment
HCPCS Code: L3766
Short Description: Ewhfo w/joint(s) cf
Long Description: Elbow wrist hand finger orthosis, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment
HCPCS Code: L3806
Short Description: Whfo w/joint(s) custom fab
Long Description: Wrist hand finger orthosis, includes one or more nontorsion joint(s), turnbuckles, elastic bands/springs, may include soft interface material, straps, custom fabricated, includes fitting and adjustment
HCPCS Code: L3807
Short Description: Whfo w/o joints pre cst
Long Description: Wrist hand finger orthosis, without joint(s), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise
HCPCS Code: L3808
Short Description: Whfo, rigid w/o joints
Long Description: Wrist hand finger orthosis, rigid without joints, may include soft interface material; straps, custom fabricated, includes fitting and adjustment
HCPCS Code: L3809
Short Description: Whfo w/o joints pre ots
Long Description: Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type
HCPCS Code: L3891
Short Description: Torsion mechanism wrist/elbo
Long Description: Addition to upper extremity joint, wrist or elbow, concentric adjustable torsion style mechanism for custom fabricated orthotics only, each
HCPCS Code: L3900
Short Description: Hinge extension/flex wrist/f
Long Description: Wrist hand finger orthosis, dynamic flexor hinge, reciprocal wrist extension/ flexion, finger flexion/extension, wrist or finger driven, custom fabricated
HCPCS Code: L3901
Short Description: Hinge ext/flex wrist finger
Long Description: Wrist hand finger orthosis, dynamic flexor hinge, reciprocal wrist extension/ flexion, finger flexion/extension, cable driven, custom fabricated
HCPCS Code: L3904
Short Description: Whfo electric custom fitted
Long Description: Wrist hand finger orthosis, external powered, electric, custom fabricated
HCPCS Code: L3905
Short Description: Who w/nontorsion jnt(s) cf
Long Description: Wrist hand orthosis, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment
HCPCS Code: L3906
Short Description: Who w/o joints cf
Long Description: Wrist hand orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment
HCPCS Code: L3908
Short Description: Who cock-up nonmolde pre ots
Long Description: Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf
HCPCS Code: L3912
Short Description: Hfo flexion glove pre ots
Long Description: Hand finger orthosis (hfo), flexion glove with elastic finger control, prefabricated, off-the-shelf
HCPCS Code: L3913
Short Description: Hfo w/o joints cf
Long Description: Hand finger orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment
HCPCS Code: L3915
Short Description: Who nontorsion jnts pre cst
Long Description: Wrist hand orthosis, includes one or more nontorsion joint(s), elastic bands, turnbuckles, may include soft interface, straps, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise
HCPCS Code: L3916
Short Description: Who nontorsion jnts pre ots
Long Description: Wrist hand orthosis, includes one or more nontorsion joint(s), elastic bands, turnbuckles, may include soft interface, straps, prefabricated, off-the-shelf
HCPCS Code: L3917
Short Description: Metacarp fx orthosis pre cst
Long Description: Hand orthosis, metacarpal fracture orthosis, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise
HCPCS Code: L3918
Short Description: Metacarp fx orthosis pre ots
Long Description: Hand orthosis, metacarpal fracture orthosis, prefabricated, off-the-shelf
HCPCS Code: L3919
Short Description: Ho w/o joints cf
Long Description: Hand orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment
HCPCS Code: L3921
Short Description: Hfo w/joint(s) cf
Long Description: Hand finger orthosis, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment
HCPCS Code: L3923
Short Description: Hfo without joints pre cst
Long Description: Hand finger orthosis, without joints, may include soft interface, straps, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise
HCPCS Code: L3924
Short Description: Hfo without joints pre ots
Long Description: Hand finger orthosis, without joints, may include soft interface, straps, prefabricated, off-the-shelf
HCPCS Code: L3925
Short Description: Fo pip dip jnt/sprng pre ots
Long Description: Finger orthosis, proximal interphalangeal (pip)/distal interphalangeal (dip), non torsion joint/spring, extension/flexion, may include soft interface material, prefabricated, off-the-shelf
HCPCS Code: L3927
Short Description: Fo pip dip no jt spr pre ots
Long Description: Finger orthosis, proximal interphalangeal (pip)/distal interphalangeal (dip), without joint/spring, extension/flexion (e.g., static or ring type), may include soft interface material, prefabricated, off-the-shelf
HCPCS Code: L3929
Short Description: Hfo nontorsion jnts pre cst
Long Description: Hand finger orthosis, includes one or more nontorsion joint(s), turnbuckles, elastic bands/springs, may include soft interface material, straps, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise
HCPCS Code: L3930
Short Description: Hfo nontorsion jnts pre ots
Long Description: Hand finger orthosis, includes one or more nontorsion joint(s), turnbuckles, elastic bands/springs, may include soft interface material, straps, prefabricated, off-the-shelf
HCPCS Code: L3931
Short Description: Whfo nontorsion joint prefab
Long Description: Wrist hand finger orthosis, includes one or more nontorsion joint(s), turnbuckles, elastic bands/springs, may include soft interface material, straps, prefabricated, includes fitting and adjustment
HCPCS Code: L3933
Short Description: Fo w/o joints cf
Long Description: Finger orthosis, without joints, may include soft interface, custom fabricated, includes fitting and adjustment
HCPCS Code: L3935
Short Description: Fo nontorsion joint cf
Long Description: Finger orthosis, nontorsion joint, may include soft interface, custom fabricated, includes fitting and adjustment
HCPCS Code: L3956
Short Description: Add joint upper ext orthosis
Long Description: Addition of joint to upper extremity orthosis, any material; per joint
HCPCS Code: L3960
Short Description: Sewho airplan desig abdu pos
Long Description: Shoulder elbow wrist hand orthosis, abduction positioning, airplane design, prefabricated, includes fitting and adjustment
HCPCS Code: L3961
Short Description: Sewho cap design w/o jnts cf
Long Description: Shoulder elbow wrist hand orthosis, shoulder cap design, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment
HCPCS Code: L3962
Short Description: Sewho erbs palsey design abd
Long Description: Shoulder elbow wrist hand orthosis, abduction positioning, erb's palsey design, prefabricated, includes fitting and adjustment
HCPCS Code: L3967
Short Description: Sewho airplane w/o jnts cf
Long Description: Shoulder elbow wrist hand orthosis, abduction positioning (airplane design), thoracic component and support bar, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment
HCPCS Code: L3971
Short Description: Sewho cap design w/jnt(s) cf
Long Description: Shoulder elbow wrist hand orthosis, shoulder cap design, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment
HCPCS Code: L3973
Short Description: Sewho airplane w/jnt(s) cf
Long Description: Shoulder elbow wrist hand orthosis, abduction positioning (airplane design), thoracic component and support bar, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment
HCPCS Code: L3975
Short Description: Sewhfo cap design w/o jnt cf
Long Description: Shoulder elbow wrist hand finger orthosis, shoulder cap design, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment
HCPCS Code: L3976
Short Description: Sewhfo airplane w/o jnts cf
Long Description: Shoulder elbow wrist hand finger orthosis, abduction positioning (airplane design), thoracic component and support bar, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment
HCPCS Code: L3977
Short Description: Sewhfo cap desgn w/jnt(s) cf
Long Description: Shoulder elbow wrist hand finger orthosis, shoulder cap design, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment
HCPCS Code: L3978
Short Description: Sewhfo airplane w/jnt(s) cf
Long Description: Shoulder elbow wrist hand finger orthosis, abduction positioning (airplane design), thoracic component and support bar, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment
HCPCS Code: L3980
Short Description: Up ext fx orthos humeral nos
Long Description: Upper extremity fracture orthosis, humeral, prefabricated, includes fitting and adjustment
HCPCS Code: L3981
Short Description: Ue fx orth shoul cap forearm
Long Description: Upper extremity fracture orthosis, humeral, prefabricated, includes shoulder cap design, with or without joints, forearm section, may include soft interface, straps, includes fitting and adjustments
HCPCS Code: L3982
Short Description: Upper ext fx orthosis rad/ul
Long Description: Upper extremity fracture orthosis, radius/ulnar, prefabricated, includes fitting and adjustment
HCPCS Code: L3984
Short Description: Upper ext fx orthosis wrist
Long Description: Upper extremity fracture orthosis, wrist, prefabricated, includes fitting and adjustment
HCPCS Code: L3995
Short Description: Sock fracture or equal each
Long Description: Addition to upper extremity orthosis, sock, fracture or equal, each
HCPCS Code: L3999
Short Description: Upper limb orthosis nos
Long Description: Upper limb orthosis, not otherwise specified
HCPCS Code: L4000
Short Description: Repl girdle milwaukee orth
Long Description: Replace girdle for spinal orthosis (ctlso or so)
HCPCS Code: L4002
Short Description: Replace strap, any orthosis
Long Description: Replacement strap, any orthosis, includes all components, any length, any type
HCPCS Code: L4010
Short Description: Replace trilateral socket br
Long Description: Replace trilateral socket brim
HCPCS Code: L4020
Short Description: Replace quadlat socket brim
Long Description: Replace quadrilateral socket brim, molded to patient model
HCPCS Code: L4030
Short Description: Replace socket brim cust fit
Long Description: Replace quadrilateral socket brim, custom fitted
HCPCS Code: L4040
Short Description: Replace molded thigh lacer
Long Description: Replace molded thigh lacer, for custom fabricated orthosis only
HCPCS Code: L4045
Short Description: Replace non-molded thigh lac
Long Description: Replace non-molded thigh lacer, for custom fabricated orthosis only
HCPCS Code: L4050
Short Description: Replace molded calf lacer
Long Description: Replace molded calf lacer, for custom fabricated orthosis only
HCPCS Code: L4055
Short Description: Replace non-molded calf lace
Long Description: Replace non-molded calf lacer, for custom fabricated orthosis only
HCPCS Code: L4060
Short Description: Replace high roll cuff
Long Description: Replace high roll cuff
HCPCS Code: L4070
Short Description: Replace prox & dist upright
Long Description: Replace proximal and distal upright for kafo
HCPCS Code: L4080
Short Description: Repl met band kafo-afo prox
Long Description: Replace metal bands kafo, proximal thigh
HCPCS Code: L4090
Short Description: Repl met band kafo-afo calf/
Long Description: Replace metal bands kafo-afo, calf or distal thigh
HCPCS Code: L4100
Short Description: Repl leath cuff kafo prox th
Long Description: Replace leather cuff kafo, proximal thigh
HCPCS Code: L4110
Short Description: Repl leath cuff kafo-afo cal
Long Description: Replace leather cuff kafo-afo, calf or distal thigh
HCPCS Code: L4130
Short Description: Replace pretibial shell
Long Description: Replace pretibial shell
HCPCS Code: L4205
Short Description: Ortho dvc repair per 15 min
Long Description: Repair of orthotic device, labor component, per 15 minutes
HCPCS Code: L4210
Short Description: Orth dev repair/repl minor p
Long Description: Repair of orthotic device, repair or replace minor parts
HCPCS Code: L4350
Short Description: Ankle control ortho pre ots
Long Description: Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, off-the-shelf
HCPCS Code: L4360
Short Description: Pneumat walking boot pre cst
Long Description: Walking 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
HCPCS Code: L4361
Short Description: Pneuma/vac walk boot pre ots
Long Description: Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf
HCPCS Code: L4370
Short Description: Pneum full leg splnt pre ots
Long Description: Pneumatic full leg splint, prefabricated, off-the-shelf
HCPCS Code: L4386
Short Description: Non-pneum walk boot pre cst
Long Description: Walking 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
HCPCS Code: L4387
Short Description: Non-pneum walk boot pre ots
Long Description: Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated, off-the-shelf
HCPCS Code: L4392
Short Description: Replace afo soft interface
Long Description: Replacement, soft interface material, static afo
HCPCS Code: L4394
Short Description: Replace foot drop spint
Long Description: Replace soft interface material, foot drop splint
HCPCS Code: L4396
Short Description: Static or dynami afo pre cst
Long Description: Static 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
HCPCS Code: L4397
Short Description: Static or dynami afo pre ots
Long Description: Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated, off-the-shelf
HCPCS Code: L4398
Short Description: Foot drop splint pre ots
Long Description: Foot drop splint, recumbent positioning device, prefabricated, off-the-shelf
HCPCS Code: L4631
Short Description: Afo, walk boot type, cus fab
Long Description: Ankle foot orthosis, walking boot type, varus/valgus correction, rocker bottom, anterior tibial shell, soft interface, custom arch support, plastic or other material, includes straps and closures, custom fabricated
HCPCS Code: L5000
Short Description: Sho insert w arch toe filler
Long Description: Partial foot, shoe insert with longitudinal arch, toe filler
HCPCS Code: L5010
Short Description: Mold socket ank hgt w/ toe f
Long Description: Partial foot, molded socket, ankle height, with toe filler
HCPCS Code: L5020
Short Description: Tibial tubercle hgt w/ toe f
Long Description: Partial foot, molded socket, tibial tubercle height, with toe filler
HCPCS Code: L5050
Short Description: Ank symes mold sckt sach ft
Long Description: Ankle, symes, molded socket, sach foot
HCPCS Code: L5060
Short Description: Symes met fr leath socket ar
Long Description: Ankle, symes, metal frame, molded leather socket, articulated ankle/foot
HCPCS Code: L5100
Short Description: Molded socket shin sach foot
Long Description: Below knee, molded socket, shin, sach foot
HCPCS Code: L5105
Short Description: Plast socket jts/thgh lacer
Long Description: Below knee, plastic socket, joints and thigh lacer, sach foot
HCPCS Code: L5150
Short Description: Mold sckt ext knee shin sach
Long Description: Knee disarticulation (or through knee), molded socket, external knee joints, shin, sach foot
HCPCS Code: L5160
Short Description: Mold socket bent knee shin s
Long Description: Knee disarticulation (or through knee), molded socket, bent knee configuration, external knee joints, shin, sach foot
HCPCS Code: L5200
Short Description: Kne sing axis fric shin sach
Long Description: Above knee, molded socket, single axis constant friction knee, shin, sach foot
HCPCS Code: L5210
Short Description: No knee/ankle joints w/ ft b
Long Description: Above knee, short prosthesis, no knee joint ('stubbies'), with foot blocks, no ankle joints, each
HCPCS Code: L5220
Short Description: No knee joint with artic ali
Long Description: Above knee, short prosthesis, no knee joint ('stubbies'), with articulated ankle/foot, dynamically aligned, each
HCPCS Code: L5230
Short Description: Fem focal defic constant fri
Long Description: Above knee, for proximal femoral focal deficiency, constant friction knee, shin, sach foot
HCPCS Code: L5250
Short Description: Hip canad sing axi cons fric
Long Description: Hip disarticulation, canadian type; molded socket, hip joint, single axis constant friction knee, shin, sach foot
HCPCS Code: L5270
Short Description: Tilt table locking hip sing
Long Description: Hip disarticulation, tilt table type; molded socket, locking hip joint, single axis constant friction knee, shin, sach foot
HCPCS Code: L5280
Short Description: Hemipelvect canad sing axis
Long Description: Hemipelvectomy, canadian type; molded socket, hip joint, single axis constant friction knee, shin, sach foot
HCPCS Code: L5301
Short Description: Bk mold socket sach ft endo
Long Description: Below knee, molded socket, shin, sach foot, endoskeletal system
HCPCS Code: L5312
Short Description: Knee disart, sach ft, endo
Long Description: Knee disarticulation (or through knee), molded socket, single axis knee, pylon, sach foot, endoskeletal system
HCPCS Code: L5321
Short Description: Ak open end sach
Long Description: Above knee, molded socket, open end, sach foot, endoskeletal system, single axis knee
HCPCS Code: L5331
Short Description: Hip disart canadian sach ft
Long Description: Hip disarticulation, canadian type, molded socket, endoskeletal system, hip joint, single axis knee, sach foot
HCPCS Code: L5341
Short Description: Hemipelvectomy canadian sach
Long Description: Hemipelvectomy, canadian type, molded socket, endoskeletal system, hip joint, single axis knee, sach foot
HCPCS Code: L5400
Short Description: Postop dress & 1 cast chg bk
Long Description: Immediate post surgical or early fitting, application of initial rigid dressing, including fitting, alignment, suspension, and one cast change, below knee
HCPCS Code: L5410
Short Description: Postop dsg bk ea add cast ch
Long Description: Immediate post surgical or early fitting, application of initial rigid dressing, including fitting, alignment and suspension, below knee, each additional cast change and realignment
HCPCS Code: L5420
Short Description: Postop dsg & 1 cast chg ak/d
Long Description: Immediate post surgical or early fitting, application of initial rigid dressing, including fitting, alignment and suspension and one cast change 'ak' or knee disarticulation
HCPCS Code: L5430
Short Description: Postop dsg ak ea add cast ch
Long Description: Immediate post surgical or early fitting, application of initial rigid dressing, incl. fitting, alignment and supension, 'ak' or knee disarticulation, each additional cast change and realignment
HCPCS Code: L5450
Short Description: Postop app non-wgt bear dsg
Long Description: Immediate post surgical or early fitting, application of non-weight bearing rigid dressing, below knee
HCPCS Code: L5460
Short Description: Postop app non-wgt bear dsg
Long Description: Immediate post surgical or early fitting, application of non-weight bearing rigid dressing, above knee
HCPCS Code: L5500
Short Description: Init bk ptb plaster direct
Long Description: Initial, below knee 'ptb' type socket, non-alignable system, pylon, no cover, sach foot, plaster socket, direct formed
HCPCS Code: L5505
Short Description: Init ak ischal plstr direct
Long Description: Initial, above knee - knee disarticulation, ischial level socket, non-alignable system, pylon, no cover, sach foot, plaster socket, direct formed
HCPCS Code: L5510
Short Description: Prep bk ptb plaster molded
Long Description: Preparatory, below knee 'ptb' type socket, non-alignable system, pylon, no cover, sach foot, plaster socket, molded to model
HCPCS Code: L5520
Short Description: Perp bk ptb thermopls direct
Long Description: Preparatory, below knee 'ptb' type socket, non-alignable system, pylon, no cover, sach foot, thermoplastic or equal, direct formed
HCPCS Code: L5530
Short Description: Prep bk ptb thermopls molded
Long Description: Preparatory, below knee 'ptb' type socket, non-alignable system, pylon, no cover, sach foot, thermoplastic or equal, molded to model
HCPCS Code: L5535
Short Description: Prep bk ptb open end socket
Long Description: Preparatory, below knee 'ptb' type socket, non-alignable system, no cover, sach foot, prefabricated, adjustable open end socket
HCPCS Code: L5540
Short Description: Prep bk ptb laminated socket
Long Description: Preparatory, below knee 'ptb' type socket, non-alignable system, pylon, no cover, sach foot, laminated socket, molded to model
HCPCS Code: L5560
Short Description: Prep ak ischial plast molded
Long Description: Preparatory, above knee- knee disarticulation, ischial level socket, non-alignable system, pylon, no cover, sach foot, plaster socket, molded to model
HCPCS Code: L5570
Short Description: Prep ak ischial direct form
Long Description: Preparatory, above knee - knee disarticulation, ischial level socket, non-alignable system, pylon, no cover, sach foot, thermoplastic or equal, direct formed
HCPCS Code: L5580
Short Description: Prep ak ischial thermo mold
Long Description: Preparatory, above knee - knee disarticulation ischial level socket, non-alignable system, pylon, no cover, sach foot, thermoplastic or equal, molded to model
HCPCS Code: L5585
Short Description: Prep ak ischial open end
Long Description: Preparatory, above knee - knee disarticulation, ischial level socket, non-alignable system, pylon, no cover, sach foot, prefabricated adjustable open end socket
HCPCS Code: L5590
Short Description: Prep ak ischial laminated
Long Description: Preparatory, above knee - knee disarticulation ischial level socket, non-alignable system, pylon no cover, sach foot, laminated socket, molded to model
HCPCS Code: L5595
Short Description: Hip disartic sach thermopls
Long Description: Preparatory, hip disarticulation-hemipelvectomy, pylon, no cover, sach foot, thermoplastic or equal, molded to patient model
HCPCS Code: L5600
Short Description: Hip disart sach laminat mold
Long Description: Preparatory, hip disarticulation-hemipelvectomy, pylon, no cover, sach foot, laminated socket, molded to patient model
HCPCS Code: L5610
Short Description: Above knee hydracadence
Long Description: Addition to lower extremity, endoskeletal system, above knee, hydracadence system
HCPCS Code: L5611
Short Description: Ak 4 bar link w/fric swing
Long Description: Addition to lower extremity, endoskeletal system, above knee - knee disarticulation, 4 bar linkage, with friction swing phase control
HCPCS Code: L5613
Short Description: Ak 4 bar ling w/hydraul swig
Long Description: Addition to lower extremity, endoskeletal system, above knee-knee disarticulation, 4 bar linkage, with hydraulic swing phase control
HCPCS Code: L5614
Short Description: 4-bar link above knee w/swng
Long Description: Addition to lower extremity, exoskeletal system, above knee-knee disarticulation, 4 bar linkage, with pneumatic swing phase control
HCPCS Code: L5616
Short Description: Ak univ multiplex sys frict
Long Description: Addition to lower extremity, endoskeletal system, above knee, universal multiplex system, friction swing phase control
HCPCS Code: L5617
Short Description: Ak/bk self-aligning unit ea
Long Description: Addition to lower extremity, quick change self-aligning unit, above knee or below knee, each
HCPCS Code: L5618
Short Description: Test socket symes
Long Description: Addition to lower extremity, test socket, symes
HCPCS Code: L5620
Short Description: Test socket below knee
Long Description: Addition to lower extremity, test socket, below knee
HCPCS Code: L5622
Short Description: Test socket knee disarticula
Long Description: Addition to lower extremity, test socket, knee disarticulation
HCPCS Code: L5624
Short Description: Test socket above knee
Long Description: Addition to lower extremity, test socket, above knee
HCPCS Code: L5626
Short Description: Test socket hip disarticulat
Long Description: Addition to lower extremity, test socket, hip disarticulation
HCPCS Code: L5628
Short Description: Test socket hemipelvectomy
Long Description: Addition to lower extremity, test socket, hemipelvectomy
HCPCS Code: L5629
Short Description: Below knee acrylic socket
Long Description: Addition to lower extremity, below knee, acrylic socket
HCPCS Code: L5630
Short Description: Syme typ expandabl wall sckt
Long Description: Addition to lower extremity, symes type, expandable wall socket
HCPCS Code: L5631
Short Description: Ak/knee disartic acrylic soc
Long Description: Addition to lower extremity, above knee or knee disarticulation, acrylic socket
HCPCS Code: L5632
Short Description: Symes type ptb brim design s
Long Description: Addition to lower extremity, symes type, 'ptb' brim design socket
HCPCS Code: L5634
Short Description: Symes type poster opening so
Long Description: Addition to lower extremity, symes type, posterior opening (canadian) socket
HCPCS Code: L5636
Short Description: Symes type medial opening so
Long Description: Addition to lower extremity, symes type, medial opening socket
HCPCS Code: L5637
Short Description: Below knee total contact
Long Description: Addition to lower extremity, below knee, total contact
HCPCS Code: L5638
Short Description: Below knee leather socket
Long Description: Addition to lower extremity, below knee, leather socket
HCPCS Code: L5639
Short Description: Below knee wood socket
Long Description: Addition to lower extremity, below knee, wood socket
HCPCS Code: L5640
Short Description: Knee disarticulat leather so
Long Description: Addition to lower extremity, knee disarticulation, leather socket
HCPCS Code: L5642
Short Description: Above knee leather socket
Long Description: Addition to lower extremity, above knee, leather socket
HCPCS Code: L5643
Short Description: Hip flex inner socket ext fr
Long Description: Addition to lower extremity, hip disarticulation, flexible inner socket, external frame
HCPCS Code: L5644
Short Description: Above knee wood socket
Long Description: Addition to lower extremity, above knee, wood socket
HCPCS Code: L5645
Short Description: Bk flex inner socket ext fra
Long Description: Addition to lower extremity, below knee, flexible inner socket, external frame
HCPCS Code: L5646
Short Description: Below knee cushion socket
Long Description: Addition to lower extremity, below knee, air, fluid, gel or equal, cushion socket
HCPCS Code: L5647
Short Description: Below knee suction socket
Long Description: Addition to lower extremity, below knee suction socket
HCPCS Code: L5648
Short Description: Above knee cushion socket
Long Description: Addition to lower extremity, above knee, air, fluid, gel or equal, cushion socket
HCPCS Code: L5649
Short Description: Isch containmt/narrow m-l so
Long Description: Addition to lower extremity, ischial containment/narrow m-l socket
HCPCS Code: L5650
Short Description: Tot contact ak/knee disart s
Long Description: Additions to lower extremity, total contact, above knee or knee disarticulation socket
HCPCS Code: L5651
Short Description: Ak flex inner socket ext fra
Long Description: Addition to lower extremity, above knee, flexible inner socket, external frame
HCPCS Code: L5652
Short Description: Suction susp ak/knee disart
Long Description: Addition to lower extremity, suction suspension, above knee or knee disarticulation socket
HCPCS Code: L5653
Short Description: Knee disart expand wall sock
Long Description: Addition to lower extremity, knee disarticulation, expandable wall socket
HCPCS Code: L5654
Short Description: Socket insert symes
Long Description: Addition to lower extremity, socket insert, symes, (kemblo, pelite, aliplast, plastazote or equal)
HCPCS Code: L5655
Short Description: Socket insert below knee
Long Description: Addition to lower extremity, socket insert, below knee (kemblo, pelite, aliplast, plastazote or equal)
HCPCS Code: L5656
Short Description: Socket insert knee articulat
Long Description: Addition to lower extremity, socket insert, knee disarticulation (kemblo, pelite, aliplast, plastazote or equal)
HCPCS Code: L5658
Short Description: Socket insert above knee
Long Description: Addition to lower extremity, socket insert, above knee (kemblo, pelite, aliplast, plastazote or equal)
HCPCS Code: L5661
Short Description: Multi-durometer symes
Long Description: Addition to lower extremity, socket insert, multi-durometer symes
HCPCS Code: L5665
Short Description: Multi-durometer below knee
Long Description: Addition to lower extremity, socket insert, multi-durometer, below knee
HCPCS Code: L5666
Short Description: Below knee cuff suspension
Long Description: Addition to lower extremity, below knee, cuff suspension
HCPCS Code: L5668
Short Description: Bk molded distal cushion
Long Description: Addition to lower extremity, below knee, molded distal cushion
HCPCS Code: L5670
Short Description: Bk molded supracondylar susp
Long Description: Addition to lower extremity, below knee, molded supracondylar suspension ('pts' or similar)
HCPCS Code: L5671
Short Description: Bk/ak locking mechanism
Long Description: Addition to lower extremity, below knee / above knee suspension locking mechanism (shuttle, lanyard or equal), excludes socket insert
HCPCS Code: L5672
Short Description: Bk removable medial brim sus
Long Description: Addition to lower extremity, below knee, removable medial brim suspension
HCPCS Code: L5673
Short Description: Socket insert w lock mech
Long Description: Addition to lower extremity, below knee/above knee, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric or equal, for use with locking mechanism
HCPCS Code: L5676
Short Description: Bk knee joints single axis p
Long Description: Additions to lower extremity, below knee, knee joints, single axis, pair
HCPCS Code: L5677
Short Description: Bk knee joints polycentric p
Long Description: Additions to lower extremity, below knee, knee joints, polycentric, pair
HCPCS Code: L5678
Short Description: Bk joint covers pair
Long Description: Additions to lower extremity, below knee, joint covers, pair
HCPCS Code: L5679
Short Description: Socket insert w/o lock mech
Long Description: Addition to lower extremity, below knee/above knee, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric or equal, not for use with locking mechanism
HCPCS Code: L5680
Short Description: Bk thigh lacer non-molded
Long Description: Addition to lower extremity, below knee, thigh lacer, nonmolded
HCPCS Code: L5681
Short Description: Intl custm cong/latyp insert
Long Description: Addition to lower extremity, below knee/above knee, custom fabricated socket insert for congenital or atypical traumatic amputee, silicone gel, elastomeric or equal, for use with or without locking mechanism, initial only (for other than initial, use code l5673 or l5679)
HCPCS Code: L5682
Short Description: Bk thigh lacer glut/ischia m
Long Description: Addition to lower extremity, below knee, thigh lacer, gluteal/ischial, molded
HCPCS Code: L5683
Short Description: Initial custom socket insert
Long Description: Addition to lower extremity, below knee/above knee, custom fabricated socket insert for other than congenital or atypical traumatic amputee, silicone gel, elastomeric or equal, for use with or without locking mechanism, initial only (for other than initial, use code l5673 or l5679)
HCPCS Code: L5684
Short Description: Bk fork strap
Long Description: Addition to lower extremity, below knee, fork strap
HCPCS Code: L5685
Short Description: Below knee sus/seal sleeve
Long Description: Addition to lower extremity prosthesis, below knee, suspension/sealing sleeve, with or without valve, any material, each
HCPCS Code: L5686
Short Description: Bk back check
Long Description: Addition to lower extremity, below knee, back check (extension control)
HCPCS Code: L5688
Short Description: Bk waist belt webbing
Long Description: Addition to lower extremity, below knee, waist belt, webbing
HCPCS Code: L5690
Short Description: Bk waist belt padded and lin
Long Description: Addition to lower extremity, below knee, waist belt, padded and lined
HCPCS Code: L5692
Short Description: Ak pelvic control belt light
Long Description: Addition to lower extremity, above knee, pelvic control belt, light
HCPCS Code: L5694
Short Description: Ak pelvic control belt pad/l
Long Description: Addition to lower extremity, above knee, pelvic control belt, padded and lined
HCPCS Code: L5695
Short Description: Ak sleeve susp neoprene/equa
Long Description: Addition to lower extremity, above knee, pelvic control, sleeve suspension, neoprene or equal, each
HCPCS Code: L5696
Short Description: Ak/knee disartic pelvic join
Long Description: Addition to lower extremity, above knee or knee disarticulation, pelvic joint
HCPCS Code: L5697
Short Description: Ak/knee disartic pelvic band
Long Description: Addition to lower extremity, above knee or knee disarticulation, pelvic band
HCPCS Code: L5698
Short Description: Ak/knee disartic silesian ba
Long Description: Addition to lower extremity, above knee or knee disarticulation, silesian bandage
HCPCS Code: L5699
Short Description: Shoulder harness
Long Description: All lower extremity prostheses, shoulder harness
HCPCS Code: L5700
Short Description: Replace socket below knee
Long Description: Replacement, socket, below knee, molded to patient model
HCPCS Code: L5701
Short Description: Replace socket above knee
Long Description: Replacement, socket, above knee/knee disarticulation, including attachment plate, molded to patient model
HCPCS Code: L5702
Short Description: Replace socket hip
Long Description: Replacement, socket, hip disarticulation, including hip joint, molded to patient model
HCPCS Code: L5703
Short Description: Symes ankle w/o (sach) foot
Long Description: Ankle, symes, molded to patient model, socket without solid ankle cushion heel (sach) foot, replacement only
HCPCS Code: L5704
Short Description: Custom shape cover bk
Long Description: Custom shaped protective cover, below knee
HCPCS Code: L5705
Short Description: Custom shape cover ak
Long Description: Custom shaped protective cover, above knee
HCPCS Code: L5706
Short Description: Custom shape cvr knee disart
Long Description: Custom shaped protective cover, knee disarticulation
HCPCS Code: L5707
Short Description: Custom shape cvr hip disart
Long Description: Custom shaped protective cover, hip disarticulation
HCPCS Code: L5710
Short Description: Kne-shin exo sng axi mnl loc
Long Description: Addition, exoskeletal knee-shin system, single axis, manual lock
HCPCS Code: L5711
Short Description: Knee-shin exo mnl lock ultra
Long Description: Additions exoskeletal knee-shin system, single axis, manual lock, ultra-light material
HCPCS Code: L5712
Short Description: Knee-shin exo frict swg & st
Long Description: Addition, exoskeletal knee-shin system, single axis, friction swing and stance phase control (safety knee)
HCPCS Code: L5714
Short Description: Knee-shin exo variable frict
Long Description: Addition, exoskeletal knee-shin system, single axis, variable friction swing phase control
HCPCS Code: L5716
Short Description: Knee-shin exo mech stance ph
Long Description: Addition, exoskeletal knee-shin system, polycentric, mechanical stance phase lock
HCPCS Code: L5718
Short Description: Knee-shin exo frct swg & sta
Long Description: Addition, exoskeletal knee-shin system, polycentric, friction swing and stance phase control
HCPCS Code: L5722
Short Description: Knee-shin pneum swg frct exo
Long Description: Addition, exoskeletal knee-shin system, single axis, pneumatic swing, friction stance phase control
HCPCS Code: L5724
Short Description: Knee-shin exo fluid swing ph
Long Description: Addition, exoskeletal knee-shin system, single axis, fluid swing phase control
HCPCS Code: L5726
Short Description: Knee-shin ext jnts fld swg e
Long Description: Addition, exoskeletal knee-shin system, single axis, external joints fluid swing phase control
HCPCS Code: L5728
Short Description: Knee-shin fluid swg & stance
Long Description: Addition, exoskeletal knee-shin system, single axis, fluid swing and stance phase control
HCPCS Code: L5780
Short Description: Knee-shin pneum/hydra pneum
Long Description: Addition, exoskeletal knee-shin system, single axis, pneumatic/hydra pneumatic swing phase control
HCPCS Code: L5781
Short Description: Lower limb pros vacuum pump
Long Description: Addition to lower limb prosthesis, vacuum pump, residual limb volume management and moisture evacuation system
HCPCS Code: L5782
Short Description: Hd low limb pros vacuum pump
Long Description: Addition to lower limb prosthesis, vacuum pump, residual limb volume management and moisture evacuation system, heavy duty
HCPCS Code: L5785
Short Description: Exoskeletal bk ultralt mater
Long Description: Addition, exoskeletal system, below knee, ultra-light material (titanium, carbon fiber or equal)
HCPCS Code: L5790
Short Description: Exoskeletal ak ultra-light m
Long Description: Addition, exoskeletal system, above knee, ultra-light material (titanium, carbon fiber or equal)
HCPCS Code: L5795
Short Description: Exoskel hip ultra-light mate
Long Description: Addition, exoskeletal system, hip disarticulation, ultra-light material (titanium, carbon fiber or equal)
HCPCS Code: L5810
Short Description: Endoskel knee-shin mnl lock
Long Description: Addition, endoskeletal knee-shin system, single axis, manual lock
HCPCS Code: L5811
Short Description: Endo knee-shin mnl lck ultra
Long Description: Addition, endoskeletal knee-shin system, single axis, manual lock, ultra-light material
HCPCS Code: L5812
Short Description: Endo knee-shin frct swg & st
Long Description: Addition, endoskeletal knee-shin system, single axis, friction swing and stance phase control (safety knee)
HCPCS Code: L5814
Short Description: Endo knee-shin hydral swg ph
Long Description: Addition, endoskeletal knee-shin system, polycentric, hydraulic swing phase control, mechanical stance phase lock
HCPCS Code: L5816
Short Description: Endo knee-shin polyc mch sta
Long Description: Addition, endoskeletal knee-shin system, polycentric, mechanical stance phase lock
HCPCS Code: L5818
Short Description: Endo knee-shin frct swg & st
Long Description: Addition, endoskeletal knee-shin system, polycentric, friction swing, and stance phase control
HCPCS Code: L5822
Short Description: Endo knee-shin pneum swg frc
Long Description: Addition, endoskeletal knee-shin system, single axis, pneumatic swing, friction stance phase control
HCPCS Code: L5824
Short Description: Endo knee-shin fluid swing p
Long Description: Addition, endoskeletal knee-shin system, single axis, fluid swing phase control
HCPCS Code: L5826
Short Description: Miniature knee joint
Long Description: Addition, endoskeletal knee-shin system, single axis, hydraulic swing phase control, with miniature high activity frame
HCPCS Code: L5828
Short Description: Endo knee-shin fluid swg/sta
Long Description: Addition, endoskeletal knee-shin system, single axis, fluid swing and stance phase control
HCPCS Code: L5830
Short Description: Endo knee-shin pneum/swg pha
Long Description: Addition, endoskeletal knee-shin system, single axis, pneumatic/ swing phase control
HCPCS Code: L5840
Short Description: Multi-axial knee/shin system
Long Description: Addition, endoskeletal knee/shin system, 4-bar linkage or multiaxial, pneumatic swing phase control
HCPCS Code: L5845
Short Description: Knee-shin sys stance flexion
Long Description: Addition, endoskeletal, knee-shin system, stance flexion feature, adjustable
HCPCS Code: L5848
Short Description: Knee-shin sys hydraul stance
Long Description: Addition to endoskeletal knee-shin system, fluid stance extension, dampening feature, with or without adjustability
HCPCS Code: L5850
Short Description: Endo ak/hip knee extens assi
Long Description: Addition, endoskeletal system, above knee or hip disarticulation, knee extension assist
HCPCS Code: L5855
Short Description: Mech hip extension assist
Long Description: Addition, endoskeletal system, hip disarticulation, mechanical hip extension assist
HCPCS Code: L5856
Short Description: Elec knee-shin swing/stance
Long Description: Addition to lower extremity prosthesis, endoskeletal knee-shin system, microprocessor control feature, swing and stance phase, includes electronic sensor(s), any type
HCPCS Code: L5857
Short Description: Elec knee-shin swing only
Long Description: Addition to lower extremity prosthesis, endoskeletal knee-shin system, microprocessor control feature, swing phase only, includes electronic sensor(s), any type
HCPCS Code: L5858
Short Description: Stance phase only
Long Description: Addition to lower extremity prosthesis, endoskeletal knee shin system, microprocessor control feature, stance phase only, includes electronic sensor(s), any type
HCPCS Code: L5859
Short Description: Knee-shin pro flex/ext cont
Long Description: Addition to lower extremity prosthesis, endoskeletal knee-shin system, powered and programmable flexion/extension assist control, includes any type motor(s)
HCPCS Code: L5910
Short Description: Endo below knee alignable sy
Long Description: Addition, endoskeletal system, below knee, alignable system
HCPCS Code: L5920
Short Description: Endo ak/hip alignable system
Long Description: Addition, endoskeletal system, above knee or hip disarticulation, alignable system
HCPCS Code: L5925
Short Description: Above knee manual lock
Long Description: Addition, endoskeletal system, above knee, knee disarticulation or hip disarticulation, manual lock
HCPCS Code: L5930
Short Description: High activity knee frame
Long Description: Addition, endoskeletal system, high activity knee control frame
HCPCS Code: L5940
Short Description: Endo bk ultra-light material
Long Description: Addition, endoskeletal system, below knee, ultra-light material (titanium, carbon fiber or equal)
HCPCS Code: L5950
Short Description: Endo ak ultra-light material
Long Description: Addition, endoskeletal system, above knee, ultra-light material (titanium, carbon fiber or equal)
HCPCS Code: L5960
Short Description: Endo hip ultra-light materia
Long Description: Addition, endoskeletal system, hip disarticulation, ultra-light material (titanium, carbon fiber or equal)
HCPCS Code: L5961
Short Description: Endo poly hip, pneu/hyd/rot
Long Description: Addition, endoskeletal system, polycentric hip joint, pneumatic or hydraulic control, rotation control, with or without flexion and/or extension control
HCPCS Code: L5962
Short Description: Below knee flex cover system
Long Description: Addition, endoskeletal system, below knee, flexible protective outer surface covering system
HCPCS Code: L5964
Short Description: Above knee flex cover system
Long Description: Addition, endoskeletal system, above knee, flexible protective outer surface covering system
HCPCS Code: L5966
Short Description: Hip flexible cover system
Long Description: Addition, endoskeletal system, hip disarticulation, flexible protective outer surface covering system
HCPCS Code: L5968
Short Description: Multiaxial ankle w dorsiflex
Long Description: Addition to lower limb prosthesis, multiaxial ankle with swing phase active dorsiflexion feature
HCPCS Code: L5969
Short Description: Ak/ft power asst incl motors
Long Description: Addition, endoskeletal ankle-foot or ankle system, power assist, includes any type motor(s)
HCPCS Code: L5970
Short Description: Foot external keel sach foot
Long Description: All lower extremity prostheses, foot, external keel, sach foot
HCPCS Code: L5971
Short Description: Sach foot, replacement
Long Description: All lower extremity prosthesis, solid ankle cushion heel (sach) foot, replacement only
HCPCS Code: L5972
Short Description: Flexible keel foot
Long Description: All lower extremity prostheses, foot, flexible keel
HCPCS Code: L5973
Short Description: Ank-foot sys dors-plant flex
Long Description: Endoskeletal ankle foot system, microprocessor controlled feature, dorsiflexion and/or plantar flexion control, includes power source
HCPCS Code: L5974
Short Description: Foot single axis ankle/foot
Long Description: All lower extremity prostheses, foot, single axis ankle/foot
HCPCS Code: L5975
Short Description: Combo ankle/foot prosthesis
Long Description: All lower extremity prosthesis, combination single axis ankle and flexible keel foot
HCPCS Code: L5976
Short Description: Energy storing foot
Long Description: All lower extremity prostheses, energy storing foot (seattle carbon copy ii or equal)
HCPCS Code: L5978
Short Description: Ft prosth multiaxial ankl/ft
Long Description: All lower extremity prostheses, foot, multiaxial ankle/foot
HCPCS Code: L5979
Short Description: Multi-axial ankle/ft prosth
Long Description: All lower extremity prosthesis, multi-axial ankle, dynamic response foot, one piece system
HCPCS Code: L5980
Short Description: Flex foot system
Long Description: All lower extremity prostheses, flex foot system
HCPCS Code: L5981
Short Description: Flex-walk sys low ext prosth
Long Description: All lower extremity prostheses, flex-walk system or equal
HCPCS Code: L5982
Short Description: Exoskeletal axial rotation u
Long Description: All exoskeletal lower extremity prostheses, axial rotation unit
HCPCS Code: L5984
Short Description: Endoskeletal axial rotation
Long Description: All endoskeletal lower extremity prosthesis, axial rotation unit, with or without adjustability
HCPCS Code: L5985
Short Description: Lwr ext dynamic prosth pylon
Long Description: All endoskeletal lower extremity prostheses, dynamic prosthetic pylon
HCPCS Code: L5986
Short Description: Multi-axial rotation unit
Long Description: All lower extremity prostheses, multi-axial rotation unit ('mcp' or equal)
HCPCS Code: L5987
Short Description: Shank ft w vert load pylon
Long Description: All lower extremity prosthesis, shank foot system with vertical loading pylon
HCPCS Code: L5988
Short Description: Vertical shock reducing pylo
Long Description: Addition to lower limb prosthesis, vertical shock reducing pylon feature
HCPCS Code: L5990
Short Description: User adjustable heel height
Long Description: Addition to lower extremity prosthesis, user adjustable heel height
HCPCS Code: L5999
Short Description: Lowr extremity prosthes nos
Long Description: Lower extremity prosthesis, not otherwise specified
HCPCS Code: L6000
Short Description: Part hand thumb rem
Long Description: Partial hand, thumb remaining
HCPCS Code: L6010
Short Description: Part hand little/ring
Long Description: Partial hand, little and/or ring finger remaining
HCPCS Code: L6020
Short Description: Part hand no fingers
Long Description: Partial hand, no finger remaining
HCPCS Code: L6025
Short Description: Part hand disart myoelectric
Long Description: Transcarpal/metacarpal or partial hand disarticulation prosthesis, external power, self-suspended, inner socket with removable forearm section, electrodes and cables, two batteries, charger, myoelectric control of terminal device
HCPCS Code: L6026
Short Description: Part hand myo exclu term dev
Long Description: Transcarpal/metacarpal or partial hand disarticulation prosthesis, external power, self-suspended, inner socket with removable forearm section, electrodes and cables, two batteries, charger, myoelectric control of terminal device, excludes terminal device(s)
HCPCS Code: L6050
Short Description: Wrst mld sck flx hng tri pad
Long Description: Wrist disarticulation, molded socket, flexible elbow hinges, triceps pad
HCPCS Code: L6055
Short Description: Wrst mold sock w/exp interfa
Long Description: Wrist disarticulation, molded socket with expandable interface, flexible elbow hinges, triceps pad
HCPCS Code: L6100
Short Description: Elb mold sock flex hinge pad
Long Description: Below elbow, molded socket, flexible elbow hinge, triceps pad
HCPCS Code: L6110
Short Description: Elbow mold sock suspension t
Long Description: Below elbow, molded socket, (muenster or northwestern suspension types)
HCPCS Code: L6120
Short Description: Elbow mold doub splt soc ste
Long Description: Below elbow, molded double wall split socket, step-up hinges, half cuff
HCPCS Code: L6130
Short Description: Elbow stump activated lock h
Long Description: Below elbow, molded double wall split socket, stump activated locking hinge, half cuff
HCPCS Code: L6200
Short Description: Elbow mold outsid lock hinge
Long Description: Elbow disarticulation, molded socket, outside locking hinge, forearm
HCPCS Code: L6205
Short Description: Elbow molded w/ expand inter
Long Description: Elbow disarticulation, molded socket with expandable interface, outside locking hinges, forearm
HCPCS Code: L6250
Short Description: Elbow inter loc elbow forarm
Long Description: Above elbow, molded double wall socket, internal locking elbow, forearm
HCPCS Code: L6300
Short Description: Shlder disart int lock elbow
Long Description: Shoulder disarticulation, molded socket, shoulder bulkhead, humeral section, internal locking elbow, forearm
HCPCS Code: L6310
Short Description: Shoulder passive restor comp
Long Description: Shoulder disarticulation, passive restoration (complete prosthesis)
HCPCS Code: L6320
Short Description: Shoulder passive restor cap
Long Description: Shoulder disarticulation, passive restoration (shoulder cap only)
HCPCS Code: L6350
Short Description: Thoracic intern lock elbow
Long Description: Interscapular thoracic, molded socket, shoulder bulkhead, humeral section, internal locking elbow, forearm
HCPCS Code: L6360
Short Description: Thoracic passive restor comp
Long Description: Interscapular thoracic, passive restoration (complete prosthesis)
HCPCS Code: L6370
Short Description: Thoracic passive restor cap
Long Description: Interscapular thoracic, passive restoration (shoulder cap only)
HCPCS Code: L6380
Short Description: Postop dsg cast chg wrst/elb
Long Description: Immediate post surgical or early fitting, application of initial rigid dressing, including fitting alignment and suspension of components, and one cast change, wrist disarticulation or below elbow
HCPCS Code: L6382
Short Description: Postop dsg cast chg elb dis/
Long Description: Immediate post surgical or early fitting, application of initial rigid dressing including fitting alignment and suspension of components, and one cast change, elbow disarticulation or above elbow
HCPCS Code: L6384
Short Description: Postop dsg cast chg shlder/t
Long Description: Immediate post surgical or early fitting, application of initial rigid dressing including fitting alignment and suspension of components, and one cast change, shoulder disarticulation or interscapular thoracic
HCPCS Code: L6386
Short Description: Postop ea cast chg & realign
Long Description: Immediate post surgical or early fitting, each additional cast change and realignment
HCPCS Code: L6388
Short Description: Postop applicat rigid dsg on
Long Description: Immediate post surgical or early fitting, application of rigid dressing only
HCPCS Code: L6400
Short Description: Below elbow prosth tiss shap
Long Description: Below elbow, molded socket, endoskeletal system, including soft prosthetic tissue shaping
HCPCS Code: L6450
Short Description: Elb disart prosth tiss shap
Long Description: Elbow disarticulation, molded socket, endoskeletal system, including soft prosthetic tissue shaping
HCPCS Code: L6500
Short Description: Above elbow prosth tiss shap
Long Description: Above elbow, molded socket, endoskeletal system, including soft prosthetic tissue shaping
HCPCS Code: L6550
Short Description: Shldr disar prosth tiss shap
Long Description: Shoulder disarticulation, molded socket, endoskeletal system, including soft prosthetic tissue shaping
HCPCS Code: L6570
Short Description: Scap thorac prosth tiss shap
Long Description: Interscapular thoracic, molded socket, endoskeletal system, including soft prosthetic tissue shaping
HCPCS Code: L6580
Short Description: Wrist/elbow bowden cable mol
Long Description: Preparatory, wrist disarticulation or below elbow, single wall plastic socket, friction wrist, flexible elbow hinges, figure of eight harness, humeral cuff, bowden cable control, usmc or equal pylon, no cover, molded to patient model
HCPCS Code: L6582
Short Description: Wrist/elbow bowden cbl dir f
Long Description: Preparatory, wrist disarticulation or below elbow, single wall socket, friction wrist, flexible elbow hinges, figure of eight harness, humeral cuff, bowden cable control, usmc or equal pylon, no cover, direct formed
HCPCS Code: L6584
Short Description: Elbow fair lead cable molded
Long Description: Preparatory, elbow disarticulation or above elbow, single wall plastic socket, friction wrist, locking elbow, figure of eight harness, fair lead cable control, usmc or equal pylon, no cover, molded to patient model
HCPCS Code: L6586
Short Description: Elbow fair lead cable dir fo
Long Description: Preparatory, elbow disarticulation or above elbow, single wall socket, friction wrist, locking elbow, figure of eight harness, fair lead cable control, usmc or equal pylon, no cover, direct formed
HCPCS Code: L6588
Short Description: Shdr fair lead cable molded
Long Description: Preparatory, shoulder disarticulation or interscapular thoracic, single wall plastic socket, shoulder joint, locking elbow, friction wrist, chest strap, fair lead cable control, usmc or equal pylon, no cover, molded to patient model
HCPCS Code: L6590
Short Description: Shdr fair lead cable direct
Long Description: Preparatory, shoulder disarticulation or interscapular thoracic, single wall socket, shoulder joint, locking elbow, friction wrist, chest strap, fair lead cable control, usmc or equal pylon, no cover, direct formed
HCPCS Code: L6600
Short Description: Polycentric hinge pair
Long Description: Upper extremity additions, polycentric hinge, pair
HCPCS Code: L6605
Short Description: Single pivot hinge pair
Long Description: Upper extremity additions, single pivot hinge, pair
HCPCS Code: L6610
Short Description: Flexible metal hinge pair
Long Description: Upper extremity additions, flexible metal hinge, pair
HCPCS Code: L6611
Short Description: Additional switch, ext power
Long Description: Addition to upper extremity prosthesis, external powered, additional switch, any type
HCPCS Code: L6615
Short Description: Disconnect locking wrist uni
Long Description: Upper extremity addition, disconnect locking wrist unit
HCPCS Code: L6616
Short Description: Disconnect insert locking wr
Long Description: Upper extremity addition, additional disconnect insert for locking wrist unit, each
HCPCS Code: L6620
Short Description: Flexion/extension wrist unit
Long Description: Upper extremity addition, flexion/extension wrist unit, with or without friction
HCPCS Code: L6621
Short Description: Flex/ext wrist w/wo friction
Long Description: Upper extremity prosthesis addition, flexion/extension wrist with or without friction, for use with external powered terminal device
HCPCS Code: L6623
Short Description: Spring-ass rot wrst w/ latch
Long Description: Upper extremity addition, spring assisted rotational wrist unit with latch release
HCPCS Code: L6624
Short Description: Flex/ext/rotation wrist unit
Long Description: Upper extremity addition, flexion/extension and rotation wrist unit
HCPCS Code: L6625
Short Description: Rotation wrst w/ cable lock
Long Description: Upper extremity addition, rotation wrist unit with cable lock
HCPCS Code: L6628
Short Description: Quick disconn hook adapter o
Long Description: Upper extremity addition, quick disconnect hook adapter, otto bock or equal
HCPCS Code: L6629
Short Description: Lamination collar w/ couplin
Long Description: Upper extremity addition, quick disconnect lamination collar with coupling piece, otto bock or equal
HCPCS Code: L6630
Short Description: Stainless steel any wrist
Long Description: Upper extremity addition, stainless steel, any wrist
HCPCS Code: L6632
Short Description: Latex suspension sleeve each
Long Description: Upper extremity addition, latex suspension sleeve, each
HCPCS Code: L6635
Short Description: Lift assist for elbow
Long Description: Upper extremity addition, lift assist for elbow
HCPCS Code: L6637
Short Description: Nudge control elbow lock
Long Description: Upper extremity addition, nudge control elbow lock
HCPCS Code: L6638
Short Description: Elec lock on manual pw elbow
Long Description: Upper extremity addition to prosthesis, electric locking feature, only for use with manually powered elbow
HCPCS Code: L6640
Short Description: Shoulder abduction joint pai
Long Description: Upper extremity additions, shoulder abduction joint, pair
HCPCS Code: L6641
Short Description: Excursion amplifier pulley t
Long Description: Upper extremity addition, excursion amplifier, pulley type
HCPCS Code: L6642
Short Description: Excursion amplifier lever ty
Long Description: Upper extremity addition, excursion amplifier, lever type
HCPCS Code: L6645
Short Description: Shoulder flexion-abduction j
Long Description: Upper extremity addition, shoulder flexion-abduction joint, each
HCPCS Code: L6646
Short Description: Multipo locking shoulder jnt
Long Description: Upper extremity addition, shoulder joint, multipositional locking, flexion, adjustable abduction friction control, for use with body powered or external powered system
HCPCS Code: L6647
Short Description: Shoulder lock actuator
Long Description: Upper extremity addition, shoulder lock mechanism, body powered actuator
HCPCS Code: L6648
Short Description: Ext pwrd shlder lock/unlock
Long Description: Upper extremity addition, shoulder lock mechanism, external powered actuator
HCPCS Code: L6650
Short Description: Shoulder universal joint
Long Description: Upper extremity addition, shoulder universal joint, each
HCPCS Code: L6655
Short Description: Standard control cable extra
Long Description: Upper extremity addition, standard control cable, extra
HCPCS Code: L6660
Short Description: Heavy duty control cable
Long Description: Upper extremity addition, heavy duty control cable
HCPCS Code: L6665
Short Description: Teflon or equal cable lining
Long Description: Upper extremity addition, teflon, or equal, cable lining
HCPCS Code: L6670
Short Description: Hook to hand cable adapter
Long Description: Upper extremity addition, hook to hand, cable adapter
HCPCS Code: L6672
Short Description: Harness chest/shlder saddle
Long Description: Upper extremity addition, harness, chest or shoulder, saddle type
HCPCS Code: L6675
Short Description: Harness figure of 8 sing con
Long Description: Upper extremity addition, harness, (e.g., figure of eight type), single cable design
HCPCS Code: L6676
Short Description: Harness figure of 8 dual con
Long Description: Upper extremity addition, harness, (e.g., figure of eight type), dual cable design
HCPCS Code: L6677
Short Description: Ue triple control harness
Long Description: Upper extremity addition, harness, triple control, simultaneous operation of terminal device and elbow
HCPCS Code: L6680
Short Description: Test sock wrist disart/bel e
Long Description: Upper extremity addition, test socket, wrist disarticulation or below elbow
HCPCS Code: L6682
Short Description: Test sock elbw disart/above
Long Description: Upper extremity addition, test socket, elbow disarticulation or above elbow
HCPCS Code: L6684
Short Description: Test socket shldr disart/tho
Long Description: Upper extremity addition, test socket, shoulder disarticulation or interscapular thoracic
HCPCS Code: L6686
Short Description: Suction socket
Long Description: Upper extremity addition, suction socket
HCPCS Code: L6687
Short Description: Frame typ socket bel elbow/w
Long Description: Upper extremity addition, frame type socket, below elbow or wrist disarticulation
HCPCS Code: L6688
Short Description: Frame typ sock above elb/dis
Long Description: Upper extremity addition, frame type socket, above elbow or elbow disarticulation
HCPCS Code: L6689
Short Description: Frame typ socket shoulder di
Long Description: Upper extremity addition, frame type socket, shoulder disarticulation
HCPCS Code: L6690
Short Description: Frame typ sock interscap-tho
Long Description: Upper extremity addition, frame type socket, interscapular-thoracic
HCPCS Code: L6691
Short Description: Removable insert each
Long Description: Upper extremity addition, removable insert, each
HCPCS Code: L6692
Short Description: Silicone gel insert or equal
Long Description: Upper extremity addition, silicone gel insert or equal, each
HCPCS Code: L6693
Short Description: Lockingelbow forearm cntrbal
Long Description: Upper extremity addition, locking elbow, forearm counterbalance
HCPCS Code: L6694
Short Description: Elbow socket ins use w/lock
Long Description: Addition to upper extremity prosthesis, below elbow/above elbow, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric or equal, for use with locking mechanism
HCPCS Code: L6695
Short Description: Elbow socket ins use w/o lck
Long Description: Addition to upper extremity prosthesis, below elbow/above elbow, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric or equal, not for use with locking mechanism
HCPCS Code: L6696
Short Description: Cus elbo skt in for con/atyp
Long Description: Addition to upper extremity prosthesis, below elbow/above elbow, custom fabricated socket insert for congenital or atypical traumatic amputee, silicone gel, elastomeric or equal, for use with or without locking mechanism, initial only (for other than initial, use code l6694 or l6695)
HCPCS Code: L6697
Short Description: Cus elbo skt in not con/atyp
Long Description: Addition to upper extremity prosthesis, below elbow/above elbow, custom fabricated socket insert for other than congenital or atypical traumatic amputee, silicone gel, elastomeric or equal, for use with or without locking mechanism, initial only (for other than initial, use code l6694 or l6695)
HCPCS Code: L6698
Short Description: Below/above elbow lock mech
Long Description: Addition to upper extremity prosthesis, below elbow/above elbow, lock mechanism, excludes socket insert
HCPCS Code: L6703
Short Description: Term dev, passive hand mitt
Long Description: Terminal device, passive hand/mitt, any material, any size
HCPCS Code: L6704
Short Description: Term dev, sport/rec/work att
Long Description: Terminal device, sport/recreational/work attachment, any material, any size
HCPCS Code: L6706
Short Description: Term dev mech hook vol open
Long Description: Terminal device, hook, mechanical, voluntary opening, any material, any size, lined or unlined
HCPCS Code: L6707
Short Description: Term dev mech hook vol close
Long Description: Terminal device, hook, mechanical, voluntary closing, any material, any size, lined or unlined
HCPCS Code: L6708
Short Description: Term dev mech hand vol open
Long Description: Terminal device, hand, mechanical, voluntary opening, any material, any size
HCPCS Code: L6709
Short Description: Term dev mech hand vol close
Long Description: Terminal device, hand, mechanical, voluntary closing, any material, any size
HCPCS Code: L6711
Short Description: Ped term dev, hook, vol open
Long Description: Terminal device, hook, mechanical, voluntary opening, any material, any size, lined or unlined, pediatric
HCPCS Code: L6712
Short Description: Ped term dev, hook, vol clos
Long Description: Terminal device, hook, mechanical, voluntary closing, any material, any size, lined or unlined, pediatric
HCPCS Code: L6713
Short Description: Ped term dev, hand, vol open
Long Description: Terminal device, hand, mechanical, voluntary opening, any material, any size, pediatric
HCPCS Code: L6714
Short Description: Ped term dev, hand, vol clos
Long Description: Terminal device, hand, mechanical, voluntary closing, any material, any size, pediatric
HCPCS Code: L6715
Short Description: Term device, multi art digit
Long Description: Terminal device, multiple articulating digit, includes motor(s), initial issue or replacement
HCPCS Code: L6721
Short Description: Hook/hand, hvy dty, vol open
Long Description: Terminal device, hook or hand, heavy duty, mechanical, voluntary opening, any material, any size, lined or unlined
HCPCS Code: L6722
Short Description: Hook/hand, hvy dty, vol clos
Long Description: Terminal device, hook or hand, heavy duty, mechanical, voluntary closing, any material, any size, lined or unlined
HCPCS Code: L6805
Short Description: Term dev modifier wrist unit
Long Description: Addition to terminal device, modifier wrist unit
HCPCS Code: L6810
Short Description: Term dev precision pinch dev
Long Description: Addition to terminal device, precision pinch device
HCPCS Code: L6880
Short Description: Elec hand ind art digits
Long Description: Electric hand, switch or myoelectric controlled, independently articulating digits, any grasp pattern or combination of grasp patterns, includes motor(s)
HCPCS Code: L6881
Short Description: Term dev auto grasp feature
Long Description: Automatic grasp feature, addition to upper limb electric prosthetic terminal device
HCPCS Code: L6882
Short Description: Microprocessor control uplmb
Long Description: Microprocessor control feature, addition to upper limb prosthetic terminal device
HCPCS Code: L6883
Short Description: Replc sockt below e/w disa
Long Description: Replacement socket, below elbow/wrist disarticulation, molded to patient model, for use with or without external power
HCPCS Code: L6884
Short Description: Replc sockt above elbow disa
Long Description: Replacement socket, above elbow/elbow disarticulation, molded to patient model, for use with or without external power
HCPCS Code: L6885
Short Description: Replc sockt shldr dis/interc
Long Description: Replacement socket, shoulder disarticulation/interscapular thoracic, molded to patient model, for use with or without external power
HCPCS Code: L6890
Short Description: Prefab glove for term device
Long Description: Addition to upper extremity prosthesis, glove for terminal device, any material, prefabricated, includes fitting and adjustment
HCPCS Code: L6895
Short Description: Custom glove for term device
Long Description: Addition to upper extremity prosthesis, glove for terminal device, any material, custom fabricated
HCPCS Code: L6900
Short Description: Hand restorat thumb/1 finger
Long Description: Hand restoration (casts, shading and measurements included), partial hand, with glove, thumb or one finger remaining
HCPCS Code: L6905
Short Description: Hand restoration multiple fi
Long Description: Hand restoration (casts, shading and measurements included), partial hand, with glove, multiple fingers remaining
HCPCS Code: L6910
Short Description: Hand restoration no fingers
Long Description: Hand restoration (casts, shading and measurements included), partial hand, with glove, no fingers remaining
HCPCS Code: L6915
Short Description: Hand restoration replacmnt g
Long Description: Hand restoration (shading, and measurements included), replacement glove for above
HCPCS Code: L6920
Short Description: Wrist disarticul switch ctrl
Long Description: Wrist disarticulation, external power, self-suspended inner socket, removable forearm shell, otto bock or equal, switch, cables, two batteries and one charger, switch control of terminal device
HCPCS Code: L6925
Short Description: Wrist disart myoelectronic c
Long Description: Wrist disarticulation, external power, self-suspended inner socket, removable forearm shell, otto bock or equal electrodes, cables, two batteries and one charger, myoelectronic control of terminal device
HCPCS Code: L6930
Short Description: Below elbow switch control
Long Description: Below elbow, external power, self-suspended inner socket, removable forearm shell, otto bock or equal switch, cables, two batteries and one charger, switch control of terminal device
HCPCS Code: L6935
Short Description: Below elbow myoelectronic ct
Long Description: Below elbow, external power, self-suspended inner socket, removable forearm shell, otto bock or equal electrodes, cables, two batteries and one charger, myoelectronic control of terminal device
HCPCS Code: L6940
Short Description: Elbow disarticulation switch
Long Description: Elbow disarticulation, external power, molded inner socket, removable humeral shell, outside locking hinges, forearm, otto bock or equal switch, cables, two batteries and one charger, switch control of terminal device
HCPCS Code: L6945
Short Description: Elbow disart myoelectronic c
Long Description: Elbow disarticulation, external power, molded inner socket, removable humeral shell, outside locking hinges, forearm, otto bock or equal electrodes, cables, two batteries and one charger, myoelectronic control of terminal device
HCPCS Code: L6950
Short Description: Above elbow switch control
Long Description: Above elbow, external power, molded inner socket, removable humeral shell, internal locking elbow, forearm, otto bock or equal switch, cables, two batteries and one charger, switch control of terminal device
HCPCS Code: L6955
Short Description: Above elbow myoelectronic ct
Long Description: Above elbow, external power, molded inner socket, removable humeral shell, internal locking elbow, forearm, otto bock or equal electrodes, cables, two batteries and one charger, myoelectronic control of terminal device
HCPCS Code: L6960
Short Description: Shldr disartic switch contro
Long Description: Shoulder disarticulation, external power, molded inner socket, removable shoulder shell, shoulder bulkhead, humeral section, mechanical elbow, forearm, otto bock or equal switch, cables, two batteries and one charger, switch control of terminal device
HCPCS Code: L6965
Short Description: Shldr disartic myoelectronic
Long Description: Shoulder disarticulation, external power, molded inner socket, removable shoulder shell, shoulder bulkhead, humeral section, mechanical elbow, forearm, otto bock or equal electrodes, cables, two batteries and one charger, myoelectronic control of terminal device
HCPCS Code: L6970
Short Description: Interscapular-thor switch ct
Long Description: Interscapular-thoracic, external power, molded inner socket, removable shoulder shell, shoulder bulkhead, humeral section, mechanical elbow, forearm, otto bock or equal switch, cables, two batteries and one charger, switch control of terminal device
HCPCS Code: L6975
Short Description: Interscap-thor myoelectronic
Long Description: Interscapular-thoracic, external power, molded inner socket, removable shoulder shell, shoulder bulkhead, humeral section, mechanical elbow, forearm, otto bock or equal electrodes, cables, two batteries and one charger, myoelectronic control of terminal device
HCPCS Code: L7007
Short Description: Adult electric hand
Long Description: Electric hand, switch or myoelectric controlled, adult
HCPCS Code: L7008
Short Description: Pediatric electric hand
Long Description: Electric hand, switch or myoelectric, controlled, pediatric
HCPCS Code: L7009
Short Description: Adult electric hook
Long Description: Electric hook, switch or myoelectric controlled, adult
HCPCS Code: L7040
Short Description: Prehensile actuator
Long Description: Prehensile actuator, switch controlled
HCPCS Code: L7045
Short Description: Pediatric electric hook
Long Description: Electric hook, switch or myoelectric controlled, pediatric
HCPCS Code: L7170
Short Description: Electronic elbow hosmer swit
Long Description: Electronic elbow, hosmer or equal, switch controlled
HCPCS Code: L7180
Short Description: Electronic elbow sequential
Long Description: Electronic elbow, microprocessor sequential control of elbow and terminal device
HCPCS Code: L7181
Short Description: Electronic elbo simultaneous
Long Description: Electronic elbow, microprocessor simultaneous control of elbow and terminal device
HCPCS Code: L7185
Short Description: Electron elbow adolescent sw
Long Description: Electronic elbow, adolescent, variety village or equal, switch controlled
HCPCS Code: L7186
Short Description: Electron elbow child switch
Long Description: Electronic elbow, child, variety village or equal, switch controlled
HCPCS Code: L7190
Short Description: Elbow adolescent myoelectron
Long Description: Electronic elbow, adolescent, variety village or equal, myoelectronically controlled
HCPCS Code: L7191
Short Description: Elbow child myoelectronic ct
Long Description: Electronic elbow, child, variety village or equal, myoelectronically controlled
HCPCS Code: L7259
Short Description: Electronic wrist rotator any
Long Description: Electronic wrist rotator, any type
HCPCS Code: L7260
Short Description: Electron wrist rotator otto
Long Description: Electronic wrist rotator, otto bock or equal
HCPCS Code: L7261
Short Description: Electron wrist rotator utah
Long Description: Electronic wrist rotator, for utah arm
HCPCS Code: L7360
Short Description: Six volt bat otto bock/eq ea
Long Description: Six volt battery, each
HCPCS Code: L7362
Short Description: Battery chrgr six volt otto
Long Description: Battery charger, six volt, each
HCPCS Code: L7364
Short Description: Twelve volt battery utah/equ
Long Description: Twelve volt battery, each
HCPCS Code: L7366
Short Description: Battery chrgr 12 volt utah/e
Long Description: Battery charger, twelve volt, each
HCPCS Code: L7367
Short Description: Replacemnt lithium ionbatter
Long Description: Lithium ion battery, rechargeable, replacement
HCPCS Code: L7368
Short Description: Lithium ion battery charger
Long Description: Lithium ion battery charger, replacement only
HCPCS Code: L7400
Short Description: Add ue prost be/wd, ultlite
Long Description: Addition to upper extremity prosthesis, below elbow/wrist disarticulation, ultralight material (titanium, carbon fiber or equal)
HCPCS Code: L7401
Short Description: Add ue prost a/e ultlite mat
Long Description: Addition to upper extremity prosthesis, above elbow disarticulation, ultralight material (titanium, carbon fiber or equal)
HCPCS Code: L7402
Short Description: Add ue prost s/d ultlite mat
Long Description: Addition to upper extremity prosthesis, shoulder disarticulation/interscapular thoracic, ultralight material (titanium, carbon fiber or equal)
HCPCS Code: L7403
Short Description: Add ue prost b/e acrylic
Long Description: Addition to upper extremity prosthesis, below elbow/wrist disarticulation, acrylic material
HCPCS Code: L7404
Short Description: Add ue prost a/e acrylic
Long Description: Addition to upper extremity prosthesis, above elbow disarticulation, acrylic material
HCPCS Code: L7405
Short Description: Add ue prost s/d acrylic
Long Description: Addition to upper extremity prosthesis, shoulder disarticulation/interscapular thoracic, acrylic material
HCPCS Code: L7499
Short Description: Upper extremity prosthes nos
Long Description: Upper extremity prosthesis, not otherwise specified
HCPCS Code: L7510
Short Description: Prosthetic device repair rep
Long Description: Repair of prosthetic device, repair or replace minor parts
HCPCS Code: L7520
Short Description: Repair prosthesis per 15 min
Long Description: Repair prosthetic device, labor component, per 15 minutes
HCPCS Code: L7600
Short Description: Prosthetic donning sleeve
Long Description: Prosthetic donning sleeve, any material, each
HCPCS Code: L7700
Short Description: Pros soc insert gasket/seal
Long Description: Gasket or seal, for use with prosthetic socket insert, any type, each
HCPCS Code: L7900
Short Description: Male vacuum erection system
Long Description: Male vacuum erection system
HCPCS Code: L7902
Short Description: Tension ring, vac erect dev
Long Description: Tension ring, for vacuum erection device, any type, replacement only, each
HCPCS Code: L8000
Short Description: Mastectomy bra
Long Description: Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type
HCPCS Code: L8001
Short Description: Breast prosthesis bra & form
Long Description: Breast prosthesis, mastectomy bra, with integrated breast prosthesis form, unilateral, any size, any type
HCPCS Code: L8002
Short Description: Brst prsth bra & bilat form
Long Description: Breast prosthesis, mastectomy bra, with integrated breast prosthesis form, bilateral, any size, any type
HCPCS Code: L8010
Short Description: Mastectomy sleeve
Long Description: Breast prosthesis, mastectomy sleeve
HCPCS Code: L8015
Short Description: Ext breastprosthesis garment
Long Description: External breast prosthesis garment, with mastectomy form, post mastectomy
HCPCS Code: L8020
Short Description: Mastectomy form
Long Description: Breast prosthesis, mastectomy form
HCPCS Code: L8030
Short Description: Breast prosthes w/o adhesive
Long Description: Breast prosthesis, silicone or equal, without integral adhesive
HCPCS Code: L8031
Short Description: Breast prosthesis w adhesive
Long Description: Breast prosthesis, silicone or equal, with integral adhesive
HCPCS Code: L8032
Short Description: Reusable nipple prosthesis
Long Description: Nipple prosthesis, reusable, any type, each
HCPCS Code: L8035
Short Description: Custom breast prosthesis
Long Description: Custom breast prosthesis, post mastectomy, molded to patient model
HCPCS Code: L8039
Short Description: Breast prosthesis nos
Long Description: Breast prosthesis, not otherwise specified
HCPCS Code: L8040
Short Description: Nasal prosthesis
Long Description: Nasal prosthesis, provided by a non-physician
HCPCS Code: L8041
Short Description: Midfacial prosthesis
Long Description: Midfacial prosthesis, provided by a non-physician
HCPCS Code: L8042
Short Description: Orbital prosthesis
Long Description: Orbital prosthesis, provided by a non-physician
HCPCS Code: L8043
Short Description: Upper facial prosthesis
Long Description: Upper facial prosthesis, provided by a non-physician
HCPCS Code: L8044
Short Description: Hemi-facial prosthesis
Long Description: Hemi-facial prosthesis, provided by a non-physician
HCPCS Code: L8045
Short Description: Auricular prosthesis
Long Description: Auricular prosthesis, provided by a non-physician
HCPCS Code: L8046
Short Description: Partial facial prosthesis
Long Description: Partial facial prosthesis, provided by a non-physician
HCPCS Code: L8047
Short Description: Nasal septal prosthesis
Long Description: Nasal septal prosthesis, provided by a non-physician
HCPCS Code: L8048
Short Description: Unspec maxillofacial prosth
Long Description: Unspecified maxillofacial prosthesis, by report, provided by a non-physician
HCPCS Code: L8049
Short Description: Repair maxillofacial prosth
Long Description: Repair or modification of maxillofacial prosthesis, labor component, 15 minute increments, provided by a non-physician
HCPCS Code: L8300
Short Description: Truss single w/ standard pad
Long Description: Truss, single with standard pad
HCPCS Code: L8310
Short Description: Truss double w/ standard pad
Long Description: Truss, double with standard pads
HCPCS Code: L8320
Short Description: Truss addition to std pad wa
Long Description: Truss, addition to standard pad, water pad
HCPCS Code: L8330
Short Description: Truss add to std pad scrotal
Long Description: Truss, addition to standard pad, scrotal pad
HCPCS Code: L8400
Short Description: Sheath below knee
Long Description: Prosthetic sheath, below knee, each
HCPCS Code: L8410
Short Description: Sheath above knee
Long Description: Prosthetic sheath, above knee, each
HCPCS Code: L8415
Short Description: Sheath upper limb
Long Description: Prosthetic sheath, upper limb, each
HCPCS Code: L8417
Short Description: Pros sheath/sock w gel cushn
Long Description: Prosthetic sheath/sock, including a gel cushion layer, below knee or above knee, each
HCPCS Code: L8420
Short Description: Prosthetic sock multi ply bk
Long Description: Prosthetic sock, multiple ply, below knee, each
HCPCS Code: L8430
Short Description: Prosthetic sock multi ply ak
Long Description: Prosthetic sock, multiple ply, above knee, each
HCPCS Code: L8435
Short Description: Pros sock multi ply upper lm
Long Description: Prosthetic sock, multiple ply, upper limb, each
HCPCS Code: L8440
Short Description: Shrinker below knee
Long Description: Prosthetic shrinker, below knee, each
HCPCS Code: L8460
Short Description: Shrinker above knee
Long Description: Prosthetic shrinker, above knee, each
HCPCS Code: L8465
Short Description: Shrinker upper limb
Long Description: Prosthetic shrinker, upper limb, each
HCPCS Code: L8470
Short Description: Pros sock single ply bk
Long Description: Prosthetic sock, single ply, fitting, below knee, each
HCPCS Code: L8480
Short Description: Pros sock single ply ak
Long Description: Prosthetic sock, single ply, fitting, above knee, each
HCPCS Code: L8485
Short Description: Pros sock single ply upper l
Long Description: Prosthetic sock, single ply, fitting, upper limb, each
HCPCS Code: L8499
Short Description: Unlisted misc prosthetic ser
Long Description: Unlisted procedure for miscellaneous prosthetic services
HCPCS Code: L8500
Short Description: Artificial larynx
Long Description: Artificial larynx, any type
HCPCS Code: L8501
Short Description: Tracheostomy speaking valve
Long Description: Tracheostomy speaking valve
HCPCS Code: L8505
Short Description: Artificial larynx, accessory
Long Description: Artificial larynx replacement battery / accessory, any type
HCPCS Code: L8507
Short Description: Trach-esoph voice pros pt in
Long Description: Tracheo-esophageal voice prosthesis, patient inserted, any type, each
HCPCS Code: L8509
Short Description: Trach-esoph voice pros md in
Long Description: Tracheo-esophageal voice prosthesis, inserted by a licensed health care provider, any type
HCPCS Code: L8510
Short Description: Voice amplifier
Long Description: Voice amplifier
HCPCS Code: L8511
Short Description: Indwelling trach insert
Long Description: Insert for indwelling tracheoesophageal prosthesis, with or without valve, replacement only, each
HCPCS Code: L8512
Short Description: Gel cap for trach voice pros
Long Description: Gelatin capsules or equivalent, for use with tracheoesophageal voice prosthesis, replacement only, per 10
HCPCS Code: L8513
Short Description: Trach pros cleaning device
Long Description: Cleaning device used with tracheoesophageal voice prosthesis, pipet, brush, or equal, replacement only, each
HCPCS Code: L8514
Short Description: Repl trach puncture dilator
Long Description: Tracheoesophageal puncture dilator, replacement only, each
HCPCS Code: L8515
Short Description: Gel cap app device for trach
Long Description: Gelatin capsule, application device for use with tracheoesophageal voice prosthesis, each
HCPCS Code: L8600
Short Description: Implant breast silicone/eq
Long Description: Implantable breast prosthesis, silicone or equal
HCPCS Code: L8603
Short Description: Collagen imp urinary 2.5 ml
Long Description: Injectable bulking agent, collagen implant, urinary tract, 2.5 ml syringe, includes shipping and necessary supplies
HCPCS Code: L8604
Short Description: Dextranomer/hyaluronic acid
Long Description: Injectable bulking agent, dextranomer/hyaluronic acid copolymer implant, urinary tract, 1 ml, includes shipping and necessary supplies
HCPCS Code: L8605
Short Description: Inj bulking agent anal canal
Long Description: Injectable bulking agent, dextranomer/hyaluronic acid copolymer implant, anal canal, 1 ml, includes shipping and necessary supplies
HCPCS Code: L8606
Short Description: Synthetic implnt urinary 1ml
Long Description: Injectable bulking agent, synthetic implant, urinary tract, 1 ml syringe, includes shipping and necessary supplies
HCPCS Code: L8607
Short Description: Inj vocal cord bulking agent
Long Description: Injectable bulking agent for vocal cord medialization, 0.1 ml, includes shipping and necessary supplies
HCPCS Code: L8609
Short Description: Artificial cornea
Long Description: Artificial cornea
HCPCS Code: L8610
Short Description: Ocular implant
Long Description: Ocular implant
HCPCS Code: L8612
Short Description: Aqueous shunt prosthesis
Long Description: Aqueous shunt
HCPCS Code: L8613
Short Description: Ossicular implant
Long Description: Ossicula implant
HCPCS Code: L8614
Short Description: Cochlear device
Long Description: Cochlear device, includes all internal and external components
HCPCS Code: L8615
Short Description: Coch implant headset replace
Long Description: Headset/headpiece for use with cochlear implant device, replacement
HCPCS Code: L8616
Short Description: Coch implant microphone repl
Long Description: Microphone for use with cochlear implant device, replacement
HCPCS Code: L8617
Short Description: Coch implant trans coil repl
Long Description: Transmitting coil for use with cochlear implant device, replacement
HCPCS Code: L8618
Short Description: Coch implant tran cable repl
Long Description: Transmitter cable for use with cochlear implant device or auditory osseointegrated device, replacement
HCPCS Code: L8619
Short Description: Coch imp ext proc/contr rplc
Long Description: Cochlear implant, external speech processor and controller, integrated system, replacement
HCPCS Code: L8621
Short Description: Repl zinc air battery
Long Description: Zinc air battery for use with cochlear implant device and auditory osseointegrated sound processors, replacement, each
HCPCS Code: L8622
Short Description: Repl alkaline battery
Long Description: Alkaline battery for use with cochlear implant device, any size, replacement, each
HCPCS Code: L8623
Short Description: Lith ion batt cid,non-earlvl
Long Description: Lithium ion battery for use with cochlear implant device speech processor, other than ear level, replacement, each
HCPCS Code: L8624
Short Description: Lith ion batt cid, ear level
Long Description: Lithium ion battery for use with cochlear implant or auditory osseointegrated device speech processor, ear level, replacement, each
HCPCS Code: L8625
Short Description: Charger coch impl/aoi battry
Long Description: External recharging system for battery for use with cochlear implant or auditory osseointegrated device, replacement only, each
HCPCS Code: L8627
Short Description: Cid ext speech process repl
Long Description: Cochlear implant, external speech processor, component, replacement
HCPCS Code: L8628
Short Description: Cid ext controller repl
Long Description: Cochlear implant, external controller component, replacement
HCPCS Code: L8629
Short Description: Cid transmit coil and cable
Long Description: Transmitting coil and cable, integrated, for use with cochlear implant device, replacement
HCPCS Code: L8630
Short Description: Metacarpophalangeal implant
Long Description: Metacarpophalangeal joint implant
HCPCS Code: L8631
Short Description: Mcp joint repl 2 pc or more
Long Description: Metacarpal phalangeal joint replacement, two or more pieces, metal (e.g., stainless steel or cobalt chrome), ceramic-like material (e.g., pyrocarbon), for surgical implantation (all sizes, includes entire system)
HCPCS Code: L8641
Short Description: Metatarsal joint implant
Long Description: Metatarsal joint implant
HCPCS Code: L8642
Short Description: Hallux implant
Long Description: Hallux implant
HCPCS Code: L8658
Short Description: Interphalangeal joint spacer
Long Description: Interphalangeal joint spacer, silicone or equal, each
HCPCS Code: L8659
Short Description: Interphalangeal joint repl
Long Description: Interphalangeal finger joint replacement, 2 or more pieces, metal (e.g., stainless steel or cobalt chrome), ceramic-like material (e.g., pyrocarbon) for surgical implantation, any size
HCPCS Code: L8670
Short Description: Vascular graft, synthetic
Long Description: Vascular graft material, synthetic, implant
HCPCS Code: L8679
Short Description: Imp neurosti pls gn any type
Long Description: Implantable neurostimulator, pulse generator, any type
HCPCS Code: L8680
Short Description: Implt neurostim elctr each
Long Description: Implantable neurostimulator electrode, each
HCPCS Code: L8681
Short Description: Pt prgrm for implt neurostim
Long Description: Patient programmer (external) for use with implantable programmable neurostimulator pulse generator, replacement only
HCPCS Code: L8682
Short Description: Implt neurostim radiofq rec
Long Description: Implantable neurostimulator radiofrequency receiver
HCPCS Code: L8683
Short Description: Radiofq trsmtr for implt neu
Long Description: Radiofrequency transmitter (external) for use with implantable neurostimulator radiofrequency receiver
HCPCS Code: L8684
Short Description: Radiof trsmtr implt scrl neu
Long Description: Radiofrequency transmitter (external) for use with implantable sacral root neurostimulator receiver for bowel and bladder management, replacement
HCPCS Code: L8685
Short Description: Implt nrostm pls gen sng rec
Long Description: Implantable neurostimulator pulse generator, single array, rechargeable, includes extension
HCPCS Code: L8686
Short Description: Implt nrostm pls gen sng non
Long Description: Implantable neurostimulator pulse generator, single array, non-rechargeable, includes extension
HCPCS Code: L8687
Short Description: Implt nrostm pls gen dua rec
Long Description: Implantable neurostimulator pulse generator, dual array, rechargeable, includes extension
HCPCS Code: L8688
Short Description: Implt nrostm pls gen dua non
Long Description: Implantable neurostimulator pulse generator, dual array, non-rechargeable, includes extension
HCPCS Code: L8689
Short Description: External recharg sys intern
Long Description: External recharging system for battery (internal) for use with implantable neurostimulator, replacement only
HCPCS Code: L8690
Short Description: Aud osseo dev, int/ext comp
Long Description: Auditory osseointegrated device, includes all internal and external components
HCPCS Code: L8691
Short Description: Aoi snd proc repl excl actua
Long Description: Auditory osseointegrated device, external sound processor, excludes transducer/actuator, replacement only, each
HCPCS Code: L8692
Short Description: Non-osseointegrated snd proc
Long Description: Auditory osseointegrated device, external sound processor, used without osseointegration, body worn, includes headband or other means of external attachment
HCPCS Code: L8693
Short Description: Aud osseo dev, abutment
Long Description: Auditory osseointegrated device abutment, any length, replacement only
HCPCS Code: L8694
Short Description: Aoi transducer/actuator repl
Long Description: Auditory osseointegrated device, transducer/actuator, replacement only, each
HCPCS Code: L8695
Short Description: External recharg sys extern
Long Description: External recharging system for battery (external) for use with implantable neurostimulator, replacement only
HCPCS Code: L8696
Short Description: Ext antenna phren nerve stim
Long Description: Antenna (external) for use with implantable diaphragmatic/phrenic nerve stimulation device, replacement, each
HCPCS Code: L8699
Short Description: Prosthetic implant nos
Long Description: Prosthetic implant, not otherwise specified
HCPCS Code: L9900
Short Description: O&p supply/accessory/service
Long Description: Orthotic and prosthetic supply, accessory, and/or service component of another hcpcs l code
HCPCS Code: LC
Short Description: Lft circum coronary artery
Long Description: Left circumflex coronary artery
HCPCS Code: LD
Short Description: Left ant des coronary artery
Long Description: Left anterior descending coronary artery
HCPCS Code: LL
Short Description: Lease/rental (appld to pur)
Long Description: Lease/rental (use the 'll' modifier when dme equipment rental is to be applied against the purchase price)
HCPCS Code: LM
Short Description: Left main coronary artery
Long Description: Left main coronary artery
HCPCS Code: LR
Short Description: Laboratory round trip
Long Description: Laboratory round trip
HCPCS Code: LS
Short Description: Fda-monitored iol implant
Long Description: Fda-monitored intraocular lens implant
HCPCS Code: LT
Short Description: Left side
Long Description: Left side (used to identify procedures performed on the left side of the body)