HCPCS Procedure & Supply Codes

Orthotic Devices & Services

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Orthotic Devices -- Spinal

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Thoracic-Lumbar-Sacral Orthosis (TLSO)

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L0450   Tlso flex trunk/thor pre ots
L0452   Tlso flex custom fab thoraci
L0454   Tlso trnk sj-t9 pre cst
L0455   Tlso flex trnk sj-t9 pre ots
L0456   Tlso flex trnk sj-ss pre cst
L0457   Tlso flex trnk sj-ss pre ots
L0458   Tlso 2mod symphis-xipho pre
L0460   Tlso 2 shl symphys-stern cst
L0462   Tlso 3mod sacro-scap pre
L0464   Tlso 4mod sacro-scap pre
L0466   Tlso r fram soft ant pre cst
L0467   Tlso r fram soft pre ots
L0468   Tlso rig fram pelvic pre cst
L0469   Tlso rig fram pelvic pre ots
L0470   Tlso rigid frame pre subclav
L0472   Tlso rigid frame hyperex pre
L0480   Tlso rigid plastic custom fa
L0482   Tlso rigid lined custom fab
L0484   Tlso rigid plastic cust fab
L0486   Tlso rigidlined cust fab two
L0488   Tlso rigid lined pre one pie
L0490   Tlso rigid plastic pre one
L0491   Tlso 2 piece rigid shell
L0492   Tlso 3 piece rigid shell
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