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HCPCS Procedure & Supply Codes
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Orthotic Devices & Services
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Orthotic Devices -- Spinal
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Spinal - Lumbar-Sacral Orthosis (LSO)
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Anterior-Posterior-Lateral Control (Body Jacket)
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| L0625 | | Lumbar orthosis, flexible, provides lumbar support, posterior extends from l-1 t... |
| L0626 | | Lumbar orthosis, sagittal control, with rigid posterior panel(s), posterior exte... |
| L0627 | | Lumbar orthosis, sagittal control, with rigid anterior and posterior panels, pos... |
| L0628 | | Lumbar-sacral orthosis, flexible, provides lumbo-sacral support, posterior exten... |
| L0629 | | Lumbar-sacral orthosis, flexible, provides lumbo-sacral support, posterior exten... |
| L0630 | | Lumbar-sacral orthosis, sagittal control, with rigid posterior panel(s), posteri... |
| L0631 | | Lumbar-sacral orthosis, sagittal control, with rigid anterior and posterior pane... |
| L0632 | | Lumbar-sacral orthosis, sagittal control, with rigid anterior and posterior pane... |
| L0633 | | Lumbar-sacral orthosis, sagittal-coronal control, with rigid posterior frame/pan... |
| L0634 | | Lumbar-sacral orthosis, sagittal-coronal control, with rigid posterior frame/pan... |
| L0635 | | Lumbar-sacral orthosis, sagittal-coronal control, lumbar flexion, rigid posterio... |
| L0636 | | Lumbar sacral orthosis, sagittal-coronal control, lumbar flexion, rigid posterio... |
| L0637 | | Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and poster... |
| L0638 | | Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and poster... |
| L0639 | | Lumbar-sacral orthosis, sagittal-coronal control, rigid shell(s)/panel(s), poste... |
| L0640 | | Lumbar-sacral orthosis, sagittal-coronal control, rigid shell(s)/panel(s), poste... |
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