HCPCS Procedure & Supply Codes

Orthotic Devices & Services

section notes

Orthotic Devices -- Scoliosis

section notes

Thoracic-Lumbar-Sacral Orthosis (TLSO) (Low Profile)

section notes
L1200   Furnsh initial orthosis only
L1210   Lateral thoracic extension
L1220   Anterior thoracic extension
L1230   Milwaukee type superstructur
L1240   Lumbar derotation pad
L1250   Anterior asis pad
L1260   Anterior thoracic derotation
L1270   Abdominal pad
L1280   Rib gusset (elastic) each
L1290   Lateral trochanteric pad
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