HCPCS Procedure & Supply Codes

Orthotic Devices & Services

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Orthotic Devices -- Lower Limb

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Knee Orthosis (KO)

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L1810   Ko elastic with joints
L1812   Ko elastic w/joints pre ots
L1820   Ko elas w/ condyle pads & jo
L1830   Ko immob canvas long pre ots
L1831   Knee orth pos locking joint
L1832   Ko adj jnt pos r sup pre cst
L1833   Ko adj jnt pos r sup pre ots
L1834   Ko w/0 joint rigid molded to
L1836   Ko rigid w/o joints pre ots
L1840   Ko derot ant cruciate custom
L1843   Ko single upright pre cst
L1844   Ko w/adj jt rot cntrl molded
L1845   Ko double upright pre cst
L1846   Ko w adj flex/ext rotat mold
L1847   Ko dbl upright w/air pre cst
L1848   Ko dbl upright w/air pre ots
L1850   Ko swedish type pre ots
L1851   Ko single upright prefab ots
L1852   Ko double upright prefab ots
L1860   Ko supracondylar socket mold
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