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HCPCS Procedure & Supply Codes

Orthotic Devices & Services

section notes

Orthotic Devices -- Spinal

section notes

Thoracic-Lumbar-Sacral Orthosis (TLSO)

section notes
L0450   Tlso, flexible, provides trunk support, upper thoracic region, produces intracav...
L0452   Tlso, flexible, provides trunk support, upper thoracic region, produces intracav...
L0454   Tlso flexible, provides trunk support, extends from sacrococcygeal junction to a...
L0455   Tlso, flexible, provides trunk support, extends from sacrococcygeal junction to ...
L0456   Tlso, flexible, provides trunk support, thoracic region, rigid posterior panel a...
L0457   Tlso, flexible, provides trunk support, thoracic region, rigid posterior panel a...
L0458   Tlso, triplanar control, modular segmented spinal system, two rigid plastic shel...
L0460   Tlso, triplanar control, modular segmented spinal system, two rigid plastic shel...
L0462   Tlso, triplanar control, modular segmented spinal system, three rigid plastic sh...
L0464   Tlso, triplanar control, modular segmented spinal system, four rigid plastic she...
L0466   Tlso, sagittal control, rigid posterior frame and flexible soft anterior apron w...
L0467   Tlso, sagittal control, rigid posterior frame and flexible soft anterior apron w...
L0468   Tlso, sagittal-coronal control, rigid posterior frame and flexible soft anterior...
L0469   Tlso, sagittal-coronal control, rigid posterior frame and flexible soft anterior...
L0470   Tlso, triplanar control, rigid posterior frame and flexible soft anterior apron ...
L0472   Tlso, triplanar control, hyperextension, rigid anterior and lateral frame extend...
L0480   Tlso, triplanar control, one piece rigid plastic shell without interface liner, ...
L0482   Tlso, triplanar control, one piece rigid plastic shell with interface liner, mul...
L0484   Tlso, triplanar control, two piece rigid plastic shell without interface liner, ...
L0486   Tlso, triplanar control, two piece rigid plastic shell with interface liner, mul...
L0488   Tlso, triplanar control, one piece rigid plastic shell with interface liner, mul...
L0490   Tlso, sagittal-coronal control, one piece rigid plastic shell, with overlapping ...
L0491   Tlso, sagittal-coronal control, modular segmented spinal system, two rigid plast...
L0492   Tlso, sagittal-coronal control, modular segmented spinal system, three rigid pla...
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