Orthotic Procedures
466 HCPCS codes in Category L
L0112Cranial cervical orthosisL0113Cranial cervical torticollisL0120Cerv flex n/adj foam pre otsL0130Flex thermoplastic collar moL0140Cervical semi-rigid adjustabL0150Cerv semi-rig adj molded chnL0160Cerv sr wire occ/man pre otsL0170Cervical collar molded to ptL0172Cerv col sr foam 2pc pre otsL0174Cerv sr 2pc thor ext pre otsL0180Cer post col occ/man sup adjL0190Cerv collar supp adj cerv baL0200Cerv col supp adj bar & thorL0220Thor rib belt custom fabricaL0450Tlso flex trunk/thor pre otsL0452Tlso flex custom fab thoraciL0454Tlso trnk sj-t9 pre cstL0455Tlso flex trnk sj-t9 pre otsL0456Tlso flex trnk sj-ss pre cstL0457Tlso flex trnk sj-ss pre otsL0458Tlso 2mod symphis-xipho preL0460Tlso 2 shl symphys-stern cstL0462Tlso 3mod sacro-scap preL0464Tlso 4mod sacro-scap preL0466Tlso r fram soft ant pre cstL0467Tlso r fram soft pre otsL0468Tlso rig fram pelvic pre cstL0469Tlso rig fram pelvic pre otsL0470Tlso rigid frame pre subclavL0472Tlso rigid frame hyperex preL0480Tlso rigid plastic custom faL0482Tlso rigid lined custom fabL0484Tlso rigid plastic cust fabL0486Tlso rigidlined cust fab twoL0488Tlso rigid lined pre one pieL0490Tlso rigid plastic pre oneL0491Tlso 2 piece rigid shellL0492Tlso 3 piece rigid shellL0621Sio flex pelvic/sacr pre otsL0622Sio flex pelvisacral customL0623Sio rig pnl pelv/sac pre otsL0624Sio panel customL0625Lo flex l1-below l5 pre otsL0626Lo sag rig pnl stays pre cstL0627Lo sag ri an/pos pnl pre cstL0628Lso flex no ri stays pre otsL0629Lso flex w/rigid stays custL0630Lso r post pnl sj-t9 pre cstL0631Lso sag r an/pos pnl pre cstL0632Lso sag rigid frame custL0633Lso sc r pos/lat pnl pre cstL0634Lso flexion control customL0635Lso sagit rigid panel prefabL0636Lso sagittal rigid panel cusL0637Lso sc r ant/pos pnl pre cstL0638Lso sag-coronal panel customL0639Lso s/c shell/panel prefabL0640Lso s/c shell/panel customL0641Lo rig pos pnl l1-l5 pre otsL0642Lo sag ri an/pos pnl pre otsL0643Lso sag ctr rigi pos pre otsL0648Lso sag r an/pos pnl pre otsL0649Lso sc r pos/lat pnl pre otsL0650Lso sc r ant/pos pnl pre otsL0651Lso sag-co shell pnl pre otsL0700Ctlso a-p-l control moldedL0710Ctlso a-p-l control w/ interL0720Ctlso a-p-l control customL0810Halo cervical into jckt vestL0820Halo cervical into body jackL0830Halo cerv into milwaukee typL0859Mri compatible systemL0861Halo repl liner/interfaceL0970Tlso corset frontL0972Lso corset frontL0974Tlso full corsetL0976Lso full corsetL0978Axillary crutch extensionL0980Peroneal straps pair pre otsL0982Stocking sup grips 4 pre otsL0984Protect body sock ea pre otsL0999Add to spinal orthosis nosL1000Ctlso milwauke initial modelL1001Ctlso infant immobilizerL1005Tension based scoliosis orthL1006Scoliosis orth sag/ corL1007Scoliosis orth s-c customL1010Ctlso axilla slingL1020Kyphosis padL1025Kyphosis pad floatingL1030Lumbar bolster padL1040Lumbar or lumbar rib padL1050Sternal padL1060Thoracic padL1070Trapezius slingL1080OutriggerL1085Outrigger bil w/ vert extensL1090Lumbar slingL1100Ring flange plastic/leatherL1110Ring flange plas/leather molL1120Covers for upright eachL1200Furnsh initial orthosis onlyL1210Lateral thoracic extensionL1220Anterior thoracic extensionL1230Milwaukee type superstructurL1240Lumbar derotation padL1250Anterior asis padL1260Anterior thoracic derotationL1270Abdominal padL1280Rib gusset (elastic) eachL1290Lateral trochanteric padL1300Body jacket mold to patientL1310Post-operative body jacketL1320Pectus carinatum ortho custL1499Spinal orthosis nosL1600Ho flex frejka w/cov pre cstL1610Ho frejka cov only pre cstL1620Ho flex pavlik harns pre cstL1630Abduct control hip semi-flexL1640Pelv band/spread bar thigh cL1650Ho abduction hip adjustableL1652Ho bi thighcuffs w sprdr barL1653Ho abduction static otsL1660Ho abduction static plasticL1680Pelvic & hip control thigh cL1681Ho bilateral hip abductionL1685Post-op hip abduct custom faL1686Ho post-op hip abductionL1690Combination bilateral hoL1700Leg perthes orth toronto typL1710Legg perthes orth newingtonL1720Legg perthes orthosis trilatL1730Legg perthes orth scottish rL1755Legg perthes patten bottom tL1810Ko elastic with jointsL1812Ko elastic w/joints pre otsL1820Ko elas w/ condyle pads & joL1821Ko elas w/ condyle pads otfL1830Ko immob canvas long pre otsL1831Knee orth pos locking jointL1832Ko adj jnt pos r sup pre cstL1833Ko adj jnt pos r sup pre otsL1834Ko w/0 joint rigid molded toL1836Ko rigid w/o joints pre otsL1840Ko derot ant cruciate customL1843Ko single upright pre cstL1844Ko w/adj jt rot cntrl moldedL1845Ko double upright pre cstL1846Ko w adj flex/ext rotat moldL1847Ko dbl upright w/air pre cstL1848Ko dbl upright w/air pre otsL1850Ko swedish type pre otsL1851Ko single upright prefab otsL1852Ko double upright prefab otsL1860Ko supracondylar socket moldL1900Afo sprng wir drsflx calf bdL1902Afo ankle gauntlet pre otsL1904Afo molded ankle gauntletL1906Afo multilig ank sup pre otsL1907Afo supramalleolar customL1910Afo sing bar clasp attach shL1920Afo sing upright w/ adjust sL1930Afo plasticL1932Afo rig ant tib tcf/= customL1933Afo rig ant tib tcf/= otsL1940Afo molded to patient plastiL1945Afo molded plas rig ant tibL1950Afo spiral molded to pt plasL1951Afo spiral prefab customL1952Afo spiral prefab otsL1960Afo pos solid ank plastic moL1970Afo plastic molded w/ankle jL1971Afo w/ankle joint, prefabL1980Afo sing solid stirrup calfL1990Afo doub solid stirrup calfL2000Kafo sing fre stirr thi/calfL2005Kafo sng/dbl mechanical actL2006Kaf sng/dbl swg/stn mcpr cusL2010Kafo sng solid stirrup w/o jL2020Kafo dbl solid stirrup band/L2030Kafo dbl solid stirrup w/o jL2034Kafo pla sin up w/wo k/a cusL2035Kafo plastic pediatric sizeL2036Kafo plas doub free knee molL2037Kafo plas sing free knee molL2038Kafo w/o joint multi-axis anL2040Hkafo torsion bil rot strapsL2050Hkafo torsion cable hip pelvL2060Hkafo torsion ball bearing jL2070Hkafo torsion unilat rot strL2080Hkafo unilat torsion cableL2090Hkafo unilat torsion ball brL2106Afo tib fx cast plaster moldL2108Afo tib fx cast molded to ptL2112Afo tibial fracture softL2114Afo tib fx semi-rigidL2116Afo tibial fracture rigidL2126Kafo fem fx cast thermoplasL2128Kafo fem fx cast molded to pL2132Kafo femoral fx cast softL2134Kafo fem fx cast semi-rigidL2136Kafo femoral fx cast rigidL2180Plas shoe insert w ank jointL2182Drop lock kneeL2184Limited motion knee jointL2186Adj motion knee jnt lerman tL2188Quadrilateral brimL2190Waist beltL2192Pelvic band & belt thigh flaL2200Limited ankle motion ea jntL2210Dorsiflexion assist each joiL2220Dorsi & plantar flex ass/resL2230Split flat caliper stirr & pL2232Rocker bottom, contact afoL2240Round caliper and plate attaL2250Foot plate molded stirrup atL2260Reinforced solid stirrupL2265Long tongue stirrupL2270Varus/valgus strap padded/liL2275Plastic mod low ext pad/lineL2280Molded inner bootL2300Abduction bar jointed adjustL2310Abduction bar-straightL2320Non-molded lacerL2330Lacer molded to patient modeL2335Anterior swing bandL2340Pre-tibial shell molded to pL2350Prosthetic type socket moldeL2360Extended steel shankL2370Patten bottomL2375Torsion ank & half solid stiL2380Torsion straight knee jointL2385Straight knee joint heavy duL2387Add le poly knee custom kafoL2390Offset knee joint eachL2395Offset knee joint heavy dutyL2397Suspension sleeve lower extL2405Knee joint drop lock ea jntL2415Knee joint cam lock each joiL2425Knee disc/dial lock/adj flexL2430Knee jnt ratchet lock ea jntL2492Knee lift loop drop lock rinL2500Thi/glut/ischia wgt bearingL2510Th/wght bear quad-lat brim mL2520Th/wght bear quad-lat brim cL2525Th/wght bear nar m-l brim moL2526Th/wght bear nar m-l brim cuL2530Thigh/wght bear lacer non-moL2540Thigh/wght bear lacer moldedL2550Thigh/wght bear high roll cuL2570Hip clevis type 2 posit jntL2580Pelvic control pelvic slingL2600Hip clevis/thrust bearing frL2610Hip clevis/thrust bearing loL2620Pelvic control hip heavy dutL2622Hip joint adjustable flexionL2624Hip adj flex ext abduct contL2627Plastic mold recipro hip & cL2628Metal frame recipro hip & caL2630Pelvic control band & belt uL2640Pelvic control band & belt bL2650Pelv & thor control glutealL2660Thoracic control thoracic baL2670Thorac cont paraspinal uprigL2680Thorac cont lat support upriL2750Plating chrome/nickel pr barL2755Carbon graphite laminationL2760Extension per extension perL2768Ortho sidebar disconnectL2780Non-corrosive finishL2785Drop lock retainer eachL2795Knee control full kneecapL2800Knee cap medial or lateral pL2810Knee control condylar padL2820Soft interface below knee seL2830Soft interface above knee seL2840Tibial length sock fx or equL2850Femoral lgth sock fx or equaL2861Torsion mechanism knee/ankleL2999Lower extremity orthosis nosL3000Ft insert ucb berkeley shellL3001Foot insert remov molded speL3002Foot insert plastazote or eqL3003Foot insert silicone gel eacL3010Foot longitudinal arch suppoL3020Foot longitud/metatarsal supL3030Foot arch support remov premL3031Foot lamin/prepreg compositeL3040Ft arch suprt premold longitL3050Foot arch supp premold metatL3060Foot arch supp longitud/metaL3070Arch suprt att to sho longitL3080Arch supp att to shoe metataL3090Arch supp att to shoe long/mL3100Hallus-valgus nt dyn pre otsL3140Abduction rotation bar shoeL3150Abduct rotation bar w/o shoeL3160Shoe styled positioning devL3161Foot, adductus position, adjL3170Foot plas heel stabi pre otsL3201Oxford w supinat/pronat infL3202Oxford w/ supinat/pronator cL3203Oxford w/ supinator/pronatorL3204Hightop w/ supp/pronator infL3206Hightop w/ supp/pronator chiL3207Hightop w/ supp/pronator junL3208Surgical boot each infantL3209Surgical boot each childL3211Surgical boot each juniorL3212Benesch boot pair infantL3213Benesch boot pair childL3214Benesch boot pair juniorL3215Orthopedic ftwear ladies oxfL3216Orthoped ladies shoes dpth iL3217Ladies shoes hightop depth iL3219Orthopedic mens shoes oxfordL3221Orthopedic mens shoes dpth iL3222Mens shoes hightop depth inlL3224Woman's shoe oxford braceL3225Man's shoe oxford braceL3230Custom shoes depth inlayL3250Custom mold shoe remov prostL3251Shoe molded to pt silicone sL3252Shoe molded plastazote custL3253Shoe molded plastazote custL3254Orth foot non-stndard size/wL3255Orth foot non-standard size/L3257Orth foot add charge split sL3260Ambulatory surgical boot eacL3265Plastazote sandal eachL3300Sho lift taper to metatarsalL3310Shoe lift elev heel/sole neoL3320Shoe lift elev heel/sole corL3330Lifts elevation metal extensL3332Shoe lifts tapered to one-haL3334Shoe lifts elevation heel /iL3340Shoe wedge sachL3350Shoe heel wedgeL3360Shoe sole wedge outside soleL3370Shoe sole wedge between soleL3380Shoe clubfoot wedgeL3390Shoe outflare wedgeL3400Shoe metatarsal bar wedge roL3410Shoe metatarsal bar betweenL3420Full sole/heel wedge btweenL3430Sho heel count plast reinforL3440Heel leather reinforcedL3450Shoe heel sach cushion typeL3455Shoe heel new leather standaL3460Shoe heel new rubber standarL3465Shoe heel thomas with wedgeL3470Shoe heel thomas extend to bL3480Shoe heel pad & depress forL3485Shoe heel pad removable forL3500Ortho shoe add leather insolL3510Orthopedic shoe add rub inslL3520O shoe add felt w leath inslL3530Ortho shoe add half soleL3540Ortho shoe add full soleL3550O shoe add standard toe tapL3560O shoe add horseshoe toe tapL3570O shoe add instep extensionL3580O shoe add instep velcro cloL3590O shoe convert to sof counteL3595Ortho shoe add march barL3600Trans shoe calip plate existL3610Trans shoe caliper plate newL3620Trans shoe solid stirrup exiL3630Trans shoe solid stirrup newL3640Shoe dennis browne splint boL3649Orthopedic shoe modifica nosL3650So 8 abd restraint pre otsL3660So 8 ab rstr can/web pre otsL3670So acro/clav can web pre otsL3671So cap design w/o jnts cfL3674So airplane w/wo joint cfL3675So vest canvas/web pre otsL3677So hard plas stabili pre cstL3678So hard plas stabili pre otsL3702Eo w/o joints cfL3710Eo elas w/metal jnts pre otsL3720Forearm/arm cuffs free motioL3730Forearm/arm cuffs ext/flex aL3740Cuffs adj lock w/ active conL3760Eo adj jt prefab custom fitL3761Eo, adj lock joint prefab otL3762Eo rigid w/o joints pre otsL3763Ewho rigid w/o jnts cfL3764Ewho w/joint(s) cfL3765Ewhfo rigid w/o jnts cfL3766Ewhfo w/joint(s) cfL3806Whfo w/joint(s) custom fabL3807Whfo w/o joints pre cstL3808Whfo, rigid w/o jointsL3809Whfo w/o joints pre otsL3891Torsion mechanism wrist/elboL3900Hinge extension/flex wrist/fL3901Hinge ext/flex wrist fingerL3904Whfo electric custom fittedL3905Who w/nontorsion jnt(s) cfL3906Who w/o joints cfL3908Who cock-up nonmolde pre otsL3912Hfo flexion glove pre otsL3913Hfo w/o joints cfL3915Who nontorsion jnts pre cstL3916Who nontorsion jnts pre otsL3917Metacarp fx orthosis pre cstL3918Metacarp fx orthosis pre otsL3919Ho w/o joints cfL3921Hfo w/joint(s) cfL3923Hfo without joints pre cstL3924Hfo without joints pre otsL3925Fo pip dip jnt/sprng pre otsL3927Fo pip dip no jt spr pre otsL3929Hfo nontorsion jnts pre cstL3930Hfo nontorsion jnts pre otsL3931Whfo nontorsion joint prefabL3933Fo w/o joints cfL3935Fo nontorsion joint cfL3956Add joint upper ext orthosisL3960Sewho airplan desig abdu posL3961Sewho cap design w/o jnts cfL3962Sewho erbs palsey design abdL3967Sewho airplane w/o jnts cfL3971Sewho cap design w/jnt(s) cfL3973Sewho airplane w/jnt(s) cfL3975Sewhfo cap design w/o jnt cfL3976Sewhfo airplane w/o jnts cfL3977Sewhfo cap desgn w/jnt(s) cfL3978Sewhfo airplane w/jnt(s) cfL3980Up ext fx orthos humeral nosL3981Ue fx orth shoul cap forearmL3982Upper ext fx orthosis rad/ulL3984Upper ext fx orthosis wristL3995Sock fracture or equal eachL3999Upper limb orthosis nosL4000Repl girdle milwaukee orthL4002Replace strap, any orthosisL4010Replace trilateral socket brL4020Replace quadlat socket brimL4030Replace socket brim cust fitL4040Replace molded thigh lacerL4045Replace non-molded thigh lacL4050Replace molded calf lacerL4055Replace non-molded calf laceL4060Replace high roll cuffL4070Replace prox & dist uprightL4080Repl met band kafo-afo proxL4090Repl met band kafo-afo calf/L4100Repl leath cuff kafo prox thL4110Repl leath cuff kafo-afo calL4130Replace pretibial shellL4205Ortho dvc repair per 15 minL4210Orth dev repair/repl minor pL4350Ankle control ortho pre otsL4360Pneumat walking boot pre cstL4361Pneuma/vac walk boot pre otsL4370Pneum full leg splnt pre otsL4386Non-pneum walk boot pre cstL4387Non-pneum walk boot pre otsL4392Replace afo soft interfaceL4394Replace foot drop spintL4396Static or dynami afo pre cstL4397Static or dynami afo pre otsL4398Foot drop splint pre otsL4631Afo, walk boot type, cus fab
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