HCPCS Service Codes - Lump sum purchase of DME, prosthetics, orthotics

HCPCS Codes for Lump sum purchase of DME, prosthetics, orthotics

• L1007

  Scoliosis orthosis, sagittal-coronal control provided by a rigid lateral frame, extends from axilla, to trochanter, includes all accessory pads, straps, and interface, custom fabricated

• L1010

  Addition to cervical-thoracic-lumbar-sacral orthosis (ctlso) or scoliosis orthosis, axilla sling

• L1020

  Addition to ctlso or scoliosis orthosis, kyphosis pad

• L1025

  Addition to ctlso or scoliosis orthosis, kyphosis pad, floating

• L1030

  Addition to ctlso or scoliosis orthosis, lumbar bolster pad

• L1040

  Addition to ctlso or scoliosis orthosis, lumbar or lumbar rib pad

• L1050

  Addition to ctlso or scoliosis orthosis, sternal pad

• L1060

  Addition to ctlso or scoliosis orthosis, thoracic pad

• L1070

  Addition to ctlso or scoliosis orthosis, trapezius sling

• L1080

  Addition to ctlso or scoliosis orthosis, outrigger

• L1085

  Addition to ctlso or scoliosis orthosis, outrigger, bilateral with vertical extensions

• L1090

  Addition to ctlso or scoliosis orthosis, lumbar sling

• L1100

  Addition to ctlso or scoliosis orthosis, ring flange, plastic or leather

• L1110

  Addition to ctlso or scoliosis orthosis, ring flange, plastic or leather, molded to patient model

• L1120

  Addition to ctlso, scoliosis orthosis, cover for upright, each

• L1200

  Thoracic-lumbar-sacral-orthosis (tlso), inclusive of furnishing initial orthosis only

• L1210

  Addition to tlso, (low profile), lateral thoracic extension

• L1220

  Addition to tlso, (low profile), anterior thoracic extension

• L1230

  Addition to tlso, (low profile), milwaukee type superstructure

• L1240

  Addition to tlso, (low profile), lumbar derotation pad

• L1250

  Addition to tlso, (low profile), anterior asis pad

• L1260

  Addition to tlso, (low profile), anterior thoracic derotation pad

• L1270

  Addition to tlso, (low profile), abdominal pad

• L1280

  Addition to tlso, (low profile), rib gusset (elastic), each

• L1290

  Addition to tlso, (low profile), lateral trochanteric pad

• L1300

  Other scoliosis procedure, body jacket molded to patient model

• L1310

  Other scoliosis procedure, post-operative body jacket

• L1320

  Thoracic, pectus carinatum orthosis, sternal compression, rigid circumferential frame with anterior and posterior rigid pads, custom fabricated

• L1499

  Spinal orthosis, not otherwise specified

• L1600

  Hip orthosis, abduction control of hip joints, flexible, frejka type with cover, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an inidividual with expertise

• L1610

  Hip orthosis, abduction control of hip joints, flexible, (frejka cover only), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise

• L1620

  Hip orthosis, abduction control of hip joints, flexible, (pavlik harness), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise

• L1630

  Hip orthosis, abduction control of hip joints, semi-flexible (von rosen type), custom fabricated

• L1640

  Hip orthosis, abduction control of hip joints, static, pelvic band or spreader bar, thigh cuffs, custom fabricated

• L1650

  Hip orthosis, abduction control of hip joints, static, adjustable, (ilfled type), prefabricated, includes fitting and adjustment

• L1652

  Hip orthosis, bilateral thigh cuffs with adjustable abductor spreader bar, adult size, prefabricated, includes fitting and adjustment, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise

• L1653

  Hip orthosis, bilateral thigh cuffs with adjustable abductor spreader bar, adult size, prefabricated, off the shelf

• L1660

  Hip orthosis, abduction control of hip joints, static, plastic, prefabricated, includes fitting and adjustment

• L1680

  Hip orthosis, abduction control of hip joints, dynamic, pelvic control, adjustable hip motion control, thigh cuffs (rancho hip action type), custom fabricated

• L1681

  Hip orthosis, bilateral hip joints and thigh cuffs, adjustable flexion, extension, abduction control of hip joint, postoperative hip abduction type, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise

• L1685

  Hip orthosis, abduction control of hip joint, postoperative hip abduction type, custom fabricated

• L1686

  Hip orthosis, abduction control of hip joint, postoperative hip abduction type, prefabricated, includes fitting and adjustment

• L1690

  Combination, bilateral, lumbo-sacral, hip, femur orthosis providing adduction and internal rotation control, prefabricated, includes fitting and adjustment

• L1700

  Legg perthes orthosis, (toronto type), custom fabricated

• L1710

  Legg perthes orthosis, (newington type), custom fabricated

• L1720

  Legg perthes orthosis, trilateral, (tachdijan type), custom fabricated

• L1730

  Legg perthes orthosis, (scottish rite type), custom fabricated

• L1755

  Legg perthes orthosis, (patten bottom type), custom fabricated

• L1810

  Knee orthosis, elastic with joints, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise

• L1812

  Knee orthosis, elastic with joints, prefabricated, off-the-shelf