-- Select L Code (857 matches) -- A4280 - Adhesive skin support attachment for use with external breast prosthesis, each A4467 - Belt, strap, sleeve, garment, or covering, any type A4566 - Shoulder sling or vest design, abduction restrainer, with or without swathe control, prefabricated, includes fitting and adjustment A5500 - For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe A5501 - For diabetics only, fitting (including follow-up), custom preparation and supply of shoe molded from cast(s) of patient’s foot (custom molded shoe), per shoe A5503 - For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with roller or rigid rocker bottom, per shoe A5504 - For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with wedge(s), per shoe A5505 - For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with metatarsal bar, per shoe A5506 - For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with off-set heel(s), per shoe A5507 - For diabetics only, not otherwise specified modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe, per shoe A5508 - For diabetics only, deluxe feature of off-the-shelf depth inlay shoe or custom molded shoe, per shoe A5510 - For diabetics only, direct formed, compression molded to patient’s foot without external heat source, multiple density insert(s), prefabricated, per shoe A5512 - For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees Fahrenheit or higher, total contact with patient’s foot, including arch, base layer minimum of ¼ inch material of Shore A 35 durometer or 3/16 inch material of Shore A 40 durometer (or higher), prefabricated, each A5513 - For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer or higher, includes arch filler and other shaping material, custom fabricated, each A5514 - For diabetics only, multiple density insert, made by direct carving with cam technology from a rectified cad model created from a digitized scan of the patient, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer (or higher), includes arch filler and other shaping material, custom fabricated, each A6513 - Compression burn mask, face and/or neck, plastic or equal, custom fabricated A6530 - Gradient compression stocking, below knee, 18-30 mmhg, each A6531 - Gradient compression stocking, below knee, 30-40 mmhg, each A6532 - Gradient compression stocking, below knee, 40-50 mmhg, each A6533 - Gradient compression stocking, thigh length, 18-30 mmhg, each A6534 - Gradient compression stocking, thigh length, 30-40 mmhg, each A6535 - Gradient compression stocking, thigh length, 40-50 mmhg, each A6536 - Gradient compression stocking, full length/chap style, 18-30 mmhg, each A6537 - Gradient compression stocking, full length/chap style, 30-40 mmhg, each A6538 - Gradient compression stocking, full length/chap style, 40-50 mmhg, each A6539 - Gradient compression stocking, waist length, 18-30 mmhg each A6540 - Gradient compression stocking, waist length, 30-40 mmhg each A6541 - Gradient compression stocking, waist length, 40-50 mmhg each A6544 - Gradient compression stocking, garter belt A6549 - Gradient compression stocking/sleeve, not otherwise specified A8000 - Helmet, protective, soft, prefabricated, includes all components and accessories A8001 - Helmet, protective, hard, prefabricated, includes all components and accessories A8002 - Helmet, protective, soft, custom fabricated, includes all components and accessories A8003 - Helmet, protective, hard, custom fabricated, includes all components and accessories A8004 - Soft interface for helmet, replacement only A9283 - Foot pressure off loading/supportive device, any type, each A9285 - Inversion/eversion correction device K1014 - Addition, endoskeletal knee-shin system, 4 bar linkage or multiaxial, fluid swing and stance phase control K1015 - Foot, adductus positioning device, adjustable K1022 - Addition to lower extremity prosthesis, endoskeletal, knee disarticulation, above knee, hip disarticulation, positional rotation unit, any type L0112 - Cranial cervical orthosis, congenital torticollis type, with or without soft interface material, adjustable range of motion joint, custom fabricated L0120 - Cervical, flexible, non-adjustable, prefabricated, off-the-shelf, (foam collar) L0130 - Cervical, flexible, thermoplastic collar, molded to patient L0140 - Cervical, semi-rigid, adjustable (plastic collar) L0150 - Cervical, semi-rigid, adjustable molded chin cup (plastic collar with mandibular/occipital piece) L0160 - Cervical, semi-rigid, wire frame occipital/mandibular support, prefabricated, off-the-shelf L0170 - Cervical, collar, molded to patient model L0172 - Cervical, collar, semi-rigid thermoplastic foam, two piece, prefabricated, off-the-shelf L0174 - Cervical, collar, semi-rigid, thermoplastic foam, two piece with thoracic extension, prefabricated, off-the-shelf L0180 - Cervical, multiple post collar, occipital/mandibular supports, adjustable L0190 - Cervical, multiple post collar, occipital/mandibular supports, adjustable cervical bars (Somi, Guilford, Taylor types) L0200 - Cervical, multiple post collar, occipital/mandibular supports, adjustable cervical bars, and thoracic extension L0220 - Thoracic, rib belt, custom fabricated L0450 - Tlso, flexible, provides trunk support, upper thoracic region, produces intracavitary pressure to reduce load on the intervertebral disks with rigid stays or panel(s), includes shoulder straps and closures, prefabricated, off-the-shelf L0452 - TLSO, flexible, provides trunk support, upper thoracic region, produces intracavitary pressure to reduce load on the intervertebral discs with rigid stays or panel(s), includes shoulder straps and closures, custom fabricated L0454 - Tlso flexible, provides trunk support, extends from sacrococcygeal junction to above t-9 vertebra, restricts gross trunk motion in the sagittal plane, produces intracavitary pressure to reduce load on the intervertebral disks with rigid stays or panel(s), includes shoulder straps and closures, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise L0455 - Tlso, flexible, provides trunk support, extends from sacrococcygeal junction to above t-9 vertebra, restricts gross trunk motion in the sagittal plane, produces intracavitary pressure to reduce load on the intervertebral disks with rigid stays or panel(s), includes shoulder straps and closures, prefabricated, off-the-shelf L0456 - TLSO, flexible, provides trunk support, thoracic region, rigid posterior panel and soft anterior apron, extends from the sacrococcygeal junction and terminates just inferior to the scapular spine, restricts gross trunk motion in the sagittal plane, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps and closures, prefabricated, includes fitting and adjustment L0457 - Tlso, flexible, provides trunk support, thoracic region, rigid posterior panel and soft anterior apron, extends from the sacrococcygeal junction and terminates just inferior to the scapular spine, restricts gross trunk motion in the sagittal plane, produces intracavitary pressure to reduce load on the intervertebral disks, includes straps and closures, prefabricated, off-the-shelf L0458 - TLSO, triplanar control, modular segmented spinal system, two rigid plastic shells, posterior extends from the sacrococcygeal junction and terminates just inferior to the scapular spine, anterior extends from the symphysis pubis to the xiphoid, soft liner, restricts gross trunk motion in the sagittal, coronal, and transverse planes, lateral strength is provided by overlapping plastic and stabilizing closures, includes straps and closures, prefabricated, includes fitting and adjustment L0460 - TLSO, triplanar control, modular segmented spinal system, two rigid plastic shells, posterior extends from the sacrococcygeal junction and terminates just inferior to the scapular spine, anterior extends from the symphysis pubis to the sternal notch, soft liner, restricts gross trunk motion in the sagittal, coronal, and transverse planes, lateral strength is provided by overlapping plastic and stabilizing closures, includes straps and closures, prefabricated, includes fitting and adjustment L0462 - TLSO, triplanar control, modular segmented spinal system, three rigid plastic shells, posterior extends from the sacrococcygeal junction and terminates just inferior to the scapular spine, anterior extends from the symphysis pubis to the sternal notch, soft liner, restricts gross trunk motion in the sagittal, coronal, and transverse planes, lateral strength is provided by overlapping plastic and stabilizing closures, includes straps and closures, prefabricated, includes fitting and adjustment L0464 - TLSO, triplanar control, modular segmented spinal system, four rigid plastic shells, posterior extends from sacrococcygeal junction and terminates just inferior to scapular spine, anterior extends from symphysis pubis to the sternal notch, soft liner, restricts gross trunk motion in sagittal, coronal, and transverse planes, lateral strength is provided by overlapping plastic and stabilizing closures, includes straps and closures, prefabricated, includes fitting and adjustment L0466 - Tlso, sagittal control, rigid posterior frame and flexible soft anterior apron with straps, closures and padding, restricts gross trunk motion in sagittal plane, produces intracavitary pressure to reduce load on intervertebral disks, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise L0467 - Tlso, sagittal control, rigid posterior frame and flexible soft anterior apron with straps, closures and padding, restricts gross trunk motion in sagittal plane, produces intracavitary pressure to reduce load on intervertebral disks, prefabricated, off-the-shelf L0468 - TLSO, sagittal-coronal control, rigid posterior frame and flexible soft anterior apron with straps, closures and padding, extends from sacrococcygeal junction over scapulae, lateral strength provided by pelvic, thoracic, and lateral frame pieces, restricts gross trunk motion in sagittal, and coronal planes, produces intracavitary pressure to reduce load on intervertebral discs, includes fitting and shaping the frame, prefabricated, includes fitting and adjustment L0469 - Tlso, sagittal-coronal control, rigid posterior frame and flexible soft anterior apron with straps, closures and padding, extends from sacrococcygeal junction over scapulae, lateral strength provided by pelvic, thoracic, and lateral frame pieces, restricts gross trunk motion in sagittal and coronal planes, produces intracavitary pressure to reduce load on intervertebral disks, prefabricated, off-the-shelf L0470 - TLSO, triplanar control, rigid posterior frame and flexible soft anterior apron with straps, closures and padding, extends from sacrococcygeal junction to scapula, lateral strength provided by pelvic, thoracic, and lateral frame pieces, rotational strength provided by subclavicular extensions, restricts gross trunk motion in sagittal, coronal, and transverse planes, produces intracavitary pressure to reduce load on the intervertebral discs, includes fitting and shaping the frame, prefabricated, L0472 - TLSO, triplanar control, hyperextension, rigid anterior and lateral frame extends from symphysis pubis to sternal notch with two anterior components (one pubic and one sternal), posterior and lateral pads with straps and closures, limits spinal flexion, restricts gross trunk motion in sagittal, coronal, and transverse planes, includes fitting and shaping the frame, prefabricated, includes fitting and adjustment L0480 - TLSO, triplanar control, one piece rigid plastic shell without interface liner, with multiple straps and closures, posterior extends from sacrococcygeal junction and terminates just inferior to scapular spine, anterior extends from symphysis pubis to sternal notch, anterior or posterior opening, restricts gross trunk motion in sagittal, coronal, and transverse planes, includes a carved plaster or cad-cam model, custom fabricated L0482 - TLSO, triplanar control, one piece rigid plastic shell with interface liner, multiple straps and closures, posterior extends from sacrococcygeal junction and terminates just inferior to scapular spine, anterior extends from symphysis pubis to sternal notch, anterior or posterior opening, restricts gross trunk motion in sagittal, coronal, and transverse planes, includes a carved plaster or cad-cam model, custom fabricated L0484 - TLSO, triplanar control, two piece rigid plastic shell without interface liner, with multiple straps and closures, posterior extends from sacrococcygeal junction and terminates just inferior to scapular spine, anterior extends from symphysis pubis to sternal notch, lateral strength is enhanced by overlapping plastic, restricts gross trunk motion in the sagittal, coronal, and transverse planes, includes a carved plaster or cad-cam model, custom fabricated L0486 - TLSO, triplanar control, two piece rigid plastic shell with interface liner, multiple straps and closures, posterior extends from sacrococcygeal junction and terminates just inferior to scapular spine, anterior extends from symphysis pubis to sternal notch, lateral strength is enhanced by overlapping plastic, restricts gross trunk motion in the sagittal, coronal, and transverse planes, includes a carved plaster or cad-cam model, custom fabricated L0488 - TLSO, triplanar control, one piece rigid plastic shell with interface liner, multiple straps and closures, posterior extends from sacrococcygeal junction and terminates just inferior to scapular spine, anterior extends from symphysis pubis to sternal notch, anterior or posterior opening, restricts gross trunk motion in sagittal, coronal, and transverse planes, prefabricated, includes fitting and adjustment L0490 - TLSO, sagittal-coronal control, one piece rigid plastic shell, with overlapping reinforced anterior, with multiple straps and closures, posterior extends from sacrococcygeal junction and terminates at or before the T-9 vertebra, anterior extends from symphysis pubis to xiphoid, anterior opening, restricts gross trunk motion in sagittal and coronal planes, prefabricated, includes fitting and adjustment L0491 - TLSO, sagittal-coronal control, modular segmented spinal system, two rigid plastic shells, posterior extends from the sacrococcygeal junction and terminates just inferior to the scapular spine, anterior extends from the symphysis pubis to the xiphoid, soft liner, restricts gross trunk motion in the sagittal and coronal planes, lateral strength is provided by overlapping plastic and stabilizing closures, includes straps and closures, prefabricated, includes fitting and adjustment L0492 - TLSO, sagittal-coronal control, modular segmented spinal system, three rigid plastic shells, posterior extends from the sacrococcygeal junction and terminates just inferior to the scapular spine, anterior extends from the symphysis pubis to the xiphoid, soft liner, restricts gross trunk motion in the sagittal and coronal planes, lateral strength is provided by overlapping plastic and stabilizing closures, includes straps and closures, prefabricated, includes fitting and adjustment L0621 - Sacroiliac orthosis, flexible, provides pelvic-sacral support, reduces motion about the sacroiliac joint, includes straps, closures, may include pendulous abdomen design, prefabricated, off-the-shelf L0622 - Sacroiliac orthosis, flexible, provides pelvic-sacral support, reduces motion about the sacroiliac joint, includes straps, closures, may include pendulous abdomen design, custom fabricated L0623 - Sacroiliac orthosis, provides pelvic-sacral support, with rigid or semi-rigid panels over the sacrum and abdomen, reduces motion about the sacroiliac joint, includes straps, closures, may include pendulous abdomen design, prefabricated, off-the-shelf L0624 - Sacroiliac orthosis, provides pelvic-sacral support, with rigid or semi-rigid panels placed over the sacrum and abdomen, reduces motion about the sacroiliac joint, includes straps, closures, may include pendulous abdomen design, custom fabricated L0625 - Lumbar orthosis, flexible, provides lumbar support, posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include pendulous abdomen design, shoulder straps, stays, prefabricated, off-the-shelf L0626 - Lumbar orthosis, sagittal control, with rigid posterior panel(s), posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, stays, shoulder straps, pendulous abdomen design, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise L0627 - Lumbar orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise L0628 - Lumbar-sacral orthosis, flexible, provides lumbo-sacral support, posterior extends from sacrococcygeal junction to t-9 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include stays, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf L0629 - Lumbar-sacral orthosis, flexible, provides lumbo-sacral support, posterior extends from sacrococcygeal junction to T-9 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include stays, shoulder straps, pendulous abdomen design, custom fabricated L0630 - Lumbar-sacral orthosis, sagittal control, with rigid posterior panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, stays, shoulder straps, pendulous abdomen design, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise L0631 - Lumbar-sacral orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from sacrococcygeal junction to t-9 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise L0632 - Lumbar-sacral orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from sacrococcygeal junction to T-9 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, custom fabricated L0633 - Lumbar-sacral orthosis, sagittal-coronal control, with rigid posterior frame/panel(s), posterior extends from sacrococcygeal junction to T-9 vertebra, lateral strength provided by rigid lateral frame/panels, produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, stays, shoulder straps, pendulous abdomen design, prefabricated, includes fitting and adjustment L0634 - Lumbar-sacral orthosis, sagittal-coronal control, with rigid posterior frame/panel(s), posterior extends from sacrococcygeal junction to T-9 vertebra, lateral strength provided by rigid lateral frame/panels, produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, stays, shoulder straps, pendulous abdomen design, custom fabricated L0635 - Lumbar-sacral orthosis, sagittal-coronal control, lumbar flexion, rigid posterior frame/panels, lateral articulating design to flex the lumbar spine, posterior extends from sacrococcygeal junction to T-9 vertebra, lateral strength provided by rigid lateral frame/panels, produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, anterior panel, pendulous abdomen design, prefabricated, includes fitting and adjustment L0636 - Lumbar-sacral orthosis, sagittal-coronal control, lumbar flexion, rigid posterior frame/panels, lateral articulating design to flex the lumbar spine, posterior extends from sacrococcygeal junction to T-9 vertebra, lateral strength provided by rigid lateral frame/panels, produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, anterior panel, pendulous abdomen design, custom fabricated L0637 - Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panels, posterior extends from sacrococcygeal junction to T-9 vertebra, lateral strength provided by rigid lateral frame/panels, produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated, includes fitting and adjustment L0638 - Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panels, posterior extends from sacrococcygeal junction to T-9 vertebra, lateral strength provided by rigid lateral frame/panels, produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, custom fabricated L0639 - Lumbar-sacral orthosis, sagittal-coronal control, rigid shell(s)/panel(s), posterior extends from sacrococcygeal junction to T-9 vertebra, anterior extends from symphysis pubis to xiphoid, produces intracavitary pressure to reduce load on the intervertebral discs, overall strength is provided by overlapping rigid material and stabilizing closures, includes straps, closures, may include soft interface, pendulous abdomen design, prefabricated, includes fitting and adjustment L0640 - Lumbar-sacral orthosis, sagittal-coronal control, rigid shell(s)/panel(s), posterior extends from sacrococcygeal junction to T-9 vertebra, anterior extends from symphysis pubis to xiphoid, produces intracavitary pressure to reduce load on the intervertebral discs, overall strength is provided by overlapping rigid material and stabilizing closures, includes straps, closures, may include soft interface, pendulous abdomen design, custom fabricated L0641 - Lumbar orthosis, sagittal control, with rigid posterior panel(s), posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, stays, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf L0642 - Lumbar orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf L0643 - Lumbar-sacral orthosis, sagittal control, with rigid posterior panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, stays, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf L0648 - Lumbar-sacral orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from sacrococcygeal junction to t-9 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf L0649 - Lumbar-sacral orthosis, sagittal-coronal control, with rigid posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panels, produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, stays, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf L0650 - Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf L0651 - Lumbar-sacral orthosis, sagittal-coronal control, rigid shell(s)/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, anterior extends from symphysis pubis to xyphoid, produces intracavitary pressure to reduce load on the intervertebral discs, overall strength is provided by overlapping rigid material and stabilizing closures, includes straps, closures, may include soft interface, pendulous abdomen design, prefabricated, off-the-shelf L0700 - CTLSO, anterior-posterior-lateral control, molded to patient model, (Minerva type) L0710 - CTLSO, anterior-posterior-lateral control, molded to patient model, with interface material, (Minerva type) L0810 - Halo procedure, cervical halo incorporated into jacket vest L0820 - Halo procedure, cervical halo incorporated into plaster body jacket L0830 - Halo procedure, cervical halo incorporated into Milwaukee type orthosis L0859 - Addition to halo procedure, magnetic resonance image compatible system, rings and pins, any material L0861 - Addition to halo procedure, replacement liner/interface material L0970 - TLSO, corset front L0972 - LSO, corset front L0974 - TLSO, full corset L0976 - LSO, full corset L0978 - Axillary crutch extension L0980 - Peroneal straps, prefabricated off-the-shelf pair L0982 - Stocking supporter grips, off-the-shelf set of four (4) L0984 - Protective body sock, off-the-shelf, each L0999 - Addition to spinal orthosis, not otherwise specified L1000 - CTLSO (Milwaukee), inclusive of furnishing initial orthosis, including model L1001 - Cervical thoracic lumbar sacral orthosis, immobilizer, infant size, prefabricated, includes fitting and adjustment L1005 - Tension based scoliosis orthosis and accessory pads, includes fitting and adjustment L1010 - Addition to 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 or scoliosis orthosis, cover for upright, each L1200 - 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, postoperative body jacket L1499 - Spinal orthosis, not otherwise specified L1600 - HO, 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 individual with expertise L1610 - HO, 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 - HO, 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 - HO, abduction control of hip joints, semi-flexible (Von Rosen type), custom fabricated L1640 - HO, abduction control of hip joints, static, pelvic band or spreader bar, thigh cuffs, custom fabricated L1650 - HO, abduction control of hip joints, static, adjustable (Ilfled type), prefabricated, includes fitting and adjustment L1652 - HO, bilateral thigh cuffs with adjustable abductor spreader bar, adult size, prefabricated, includes fitting and adjustment, any type L1660 - HO, abduction control of hip joints, static, plastic, prefabricated, includes fitting and adjustment L1680 - HO, abduction control of hip joints, dynamic, pelvic control, adjustable hip motion control, thigh cuffs (Rancho hip action type), custom fabricated L1685 - HO, abduction control of hip joint, postoperative hip abduction type, custom fabricated L1686 - HO, 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 - KO, 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 L1820 - KO, elastic with condylar pads and joints, with or without patellar control, prefabricated, includes fitting and adjustment L1830 - KO, immobilizer, canvas longitudinal, prefabricated,off-the-shelf L1831 - KO, locking knee joint(s), positional orthosis, prefabricated, includes fitting and adjustment L1832 - KO, adjustable knee joints, (unicentric or polycentric) positional orthosis, rigid support, prefabricated, item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise L1833 - Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf L1834 - KO, without knee joint, rigid, custom fabricated L1836 - KO, rigid, without joint(s), includes soft interface material, prefabricated,off-the-shelf L1840 - KO, derotation, medial-lateral, anterior cruciate ligament, custom fabricated L1843 - KO, single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise L1844 - KO, single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, custom fabricated L1845 - KO, double upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise L1846 - KO, double upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, custom fabricated L1847 - KO, double upright with adjustable joint, with inflatable air support chamber(s), prefabricated, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise L1848 - Knee orthosis, double upright with adjustable joint, with inflatable air support chamber(s), prefabricated, off-the-shelf L1850 - KO, Swedish type, prefabricated,off-the-shelf L1851 - Knee orthosis (KO), single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf L1852 - Knee orthosis (KO), double upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf L1860 - KO, modification of supracondylar prosthetic socket, custom fabricated (SK) L1900 - AFO, spring wire, dorsiflexion assist calf band, custom fabricated L1902 - AFO, Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf L1904 - Ankle orthosis, ankle gauntlet or similar, with or without joints, custom fabricated L1906 - AFO, multiligamentous ankle support, prefabricated, off-the-shelf L1907 - AO, supramalleolar with straps, with or without interface/pads, custom fabricated L1910 - AFO, posterior, single bar, clasp attachment to shoe counter, prefabricated, includes fitting and adjustment L1920 - AFO, single upright with static or adjustable stop (Phelps or Perlstein type), custom fabricated L1930 - AFO, plastic or other material, prefabricated, includes fitting and adjustment L1932 - AFO, rigid anterior tibial section, total carbon fiber or equal material, prefabricated, includes fitting and adjustment L1940 - AFO, plastic or other material, custom fabricated L1945 - AFO, plastic, rigid anterior tibial section (floor reaction), custom fabricated L1950 - AFO, spiral, (Institute of Rehabilitative Medicine type), plastic, custom fabricated L1951 - AFO, spiral, (Institute of Rehabilitative Medicine type), plastic or other material, prefabricated, includes fitting and adjustment L1960 - AFO, posterior solid ankle, plastic, custom fabricated L1970 - AFO, plastic with ankle joint, custom fabricated L1971 - AFO, plastic or other material with ankle joint, prefabricated, includes fitting and adjustment L1980 - AFO, single upright free plantar dorsiflexion, solid stirrup, calf band/cuff (single bar “BK” orthosis), custom fabricated L1990 - AFO, double upright free plantar dorsiflexion, solid stirrup, calf band/cuff (double bar “BK” orthosis), custom fabricated L2000 - KAFO, single upright, free knee, free ankle, solid stirrup, thigh and calf band/cuffs (single bar “AK” orthosis), custom fabricated L2005 - KAFO, any material, single or double upright, stance control, automatic lock and swing phase release, any type activation, includes ankle joint, any type, custom fabricated L2006 - Knee ankle foot device, any material, single or double upright, swing and/or stance phase microprocessor control with adjustability, includes all components (e.g., sensors, batteries, charger), any type activation, with or without ankle joint(s), custom fabricated L2010 - KAFO, single upright, free ankle, solid stirrup, thigh and calf band/cuffs (single bar “AK” orthosis), without knee joint, custom fabricated L2020 - KAFO, double upright, free ankle, solid stirrup, thigh and calf band/cuffs (double bar “AK” orthosis), custom fabricated L2030 - KAFO, double upright, free ankle, solid stirrup, thigh and calf bands/cuffs (double bar “AK” orthosis), without knee joint, custom fabricated L2034 - KAFO, full plastic, single upright, with or without free motion knee, medial lateral rotation control, with or without free motion ankle, custom fabricated L2035 - KAFO, full plastic, static (pediatric size), without free motion ankle, prefabricated, includes fitting and adjustment L2036 - KAFO, full plastic, double upright, with or without free motion knee, with or without free motion ankle, custom fabricated L2037 - KAFO, full plastic, single upright, with or without free motion knee, with or without free motion ankle, custom fabricated L2038 - KAFO, full plastic, with or without free motion knee, multi-axis ankle, custom fabricated L2040 - HKAFO, torsion control, bilateral rotation straps, pelvic band/belt, custom fabricated L2050 - HKAFO, torsion control, bilateral torsion cables, hip joint, pelvic band/belt, custom fabricated L2060 - HKAFO, torsion control, bilateral torsion cables, ball bearing hip joint, pelvic band/belt, custom fabricated L2070 - HKAFO, torsion control, unilateral rotation straps, pelvic band/belt, custom fabricated L2080 - HKAFO, torsion control, unilateral torsion cable, hip joint, pelvic band/belt, custom fabricated L2090 - HKAFO, torsion control, unilateral torsion cable, ball bearing hip joint, pelvic band/belt, custom fabricated L2106 - AFO, fracture orthosis, tibial fracture cast orthosis, thermoplastic type casting material, custom fabricated L2108 - AFO, fracture orthosis, tibial fracture cast orthosis, custom fabricated L2112 - AFO, fracture orthosis, tibial fracture orthosis, soft, prefabricated, includes fitting and adjustment L2114 - AFO, fracture orthosis, tibial fracture orthosis, semi-rigid, prefabricated, includes fitting and adjustment L2116 - AFO, fracture orthosis, tibial fracture orthosis, rigid, prefabricated, includes fitting and adjustment L2126 - KAFO, fracture orthosis, femoral fracture cast orthosis, thermoplastic type casting material, custom fabricated L2128 - KAFO, fracture orthosis, femoral fracture cast orthosis, custom fabricated L2132 - KAFO, fracture orthosis, femoral fracture cast orthosis, soft, prefabricated, includes fitting and adjustment L2134 - KAFO, fracture orthosis, femoral fracture cast orthosis, semi-rigid, prefabricated, includes fitting and adjustment L2136 - KAFO, fracture orthosis, femoral fracture cast orthosis, rigid, prefabricated, includes fitting and adjustment L2180 - Addition to lower extremity fracture orthosis, plastic shoe insert with ankle joints L2182 - Addition to lower extremity fracture orthosis, drop lock knee joint L2184 - Addition to lower extremity fracture orthosis, limited motion knee joint L2186 - Addition to lower extremity fracture orthosis, adjustable motion knee joint, Lerman type L2188 - Addition to lower extremity fracture orthosis, quadrilateral brim L2190 - Addition to lower extremity fracture orthosis, waist belt L2192 - Addition to lower extremity fracture orthosis, hip joint, pelvic band, thigh flange, and pelvic belt L2200 - Addition to lower extremity, limited ankle motion, each joint L2210 - Addition to lower extremity, dorsiflexion assist (plantar flexion resist), each joint L2220 - Addition to lower extremity, dorsiflexion and plantar flexion assist/resist, each joint L2230 - Addition to lower extremity, split flat caliper stirrups and plate attachment L2232 - Addition to lower extremity orthosis, rocker bottom for total contact ankle foot orthosis, for custom fabricated orthosis only L2240 - Addition to lower extremity, round caliper and plate attachment L2250 - Addition to lower extremity, foot plate, molded to patient model, stirrup attachment L2260 - Addition to lower extremity, reinforced solid stirrup (Scott-Craig type) L2265 - Addition to lower extremity, long tongue stirrup L2270 - Addition to lower extremity, varus/valgus correction (“T”) strap, padded/lined or malleolus pad L2275 - Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined L2280 - Addition to lower extremity, molded inner boot L2300 - Addition to lower extremity, abduction bar (bilateral hip involvement), jointed, adjustable L2310 - Addition to lower extremity, abduction bar, straight L2320 - Addition to lower extremity, non-molded lacer for custom fabricated orthosis only L2330 - Addition to lower extremity, lacer, molded to patient model for custom fabricated orthosis only L2335 - Addition to lower extremity, anterior swing band L2340 - Addition to lower extremity, pre-tibial shell, molded to patient model L2350 - Addition to lower extremity, prosthetic type, (BK) socket, molded to patient model, (used for “PTB” “AFO” orthoses) L2360 - Addition to lower extremity, extended steel shank L2370 - Addition to lower extremity, Patten bottom L2375 - Addition to lower extremity, torsion control, ankle joint and half solid stirrup L2380 - Addition to lower extremity, torsion control, straight knee joint, each joint L2385 - Addition to lower extremity, straight knee joint, heavy duty, each joint L2387 - Addition to lower extremity, polycentric knee joint, for custom fabricated knee ankle foot orthosis, each joint L2390 - Addition to lower extremity, offset knee joint, each joint L2395 - Addition to lower extremity, offset knee joint, heavy duty, each joint L2397 - Addition to lower extremity orthosis, suspension sleeve L2405 - Addition to knee joint, drop lock, each L2415 - Addition to knee lock with integrated release mechanism (bail, cable, or equal), any material, each joint L2425 - Addition to knee joint, disc or dial lock for adjustable knee flexion, each joint L2430 - Addition to knee joint, ratchet lock for active and progressive knee extension, each joint L2492 - Addition to knee joint, lift loop for drop lock ring L2500 - Addition to lower extremity, thigh/weight bearing, gluteal/ischial weight bearing, ring L2510 - Addition to lower extremity, thigh/weight bearing, quadrilateral brim, molded to patient model L2520 - Addition to lower extremity, thigh/weight bearing, quadrilateral brim, custom fitted L2525 - Addition to lower extremity, thigh/weight bearing, ischial containment/narrow M-L brim molded to patient model L2526 - Addition to lower extremity, thigh/weight bearing, Ischial containment/narrow M-L brim, custom fitted L2530 - Addition to lower extremity, thigh/weight bearing, lacer, non-molded L2540 - Addition to lower extremity, thigh/weight bearing, lacer, molded to patient model L2550 - Addition to lower extremity, thigh/weight bearing, high roll cuff L2570 - Addition to lower extremity, pelvic control, hip joint, Clevis type, two position joint, each L2580 - Addition to lower extremity, pelvic control, pelvic sling L2600 - Addition to lower extremity, pelvic control, hip joint, Clevis type, or thrust bearing, free, each L2610 - Addition to lower extremity, pelvic control, hip joint, Clevis type or thrust bearing, lock, each L2620 - Addition to lower extremity, pelvic control, hip joint, heavy-duty, each L2622 - Addition to lower extremity, pelvic control, hip joint, adjustable flexion, each L2624 - Addition to lower extremity, pelvic control, hip joint, adjustable flexion, extension, abduction control, each L2627 - Addition to lower extremity, pelvic control, plastic, molded to patient model, reciprocating hip joint and cables L2628 - Addition to lower extremity, pelvic control, metal frame, reciprocating hip joint and cables L2630 - Addition to lower extremity, pelvic control, band and belt, unilateral L2640 - Addition to lower extremity, pelvic control, band and belt, bilateral L2650 - Addition to lower extremity, pelvic and thoracic control, gluteal pad, each L2660 - Addition to lower extremity, thoracic control, thoracic band L2670 - Addition to lower extremity, thoracic control, paraspinal uprights L2680 - Addition to lower extremity, thoracic control, lateral support uprights L2750 - Addition to lower extremity orthosis, plating chrome or nickel, per bar L2755 - Addition to lower extremity orthosis, high strength, lightweight material, all hybrid lamination/prepreg composite, per segment for custom fabricated orthosis only L2760 - Addition to lower extremity orthosis, extension, per extension, per bar (for lineal adjustment for growth) L2768 - Orthotic side bar disconnect device, per bar L2780 - Addition to lower extremity orthosis, non-corrosive finish, per bar L2785 - Addition to lower extremity orthosis, drop lock retainer, each L2795 - Addition to lower extremity orthosis, knee control, full kneecap L2800 - Addition to lower extremity orthosis, knee control, knee cap, medial or lateral pull, for use with custom fabricated orthosis only L2810 - Addition to lower extremity orthosis, knee control, condylar pad L2820 - Addition to lower extremity orthosis, soft interface for molded plastic, below knee section L2830 - Addition to lower extremity orthosis, soft interface for molded plastic, above knee section L2840 - Addition to lower extremity orthosis, tibial length sock, fracture or equal, each L2850 - Addition to lower extremity orthosis, femoral length sock, fracture or equal, each L2999 - Lower extremity orthoses, not otherwise specified L3000 - Foot, insert, removable, molded to patient model, “UCB” type, Berkeley shell, each L3001 - Foot, insert, removable, molded to patient model, Spenco, each L3002 - Foot, insert, removable, molded to patient model, Plastazote or equal, each L3003 - Foot, insert, removable, molded to patient model, silicone gel, each L3010 - Foot, insert, removable, molded to patient model, longitudinal arch support, each L3020 - Foot, insert, removable, molded to patient model, longitudinal/metatarsal support, each L3030 - Foot, insert, removable, formed to patient foot, each L3031 - Foot, insert/plate, removable, addition to lower extremity orthosis, high strength, lightweight material, all hybrid lamination/prepreg composite, each L3040 - Foot, arch support, removable, premolded, longitudinal, each L3050 - Foot, arch support, removable, premolded, metatarsal, each L3060 - Foot, arch support, removable, premolded, longitudinal/metatarsal, each L3070 - Foot, arch support, non-removable attached to shoe, longitudinal, each L3080 - Foot, arch support, non-removable attached to shoe, metatarsal, each L3090 - Foot, arch support, non-removable attached to shoe, longitudinal/metatarsal, each L3100 - Hallus-Valgus night dynamic splint, prefabricated, off-the-shelf L3140 - Foot, abduction rotation bar, including shoes L3150 - Foot, abduction rotation bar, without shoes L3160 - Foot, adjustable shoe-styled positioning device L3170 - Foot, plastic, silicone or equal, heel stabilizer,prefabricated, off-the-shelf, each L3201 - Orthopedic shoe, oxford with supinator or pronator, infant L3202 - Orthopedic shoe, oxford with supinator or pronator, child L3203 - Orthopedic shoe, oxford with supinator or pronator, junior L3204 - Orthopedic shoe, hightop with supinator or pronator, infant L3206 - Orthopedic shoe, hightop with supinator or pronator, child L3207 - Orthopedic shoe, hightop with supinator or pronator, junior L3208 - Surgical boot, each, infant L3209 - Surgical boot, each, child L3211 - Surgical boot, each, junior L3212 - Benesch boot, pair, infant L3213 - Benesch boot, pair, child L3214 - Benesch boot, pair, junior L3215 - Orthopedic footwear, ladies shoe, oxford, each L3216 - Orthopedic footwear, ladies shoe, depth inlay, each L3217 - Orthopedic footwear, ladies shoe, hightop, depth inlay, each L3219 - Orthopedic footwear, men’s shoe, oxford, each L3221 - Orthopedic footwear, men’s shoe, depth inlay, each L3222 - Orthopedic footwear, men’s shoe, hightop, depth inlay, each L3224 - Orthopedic footwear, woman’s shoe, oxford, used as an integral part of a brace (orthosis) L3225 - Orthopedic footwear, man’s shoe, oxford, used as an integral part of a brace (orthosis) L3230 - Orthopedic footwear, custom shoe, depth inlay, each L3250 - Orthopedic footwear, custom molded shoe, removable inner mold, prosthetic shoe, each L3251 - Foot, shoe molded to patient model, silicone shoe, each L3252 - Foot, shoe molded to patient model, Plastazote (or similar), custom fabricated, each L3253 - Foot, molded shoe Plastazote (or similar), custom fitted, each L3254 - Non-standard size or width L3255 - Non-standard size or length L3257 - Orthopedic footwear, additional charge for split size L3260 - Surgical boot/shoe, each L3265 - Plastazote sandal, each L3300 - Lift, elevation, heel, tapered to metatarsals, per inch L3310 - Lift, elevation, heel and sole, neoprene, per inch L3320 - Lift, elevation, heel and sole, cork, per inch L3330 - Lift, elevation, metal extension (skate) L3332 - Lift, elevation, inside shoe, tapered, up to one-half inch L3334 - Lift, elevation, heel, per inch L3340 - Heel wedge, SACH L3350 - Heel wedge L3360 - Sole wedge, outside sole L3370 - Sole wedge, between sole L3380 - Clubfoot wedge L3390 - Outflare wedge L3400 - Metatarsal bar wedge, rocker L3410 - Metatarsal bar wedge, between sole L3420 - Full sole and heel wedge, between sole L3430 - Heel, counter, plastic reinforced L3440 - Heel, counter, leather reinforced L3450 - Heel, SACH cushion type L3455 - Heel, new leather, standard L3460 - Heel, new rubber, standard L3465 - Heel, Thomas with wedge L3470 - Heel, Thomas extended to ball L3480 - Heel, pad and depression for spur L3485 - Heel, pad, removable for spur L3500 - Orthopedic shoe addition, insole, leather L3510 - Orthopedic shoe addition, insole, rubber L3520 - Orthopedic shoe addition, insole, felt covered with leather L3530 - Orthopedic shoe addition, sole, half L3540 - Orthopedic shoe addition, sole, full L3550 - Orthopedic shoe addition, toe tap, standard L3560 - Orthopedic shoe addition, toe tap, horseshoe L3570 - Orthopedic shoe addition, special extension to instep (leather with eyelets) L3580 - Orthopedic shoe addition, convert instep to velcro closure L3590 - Orthopedic shoe addition, convert firm shoe counter to soft counter L3595 - Orthopedic shoe addition, March bar L3600 - Transfer of an orthosis from one shoe to another, caliper plate, existing L3610 - Transfer of an orthosis from one shoe to another, caliper plate, new L3620 - Transfer of an orthosis from one shoe to another, solid stirrup, existing L3630 - Transfer of an orthosis from one shoe to another, solid stirrup, new L3640 - Transfer of an orthosis from one shoe to another, Dennis Browne splint (Riveton), both shoes L3649 - Orthopedic shoe, modification, addition or transfer, not otherwise specified L3650 - SO, figure of eight design abduction restrainer, prefabricated, off-the-shelf L3660 - SO, figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf L3670 - SO, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf L3671 - SO, shoulder joint design, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment L3674 - SO, abduction positioning (airplane design), thoracic component and support bar, with or without nontorsion joint/turnbuckle, may include soft interface, straps, custom fabricated, includes fitting and adjustment L3675 - SO, vest type abduction restrainer, canvas webbing type or equal, prefabricated,off-the-shelf L3677 - SO, hard plastic, shoulder stabilizer, prefabricated, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise L3678 - soft interface, straps, prefabricated, off-the-shelf L3702 - EO, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment L3710 - EO, elastic with metal joints, prefabricated,off-the-shelf L3720 - EO, double upright with forearm/arm cuffs, free motion, custom fabricated L3730 - EO, double upright with forearm/arm cuffs, extension/flexion assist, custom fabricated L3740 - EO, double upright with forearm/arm cuffs, adjustable position lock with active control, custom fabricated L3760 - EO, Elbow orthosis , with adjustable position locking joint(s), prefabricated, item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise L3761 - Elbow orthosis with adjustable position locking joint(s), prefabricated, off-the-shelf L3762 - EO, rigid, without joints, includes soft interface material, prefabricated, off-the-shelf L3763 - EWHO, rigid, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment L3764 - EWHO, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment L3765 - EWHFO, rigid, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment L3766 - EWHFO, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment L3806 - WHFO, includes one or more nontorsion joint(s), turnbuckles, elastic bands/springs, may include soft interface material, straps, custom fabricated, includes fitting and adjustment L3807 - WHFO, without joint(s), prefabricated, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise L3808 - WHFO, rigid without joints, may include soft interface material; straps, custom fabricated, includes fitting and adjustment L3809 - Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type L3900 - WHFO, dynamic flexor hinge, reciprocal wrist extension/flexion, finger flexion/extension, wrist or finger driven, custom fabricated L3901 - WHFO, dynamic flexor hinge, reciprocal wrist extension/flexion, finger flexion/extension, cable driven, custom fabricated L3904 - WHFO, external powered, electric, custom fabricated L3905 - WHO, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment L3906 - WHO, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment L3908 - WHO, wrist extension control cock-up, non-molded, prefabricated,off-the-shelf L3912 - HFO, flexion glove with elastic finger control, prefabricated, off-the-shelf L3913 - HFO, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment L3915 - WHO, includes one or more nontorsion joint(s), elastic bands, turnbuckles, may include soft interface, straps, prefabricated, iprefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise L3916 - Wrist hand orthosis, includes one or more nontorsion joint(s), elastic bands, turnbuckles, may include soft interface, straps, prefabricated, off-the-shelf L3917 - HO, metacarpal fracture orthosis, prefabricated,prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise L3918 - Hand orthosis, metacarpal fracture orthosis, prefabricated, off-the-shelf L3919 - HO, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment L3921 - HFO, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment L3923 - HFO, without joint(s), may include soft interface, straps, prefabricated,prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise L3924 - Hand finger orthosis, without joints, may include soft interface, straps, prefabricated, off-the-shelf L3925 - Finger orthosis, proximal interphlangeal (PIP)/distal interphalangeal (DIP), non torsion joint/spring, extension/flexion, may include soft interface material, prefabricated, of-the-shelf L3927 - Finger orthosis, proximal interphlangeal (PIP)/distal interphalangeal (DIP), without joint/spring, extension/flexion (e.g. static or ring type), may include soft interface material, prefabricated, off-the-shelf L3929 - Hand finger orthosis, includes one or more nontorsion joint(s), turnbuckles, elastic bands/springs, may include soft interface material, straps, prefabricated,prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise L3930 - Hand finger orthosis, includes one or more nontorsion joint(s), turnbuckles, elastic bands/springs, may include soft interface material, straps, prefabricated, off-the-shelf L3931 - Wrist hand finger orthosis, includes one or more nontorsion joint(s), turnbuckles, elastic bands/springs, may include soft interface material, straps, prefabricated, includes fitting and adjustment L3933 - FO, without joints, may include soft interface, custom fabricated, includes fitting and adjustment L3935 - FO, nontorsion joint, may include soft interface, custom fabricated, includes fitting and adjustment L3956 - Addition of joint to upper extremity orthosis, any material, per joint L3960 - SEWHO, abduction positioning, airplane design, prefabricated, includes fitting and adjustment L3961 - SEWHO, shoulder cap design, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment L3962 - SEWHO, abduction positioning, Erbs palsey design, prefabricated, includes fitting and adjustment L3967 - SEWHO, abduction positioning (airplane design), thoracic component and support bar, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment L3971 - SEWHO, shoulder cap design, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment L3973 - SEWHO, abduction positioning (airplane design), thoracic component and support bar, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment L3975 - SEWHFO, shoulder cap design, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment L3976 - SEWHFO, abduction positioning (airplane design), thoracic component and support bar, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment L3977 - SEWHFO, shoulder cap design, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment L3978 - SEWHFO, abduction positioning (airplane design), thoracic component and support bar, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment L3980 - Upper extremity fracture orthosis, humeral, prefabricated, includes fitting and adjustment L3981 - Upper extremity fracture orthosis, humeral, prefabricated, includes shoulder cap design, with or without joints, forearm section, may include soft interface, straps, includes fitting and adjustments L3982 - Upper extremity fracture orthosis, radius/ulnar, prefabricated, includes fitting and adjustment L3984 - Upper extremity fracture orthosis, wrist, prefabricated, includes fitting and adjustment L3995 - Addition to upper extremity orthosis, sock, fracture or equal, each L3999 - Upper limb orthosis, not otherwise specified L4000 - Replace girdle for spinal orthosis (CTLSO or SO) L4002 - Replacement strap, any orthosis, includes all components, any length, any type L4010 - Replace trilateral socket brim L4020 - Replace quadrilateral socket brim, molded to patient model L4030 - Replace quadrilateral socket brim, custom fitted L4040 - Replace molded thigh lacer, for custom fabricated orthosis only L4045 - Replace non-molded thigh lacer, for custom fabricated orthosis only L4050 - Replace molded calf lacer, for custom fabricated orthosis only L4055 - Replace non-molded calf lacer, for custom fabricated orthosis only L4060 - Replace high roll cuff L4070 - Replace proximal and distal upright for KAFO L4080 - Replace metal bands KAFO, proximal thigh L4090 - Replace metal bands KAFO-AFO, calf or distal thigh L4100 - Replace leather cuff KAFO, proximal thigh L4110 - Replace leather cuff KAFO-AFO, calf or distal thigh L4130 - Replace pretibial shell L4205 - Repair of orthotic device, labor component, per 15 minutes L4210 - Repair of orthotic device, repair or replace minor parts L4350 - Ankle control orthosis, stirrup style, rigid, includes any type of interface (E.G., pneumatic, gel), prefabricated,of-the-shelf L4360 - Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise L4361 - Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf L4370 - Pneumatic full leg splint, prefabricated, off-the-shelf L4386 - Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise L4387 - Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated, off-the-shelf L4392 - Replacement, soft interface material, static AFO L4394 - Replace soft interface material, foot drop splint L4396 - Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise L4397 - Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated, off-the-shelf L4398 - Foot drop splint, recumbent positioning device, prefabricated, off-the-shelf L4631 - AFO, walking boot type, varus/valgus correction, rockerbottom. anterior tibial shell, soft interface, custom arch support, plastic or other material, includes straps and closures, custom fabricated L5000 - Partial foot, shoe insert with longitudinal arch, toe filler L5010 - Partial foot, molded socket, ankle height, with toe filler L5020 - Partial foot, molded socket, tibial tubercle height, with toe filler L5050 - Ankle, Symes, molded socket, SACH foot L5060 - Ankle, Symes, metal frame, molded leather socket, articulated ankle/foot L5100 - Below knee, molded socket, shin, SACH foot L5105 - Below knee, plastic socket, joints and thigh lacer, SACH foot L5150 - Knee disarticulation (or through knee), molded socket, external knee joints, shin, SACH foot L5160 - Knee disarticulation (or through knee), molded socket, bent knee configuration, external knee joints, shin, SACH foot L5200 - Above knee, molded socket, single axis constant friction knee, shin, SACH foot L5210 - Above knee, short prosthesis, no knee joint (“stubbies”), with foot blocks, no ankle joints, each L5220 - Above knee, short prosthesis, no knee joint (“stubbies”), with articulated ankle/foot, dynamically aligned, each L5230 - Above knee, for proximal femoral focal deficiency, constant friction knee, shin, SACH foot L5250 - Hip disarticulation, Canadian type; molded socket, hip joint, single axis constant friction knee, shin, SACH foot L5270 - Hip disarticulation, tilt table type; molded socket, locking hip joint, single axis constant friction knee, shin, SACH foot L5280 - Hemipelvectomy, Canadian type; molded socket, hip joint, single axis constant friction knee, shin, SACH foot L5301 - Below knee, molded socket, shin, SACH foot, endoskeletal system L5312 - Knee disarticulation (or through knee), molded socket, single axis knee, pylon, SACH foot, endoskeletal system L5321 - Above knee, molded socket, open end, SACH foot, endoskeletal system, single axis knee L5331 - Hip disarticulation, Canadian type, molded socket, endoskeletal system, hip joint, single axis knee, SACH foot L5341 - Hemipelvectomy, Canadian type, molded socket, endoskeletal system, hip joint, single axis knee, SACH foot L5400 - Immediate post surgical or early fitting, application of initial rigid dressing, including fitting, alignment, suspension, and one cast change, below knee L5410 - Immediate post surgical or early fitting, application of initial rigid dressing, including fitting, alignment and suspension, below knee, each additional cast change and realignment L5420 - Immediate post surgical or early fitting, application of initial rigid dressing, including fitting, alignment and suspension and one cast change “AK” or knee disarticulation L5430 - Immediate post surgical or early fitting, application of initial rigid dressing, including fitting, alignment and suspension, “AK” or knee disarticulation, each additional cast change and realignment L5450 - Immediate post surgical or early fitting, application of non-weight bearing rigid dressing, below knee L5460 - Immediate post surgical or early fitting, application of non-weight bearing rigid dressing, above knee L5500 - Initial, below knee “PTB” type socket, non-alignable system, pylon, no cover, SACH foot, plaster socket, direct formed L5505 - Initial, above knee-knee disarticulation, Ischial level socket, non-alignable system, pylon, no cover, SACH foot, plaster socket, direct formed L5510 - Preparatory, below knee “PTB” type socket, non-alignable system, pylon, no cover, SACH foot, plaster socket, molded to model L5520 - Preparatory, below knee “PTB” type socket, non-alignable system, pylon, no cover, SACH foot, thermoplastic or equal, direct formed L5530 - Preparatory, below knee “PTB” type socket, non-alignable system, pylon, no cover, SACH foot, thermoplastic or equal, molded to model L5535 - Preparatory, below knee “PTB” type socket, non-alignable system, no cover, SACH foot, prefabricated, adjustable open end socket L5540 - Preparatory, below knee “PTB” type socket, non-alignable system, pylon, no cover, SACH foot, laminated socket, molded to model L5560 - Preparatory, above knee-knee disarticulation, Ischial level socket, non-alignable system, pylon, no cover, SACH foot, plaster socket, molded to model L5570 - Preparatory, above knee-knee disarticulation, Ischial level socket, non-alignable system, pylon, no cover, SACH foot, thermoplastic or equal, direct formed L5580 - Preparatory, above knee-knee disarticulation, Ischial level socket, non-alignable system, pylon, no cover, SACH foot, thermoplastic or equal, molded to model L5585 - Preparatory, above knee-knee disarticulation, Ischial level socket, non-alignable system, pylon, no cover, SACH foot, prefabricated adjustable open end socket L5590 - Preparatory, above knee-knee disarticulation, Ischial level socket, non-alignable system, pylon, no cover, SACH foot, laminated socket, molded to model L5595 - Preparatory, hip disarticulation-hemipelvectomy, pylon, no cover, SACH foot, thermoplastic or equal, molded to patient model L5600 - Preparatory, hip disarticulation-hemipelvectomy, pylon, no cover, SACH foot, laminated socket, molded to patient model L5610 - Addition to lower extremity, endoskeletal system, above knee, hydracadance system L5611 - Addition to lower extremity, endoskeletal system, above knee-knee disarticulation, 4 bar linkage, with friction swing phase control L5613 - Addition to lower extremity, endoskeletal system, above knee-knee disarticulation, 4 bar linkage, with hydraulic swing phase control L5614 - Addition to lower extremity, exoskeletal system, above knee-knee disarticulation, 4 bar linkage, with pneumatic swing phase control L5616 - Addition to lower extremity, endoskeletal system, above knee, universal multiplex system, friction swing phase control L5617 - Addition to lower extremity, quick change self-aligning unit, above or below knee, each L5618 - Addition to lower extremity, test socket, Symes L5620 - Addition to lower extremity, test socket, below knee L5622 - Addition to lower extremity, test socket, knee disarticulation L5624 - Addition to lower extremity, test socket, above knee L5626 - Addition to lower extremity, test socket, hip disarticulation L5628 - Addition to lower extremity, test socket, hemipelvectomy L5629 - Addition to lower extremity, below knee, acrylic socket L5630 - Addition to lower extremity, Symes type, expandable wall socket L5631 - Addition to lower extremity, above knee or knee disarticulation, acrylic socket L5632 - Addition to lower extremity, Symes type, “PTB” brim design socket L5634 - Addition to lower extremity, Symes type, posterior opening (Canadian) socket L5636 - Addition to lower extremity, Symes type, medial opening socket L5637 - Addition to lower extremity, below knee, total contact L5638 - Addition to lower extremity, below knee, leather socket L5639 - Addition to lower extremity, below knee, wood socket L5640 - Addition to lower extremity, knee disarticulation, leather socket L5642 - Addition to lower extremity, above knee, leather socket L5643 - Addition to lower extremity, hip disarticulation, flexible inner socket, external frame L5644 - Addition to lower extremity, above knee, wood socket L5645 - Addition to lower extremity, below knee, flexible inner socket, external frame L5646 - Addition to lower extremity, below knee, air, fluid, gel or equal, cushion socket L5647 - Addition to lower extremity, below knee, suction socket L5648 - Addition to lower extremity, above knee, air, fluid, gel or equal, cushion socket L5649 - Addition to lower extremity, ischial containment/narrow M-L socket L5650 - Addition to lower extremity, total contact, above knee or knee disarticulation socket L5651 - Addition to lower extremity, above knee, flexible inner socket, external frame L5652 - Addition to lower extremity, suction suspension, above knee or knee disarticulation socket L5653 - Addition to lower extremity, knee disarticulation, expandable wall socket L5654 - Addition to lower extremity, socket insert, Symes (Kemblo, Pelite, Aliplast, Plastazote or equal) L5655 - Addition to lower extremity, socket insert, below knee (Kemblo, Pelite, Aliplast, Plastazote or equal) L5656 - Addition to lower extremity, socket insert, knee disarticulation (Kemblo, Pelite, Aliplast, Plastazote or equal) L5658 - Addition to lower extremity, socket insert, above knee (Kemblo, Pelite, Aliplast, Plastazote or equal) L5661 - Addition to lower extremity, socket insert, multidurometer, Symes L5665 - Addition to lower extremity, socket insert, multidurometer, below knee L5666 - Addition to lower extremity, below knee, cuff suspension L5668 - Addition to lower extremity, below knee, molded distal cushion L5670 - Addition to lower extremity, below knee, molded supracondylar suspension (“PTS” or similar) L5671 - Addition to lower extremity, below knee/above knee suspension locking mechanism (shuttle, lanyard or equal), excludes socket insert L5672 - Addition to lower extremity, below knee, removable medial brim suspension L5673 - Addition to lower extremity, below knee/above knee, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric or equal, for use with locking mechanism L5676 - Addition to lower extremity, below knee, knee joints, single axis, pair L5677 - Addition to lower extremity, below knee, knee joints, polycentric, pair L5678 - Addition to lower extremity, below knee, joint covers, pair L5679 - Addition to lower extremity, below knee/above knee, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric or equal, not for use with locking mechanism L5680 - Addition to lower extremity, below knee, thigh lacer, nonmolded L5681 - Addition to lower extremity, below knee/above knee, custom fabricated socket insert for congenital or atypical traumatic amputee, silicone gel, elastomeric or equal, for use with or without locking mechanism, initial only (for other than initial, use code L5673 or L5679) L5682 - Addition to lower extremity, below knee, thigh lacer, gluteal/ischial, molded L5683 - Addition to lower extremity, below knee/above knee, custom fabricated socket insert for other than congenital or atypical traumatic amputee, silicone gel, elastomeric or equal, for use with or without locking mechanism, initial only (for other than initial, use code L5673 or L5679) L5684 - Addition to lower extremity, below knee, fork strap L5685 - Addition to lower extremity prosthesis, below knee, suspension/sealing sleeve, with or without valve, any material, each L5686 - Addition to lower extremity, below knee, back check (extension control) L5688 - Addition to lower extremity, below knee, waist belt, webbing L5690 - Addition to lower extremity, below knee, waist belt, padded and lined L5692 - Addition to lower extremity, above knee, pelvic control belt, light L5694 - Addition to lower extremity, above knee, pelvic control belt, padded and lined L5695 - Addition to lower extremity, above knee, pelvic control, sleeve suspension, neoprene or equal, each L5696 - Addition to lower extremity, above knee or knee disarticulation, pelvic joint L5697 - Addition to lower extremity, above knee or knee disarticulation, pelvic band L5698 - Addition to lower extremity, above knee or knee disarticulation, Silesian bandage L5699 - All lower extremity prostheses, shoulder harness L5700 - Replacement, socket, below knee, molded to patient model L5701 - Replacement, socket, above knee/knee disarticulation, including attachment plate, molded to patient model L5702 - Replacement, socket, hip disarticulation, including hip joint, molded to patient model L5703 - Ankle, Symes, molded to patient model socket without solid ankle cushion heel (SACH) foot, replacement only L5704 - Custom shaped protective cover, below knee L5705 - Custom shaped protective cover, above knee L5706 - Custom shaped protective cover, knee disarticulation L5707 - Custom shaped protective cover, hip disarticulation L5710 - Addition, exoskeletal knee-shin system, single axis, manual lock L5711 - Addition, exoskeletal knee-shin system, single axis, manual lock, ultra-light material L5712 - Addition, exoskeletal knee-shin system, single axis, friction swing and stance phase control (safety knee) L5714 - Addition, exoskeletal knee-shin system, single axis, variable friction swing phase control L5716 - Addition, exoskeletal knee-shin system, polycentric, mechanical stance phase lock L5718 - Addition, exoskeletal knee-shin system, polycentric, friction swing and stance phase control L5722 - Addition, exoskeletal knee-shin system, single axis, pneumatic swing, friction stance phase control L5724 - Addition, exoskeletal knee-shin system, single axis, fluid swing phase control L5726 - Addition, exoskeletal knee-shin system, single axis, external joints, fluid swing phase control L5728 - Addition, exoskeletal knee-shin system, single axis, fluid swing and stance phase control L5780 - Addition, exoskeletal knee-shin system, single axis, pneumatic/hydra pneumatic swing phase control L5781 - Addition to lower limb prosthesis, vacuum pump, residual limb volume management and moisture evacuation system L5782 - Addition to lower limb prosthesis, vacuum pump, residual limb volume management and moisture evacuation system, heavy duty L5785 - Addition, exoskeletal system, below knee, ultra-light material (titanium, carbon fiber or equal) L5790 - Addition, exoskeletal system, above knee, ultra-light material (titanium, carbon fiber or equal) L5795 - Addition, exoskeletal system, hip disarticulation, ultra-light material (titanium, carbon fiber or equal) L5810 - Addition, endoskeletal knee-shin system, single axis, manual lock L5811 - Addition, endoskeletal knee-shin system, single axis, manual lock, ultra-light material L5812 - Addition, endoskeletal knee-shin system, single axis, friction swing and stance phase control (safety knee) L5814 - Addition, endoskeletal knee-shin system, polycentric, hydraulic swing phase control, mechanical stance phase lock L5816 - Addition, endoskeletal knee-shin system, polycentric, mechanical stance phase lock L5818 - Addition, endoskeletal knee-shin system, polycentric, friction swing and stance phase control L5822 - Addition, endoskeletal knee-shin system, single axis, pneumatic swing, friction stance phase control L5824 - Addition, endoskeletal knee-shin system, single axis, fluid swing phase control L5826 - Addition, endoskeletal knee-shin system, single axis, hydraulic swing phase control, with miniature high activity frame L5828 - Addition, endoskeletal knee-shin system, single axis, fluid swing and stance phase control L5830 - Addition, endoskeletal knee-shin system, single axis, pneumatic/swing phase control L5840 - Addition, endoskeletal knee-shin system, 4 bar linkage or multiaxial, pneumatic swing phase control L5845 - Addition, endoskeletal knee-shin system, stance flexion feature, adjustable L5848 - Addition to endoskeletal, knee-shin system, fluid stance extension, dampening feature, with or without adjustability L5850 - Addition, endoskeletal system, above knee or hip disarticulation, knee extension assist L5855 - Addition, endoskeletal system, hip disarticulation, mechanical hip extension assist L5856 - ddition to lower extremity prosthesis, endoskeletal knee-shin system, microprocessor control feature, swing and stance phase, includes electronic sensor(s), any type L5857 - Addition to lower extremity prosthesis, endoskeletal knee-shin system, microprocessor control feature, swing phase only, includes electronic sensor(s), any type L5858 - Addition to lower extremity prosthesis, endoskeletal knee shin system, microprocessor control feature, stance phase only, includes electronic sensor(s), any type L5859 - Addition to lower extremity prosthesis, endoskeletal knee shin system, powered and programmable flexion/extension assist control, includes any type motor(s) L5910 - Addition, endoskeletal system, below knee, alignable system L5920 - Addition, endoskeletal system, above knee or hip disarticulation, alignable system L5925 - Addition, endoskeletal system, above knee, knee disarticulation or hip disarticulation, manual lock L5930 - Addition, endoskeletal system, high activity knee control frame L5940 - Addition, endoskeletal system, below knee, ultra-light material (titanium, carbon fiber or equal) L5950 - Addition, endoskeletal system, above knee, ultra-light material (titanium, carbon fiber or equal) L5960 - Addition, endoskeletal system, hip disarticulation, ultra-light material (titanium, carbon fiber or equal) L5961 - Addition, endoskeletal system, polycentric hip joint, pnuematic or hydraulic control, rotation control, with or without flexion and/or extension control L5962 - Addition, endoskeletal system, below knee, flexible protective outer surface covering system L5964 - Addition, endoskeletal system, above knee, flexible protective outer surface covering system L5966 - Addition, endoskeletal system, hip disarticulation, flexible protective outer surface covering system L5968 - Addition to lower limb prosthesis, multiaxial ankle with swing phase active dorsiflexion feature L5969 - Addition, endoskeletal ankle-foot or ankle system, power assist, includes any type motor(s) L5970 - All lower extremity prostheses, foot, external keel, SACH foot L5971 - All lower extremity prosthesis, solid ankle cushion heel (SACH) foot, replacement only L5972 - All lower extremity prostheses, flexible keel foot L5974 - All lower extremity prostheses, foot, single axis ankle/foot L5975 - All lower extremity prosthesis, combination single axis ankle and flexible keel foot L5976 - All lower extremity prostheses, energy storing foot (Seattle, Carbon Copy II or equal) L5978 - All lower extremity prostheses, foot, multiaxial ankle/foot L5979 - All lower extremity prostheses, multiaxial ankle, dynamic response foot, one piece system L5980 - All lower extremity prostheses, flex-foot system L5981 - All lower extremity prostheses, flex-walk system or equal L5982 - All exoskeletal lower extremity prostheses, axial rotation unit L5984 - All endoskeletal lower extremity prosthesis, axial rotation unit, with or without adjustability L5985 - All endoskeletal lower extremity prostheses, dynamic prosthetic pylon L5986 - All lower extremity prostheses, multi-axial rotation unit (“MCP” or equal) L5987 - All lower extremity prosthesis, shank foot system with vertical loading pylon L5988 - Addition to lower limb prosthesis, vertical shock reducing pylon feature L5990 - Addition to lower extremity prosthesis, user adjustable heel height L5999 - Lower extremity prosthesis, not otherwise specified L6000 - Partial hand, thumb remaining L6010 - Partial hand, Robin-Aids, little and/or ring finger remaining (or equal) L6020 - Partial hand, Robin-Aids, no finger remaining (or equal) L6026 - Transcarpal/metacarpal or partial hand disarticulation prosthesis, external power, self-suspended, inner socket with removable forearm section, electrodes and cables, two batteries, charger, myoelectric control of terminal device, excludes terminal device(s) L6050 - Wrist disarticulation, molded socket, flexible elbow hinges, triceps pad L6055 - Wrist disarticulation, molded socket with expandable interface, flexible elbow hinges, triceps pad L6100 - Below elbow, molded socket, flexible elbow hinge, triceps pad L6110 - Below elbow, molded socket (Muenster or Northwestern suspension types) L6120 - Below elbow, molded double wall split socket, step-up hinges, half cuff L6130 - Below elbow, molded double wall split socket, stump activated locking hinge, half cuff L6200 - Elbow disarticulation, molded socket, outside locking hinge, forearm L6205 - Elbow disarticulation, molded socket with expandable interface, outside locking hinges, forearm L6250 - Above elbow, molded double wall socket, internal locking elbow, forearm L6300 - Shoulder disarticulation, molded socket, shoulder bulkhead, humeral section, internal locking elbow, forearm L6310 - Shoulder disarticulation, passive restoration (complete prosthesis) L6320 - Shoulder disarticulation, passive restoration (shoulder cap only) L6350 - Interscapular thoracic, molded socket, shoulder bulkhead, humeral section, internal locking elbow, forearm L6360 - Interscapular thoracic, passive restoration (complete prosthesis) L6370 - Interscapular thoracic, passive restoration (shoulder cap only) L6380 - Immediate post surgical or early fitting, application of initial rigid dressing, including fitting, alignment, and suspension of components, and one cast change, wrist disarticulation or below elbow L6382 - Immediate post surgical or early fitting, application of initial rigid dressing, including fitting, alignment, and suspension of components, and one cast change, elbow disarticulation or above elbow L6384 - Immediate post surgical or early fitting, application of initial rigid dressing, including fitting, alignment, and suspension of components, and one cast change, shoulder disarticulation or interscapular thoracic L6386 - Immediate post surgical or early fitting, each additional cast change and realignment L6388 - Immediate post surgical or early fitting, application of rigid dressing only L6400 - Below elbow, molded socket, endoskeletal system, including soft prosthetic tissue shaping L6450 - Elbow disarticulation, molded socket, endoskeletal system, including soft prosthetic tissue shaping L6500 - Above elbow, molded socket, endoskeletal system, including soft prosthetic tissue shaping L6550 - Shoulder disarticulation, molded socket, endoskeletal system, including soft prosthetic tissue shaping L6570 - Interscapular thoracic, molded socket, endoskeletal system, including soft prosthetic tissue shaping L6580 - Preparatory, wrist disarticulation or below elbow, single wall plastic socket, friction wrist, flexible elbow hinges, figure of eight harness, humeral cuff, Bowden cable control, USMC or equal pylon, no cover, molded to patient model L6582 - Preparatory, wrist disarticulation or below elbow, single wall socket, friction wrist, flexible elbow hinges, figure of eight harness, humeral cuff, Bowden cable control, USMC or equal pylon, no cover, direct formed L6584 - Preparatory, elbow disarticulation or above elbow, single wall plastic socket, friction wrist, locking elbow, figure of eight harness, fair lead cable control, USMC or equal pylon, no cover, molded to patient model L6586 - Preparatory, elbow disarticulation or above elbow, single wall socket, friction wrist, locking elbow, figure of eight harness, fair lead cable control, USMC or equal pylon, no cover, direct formed L6588 - Preparatory, shoulder disarticulation or interscapular thoracic, single wall plastic socket, shoulder joint, locking elbow, friction wrist, chest strap, fair lead cable control, USMC or equal pylon, no cover, molded to patient model L6590 - Preparatory, shoulder disarticulation or interscapular thoracic, single wall socket, shoulder joint, locking elbow, friction wrist, chest strap, fair lead cable control, USMC or equal pylon, no cover, direct formed L6600 - Upper extremity additions, polycentric hinge, pair L6605 - Upper extremity additions, single pivot hinge, pair L6610 - Upper extremity additions, flexible metal hinge, pair L6611 - Upper extremity addition, external powered, additional switch, any type L6615 - Upper extremity addition, disconnect locking wrist unit L6616 - Upper extremity addition, additional disconnect insert for locking wrist unit, each L6620 - Upper extremity addition, flexion/extension wrist unit, with or without friction L6621 - Upper extremity prosthesis addition, flexion/extension wrist with or without friction, for use with external powered terminal devices L6623 - Upper extremity addition, spring assisted rotational wrist unit with latch release L6624 - Upper extremity addition, flexion/extension and rotation wrist unit L6625 - Upper extremity addition, rotation wrist unit with cable lock L6628 - Upper extremity addition, quick disconnect hook adapter, Otto Bock or equal L6629 - Upper extremity addition, quick disconnect lamination collar with coupling piece, Otto Bock or equal L6630 - Upper extremity addition, stainless steel, any wrist L6632 - Upper extremity addition, latex suspension sleeve, each L6635 - Upper extremity addition, lift assist for elbow L6637 - Upper extremity addition, nudge control elbow lock L6638 - Upper extremity addition to prosthesis, electric locking feature, only for use with manually powered elbow L6640 - Upper extremity additions, shoulder abduction joint, pair L6641 - Upper extremity addition, excursion amplifier, pulley type L6642 - Upper extremity addition, excursion amplifier, lever type L6645 - Upper extremity addition, shoulder flexion-abduction joint, each L6646 - Upper extremity addition, shoulder joint, multi-positional locking, flexion, adjustable abduction friction control, for use with body powered or external powered system L6647 - Upper extremity addition, shoulder lock mechanism, body powered actuator L6648 - Upper extremity addition, shoulder lock mechanism, external powered actuator L6650 - Upper extremity addition, shoulder universal joint, each L6655 - Upper extremity addition, standard control cable, extra L6660 - Upper extremity addition, heavy duty control cable L6665 - Upper extremity addition, Teflon, or equal, cable lining L6670 - Upper extremity addition, hook to hand, cable adapter L6672 - Upper extremity addition, harness, chest or shoulder, saddle type L6675 - Upper extremity addition, harness, (E.G., figure of eight type), single cable design L6676 - Upper extremity addition, harness, (E.G., figure of eight type), dual cable design L6677 - Upper extremity addition, harness, triple control, simultaneous operation of terminal device and elbow L6680 - Upper extremity addition, test socket, wrist disarticulation or below elbow L6682 - Upper extremity addition, test socket, elbow disarticulation or above elbow L6684 - Upper extremity addition, test socket, shoulder disarticulation or interscapular thoracic L6686 - Upper extremity addition, suction socket L6687 - Upper extremity addition, frame type socket, below elbow or wrist disarticulation L6688 - Upper extremity addition, frame type socket, above elbow or elbow disarticulation L6689 - Upper extremity addition, frame type socket, shoulder disarticulation L6690 - Upper extremity addition, frame type socket, interscapular thoracic L6691 - Upper extremity addition, removable insert, each L6692 - Upper extremity addition, silicone gel insert or equal, each L6693 - Upper extremity addition, locking elbow, forearm counterbalance L6694 - Addition to upper extremity prosthesis, below elbow/above elbow, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric or equal, for use with locking mechanism L6695 - Addition to upper extremity prosthesis, below elbow/above elbow, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric or equal, not for use with locking mechanism L6696 - Addition to upper extremity prosthesis, below elbow/above elbow, custom fabricated socket insert for congenital or atypical traumatic amputee, silicone gel, elastomeric or equal, for use with or without locking mechanism, initial only (for other than initial, use code L6694 or L6695) L6697 - Addition to upper extremity prosthesis, below elbow/above elbow, custom fabricated socket insert for other than congenital or atypical traumatic amputee, silicone gel, elastomeric or equal, for use with or without locking mechanism, initial only (for other than initial, use code L6694 or L6695) L6698 - Addition to upper extremity prosthesis, below elbow/above elbow, lock mechanism, excludes socket insert L6703 - Terminal device, passive hand/mitt, any material, any size L6704 - Terminal device, sport/recreational/work attachment, any material, any size L6706 - Terminal device, hook, mechanical, voluntary opening, any material, any size, lined or unlined L6707 - Terminal device, hook, mechanical, voluntary closing, any material, any size, lined or unlined L6708 - Terminal device, hand, mechanical, voluntary opening, any material, any size L6709 - Terminal device, hand, mechanical, voluntary closing, any material, any size L6715 - Terminal device, multiple articulating digit, includes motor(s), initial issue or replacement L6805 - Addition to terminal device, modifier wrist unit L6810 - Addition to terminal device, precision pinch device L6880 - Electric hand, switch or myoelectric controlled, independently articulating, digits, any grasp pattern or combination of grasp patterns, includes motor(s) L6881 - Automatic grasp feature, addition to upper limb electric prosthetic terminal device L6882 - Microprocessor control feature, addition to upper limb prosthetic terminal device L6883 - Replacement socket, below elbow/wrist disarticulation, molded to patient model, for use with or without external power L6884 - Replacement socket, above elbow/elbow disarticulation, molded to patient model, for use with or without external power L6885 - Replacement socket, shoulder disarticulation/interscapular thoracic, molded to patient model, for use with or without external power L6890 - Addition to upper extremity prosthesis, glove for terminal device, any material, prefabricated, includes fitting and adjustment L6895 - Addition to upper extremity prosthesis, glove for terminal device, any material, custom fabricated L6900 - Hand restoration (casts, shading and measurements included), partial hand, with glove, thumb or one finger remaining L6905 - Hand restoration (casts, shading and measurements included), partial hand, with glove, multiple fingers remaining L6910 - Hand restoration (casts, shading and measurements included), partial hand, with glove, no fingers remaining L6915 - Hand restoration (casts, shading and measurements included), replacement glove for above L6920 - Wrist disarticulation, external power, self-suspended inner socket, removable forearm shell, Otto Bock or equal switch, cables, two batteries and one charger, switch control of terminal device L6925 - Wrist disarticulation, external power, self-suspended inner socket, removable forearm shell, Otto Bock or equal electrodes, cables, two batteries and one charger, myoelectronic control of terminal device L6930 - Below elbow, external power, self-suspended inner socket, removable forearm shell, Otto Bock or equal switch, cables, two batteries and one charger, switch control of terminal device L6935 - Below elbow, external power, self-suspended inner socket, removable forearm shell, Otto Bock or equal electrodes, cables, two batteries and one charger, myoelectronic control of terminal device L6940 - Elbow disarticulation, external power, molded inner socket, removable humeral shell, outside locking hinges, forearm, Otto Bock or equal switch, cables, two batteries and one charger, switch control of terminal device L6945 - Elbow disarticulation, external power, molded inner socket, removable humeral shell, outside locking hinges, forearm, Otto Bock or equal electrodes, cables, two batteries and one charger, myoelectronic control of terminal device L6950 - Above elbow, external power, molded inner socket, removable humeral shell, internal locking elbow, forearm, Otto Bock or equal switch, cables, two batteries and one charger, switch control of terminal device L6955 - Above elbow, external power, molded inner socket, removable humeral shell, internal locking elbow, forearm, Otto Bock or equal electrodes, cables, two batteries and one charger, myoelectronic control of terminal device L6960 - Shoulder disarticulation, external power, molded inner socket, removable shoulder shell, shoulder bulkhead, humeral section, mechanical elbow, forearm, Otto Bock or equal switch, cables, two batteries and one charger, switch control of terminal device L6965 - Shoulder disarticulation, external power, molded inner socket, removable shoulder shell, shoulder bulkhead, humeral section, mechanical elbow, forearm, Otto Bock or equal electrodes, cables, two batteries and one charger, myoelectronic control of terminal device L6970 - Interscapular-thoracic, external power, molded inner socket, removable shoulder shell, shoulder bulkhead, humeral section, mechanical elbow, forearm, Otto Bock or equal switch, cables, two batteries and one charger, switch control of terminal device L6975 - Interscapular-thoracic, external power, molded inner socket, removable shoulder shell, shoulder bulkhead, humeral section, mechanical elbow, forearm, Otto Bock or equal electrodes, cables, two batteries and one charger, myoelectronic control of terminal device L7007 - Electric hand, switch or myoelectric controlled, adult L7008 - Electric hand, switch or myoelectric controlled, pediatric L7009 - Electric hook, switch or myoelectric controlled, adult L7040 - Prehensile actuator, switch controlled L7045 - Electronic hook, switch or myoelectric controlled, pediatric L7170 - Electronic elbow, Hosmer or equal, switch controlled L7180 - Electronic elbow, microprocessor sequential control of elbow and terminal device L7181 - Electronic elbow, microprocessor simultaneous control of elbow and terminal device L7185 - Electronic elbow, adolescent, Variety Village or equal, switch controlled L7186 - Electronic elbow, child, Variety Village or equal, switch controlled L7190 - Electronic elbow, adolescent, Variety Village or equal, myoelectronically controlled L7191 - Electronic elbow, child, Variety Village or equal, myoelectronically controlled L7259 - Electronic wrist rotator, any type L7360 - Six volt battery, each L7362 - Battery charger, six volt, each L7364 - Twelve volt battery, each L7366 - Battery charger, twelve volt, each L7367 - Lithium ion battery, rechargable, replacement L7368 - Lithium ion battery, charger L7400 - Addition to upper extremity prosthesis, below elbow/wrist disarticulation, ultralight material (titanium, carbon fiber, or equal) L7401 - Addition to upper extremity prosthesis, above elbow disarticulation, ultralight material (titanium, carbon fiber, or equal) L7402 - Addition to upper extremity prosthesis, shoulder disarticulation/interscapular thoracic, ultralight material (titanium, carbon fiber, or equal) L7403 - Addition to upper extremity prosthesis, below elbow/wrist disarticulation, acrylic material L7404 - Addition to upper extremity prosthesis, above elbow disarticulation, acrylic material L7405 - Addition to upper extremity prosthesis, shoulder disarticulation/interscapular thoracic, acrylic material L7499 - Upper extremity prosthesis, not otherwise specified L7510 - Repair of prosthetic device, repair or replace minor parts L7520 - Repair of prosthetic device, labor component, per 15 minutes L7600 - Prosthetic donning sleeve, any material, each L7700 - Gasket or seal, for use with prosthetic socket insert, any type, each L8000 - Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type L8001 - Breast prosthesis, mastectomy bra, with integrated breast prosthesis form, unilateral, any size, any type L8002 - Breast prosthesis, mastectomy bra, with integrated breast prosthesis form, bilateral, any size, any type L8010 - Breast prosthesis, mastectomy sleeve L8015 - External breast prosthesis garment, with mastectomy form, post mastectomy L8020 - Breast prosthesis, mastectomy form L8030 - Breast prosthesis, silicone or equal L8032 - Nipple prosthesis,prefabricated, reuseable, any type, each L8033 - Nipple prosthesis, custom fabricated, reusable, any material, any type, each L8035 - Custom breast prosthesis, post mastectomy, molded to patient model L8039 - Breast prosthesis, not otherwise specified L8300 - Truss, single with standard pad L8310 - Truss, double with standard pads L8320 - Truss, addition to standard pad, water pad L8330 - Truss, addition to standard pad, scrotal pad L8400 - Prosthetic sheath, below knee, each L8410 - Prosthetic sheath, above knee, each L8415 - Prosthetic sheath, upper limb, each L8417 - Prosthetic sheath/sock, including a gel cushion layer, below knee or above knee, each L8420 - Prosthetic sock, multiple ply, below knee, each L8430 - Prosthetic sock, multiple ply, above knee, each L8435 - Prosthetic sock, multiple ply, upper limb, each L8440 - Prosthetic shrinker, below knee, each L8460 - Prosthetic shrinker, above knee, each L8465 - Prosthetic shrinker, upper limb, each L8470 - Prosthetic sock, single ply, fitting, below knee, each L8480 - Prosthetic sock, single ply, fitting, above knee, each L8485 - Prosthetic sock, single ply, fitting, upper limb, each L8499 - Unlisted procedure for miscellaneous prosthetic services L8701 - Powered upper extremity range of motion assist device, elbow, wrist, hand with single or double upright(s), includes microprocessor, sensors, all components and accessories, custom fabricated L8702 - Powered upper extremity range of motion assist device, elbow, wrist, hand, finger, single or double upright(s), includes microprocessor, sensors, all components and accessories, custom fabricated L9900 - Orthotic and prosthetic supply, accessory, and/or service component of another HCPCS “L” code L9900 - Orthotic and prosthetic supply, accessory, and/or service component of another HCPCS “L” code S1040 - Cranial remolding orthosis, pediatric, rigid, with soft interface material, custom fabricated, includes fitting and adjustment(s)

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-- Select Manufacturer (119 matches) -- ACOR Orthopaedic Inc. Advanced O&P Solutions, LLC Aesthetic Concerns Prosthetics Inc./dba LIVINGSKIN Aetrex Worldwide Inc. AliMed Inc. Allard USA Inc. ALPS American Breast Care American Prosthetic Components Inc. AMFIT Inc. Amoena Corporation Anatomical Concepts Inc. AOPA Apis Footwear Co. Arizona AFO ARTech Laboratory Inc. Aspen Medical Products Atlantic Rim Brace Manufacturing Corp. ATLAS International Bauerfeind USA Inc. Becker Orthopedic Appliance Co. Bilt-Rite Orthopedics & Safety Inc. Bio Cybernetics International Biomedical Horizons BIONESS Inc. BioQuest Prosthetics LLC Blatchford Bledsoe Brace Systems BMI International Bort-Swiss Orthopedic Supply Boston Brace International Inc. Branier Custom Molded Shoes BREG Inc. Bremer Group Co., The Bulldog Tools Inc. Cascade DAFO Inc. Cascade Orthopedic Supply Inc. College Park Industries Comfort Products Inc. Coyote Design & Mfg. CSUS LLC DAW Industries Inc. DeRoyal Industries Inc. dj Orthopedics LLC Dorset Orthopaedic Co. Ltd. Dr. Comfort DYCOR Manufacturing Inc. Euro International Inc. Ferrier Coupler Inc. Fillauer Companies Inc. Florida Brace Corp. Foresee Orthopedic Products Freedom Innovations Inc. Freeman Manufacturing Co. Friddle's Geauga Rehab. Engineering Grace Prosthetic Fabrication Inc. GRE HOPE Orthopedic Horton Technology Hosmer Dorrance Corp. JT Tech Industrial, Inc. Just Sneakers Kinetic Research Inc./Bader Prosthetics & Orthotic Kingsley Manufacturing Co. KISS Technologies LLC. Knit-Rite Inc. Lenjoy Medical Engineering (Comfy Splints) Leo G. Stein & Co. Levy & Rappel Liberating Technologies Inc./RSL Steeper Life-Like Laboratory Lohmann & Rauscher M. J. Markell Shoe Co. Inc. Maramed MD Orthopaedics Med Spec (ASO) MEDEX International Inc. Medi USA Medica/Ortho Supply Inc. MICA Corporation. Motion Control Inc New Options Sports OPPO Medical OPTEC Orthomerica Products Inc. Orthotics Choice Ossur Americas OTS Corp. Ottobock P.W. Minor Palumbo Orthopaedics Poly Gel Powerstep (Stable Step Inc.) Prosthetic Design Inc. PROTEOR Restorative Care of America Inc. Restorative Medical, Inc Royal Knit Inc. Silipos/Langer Smith Global Inc. (A Division of Jim Smith Sales) Sole Tech Inc./ Advance Footwear Spinal Technology Surgi-Care Inc. Syncor Ltd. Tamarack Habilitation Technologies Inc. Texas Assistive Devices LLC The New Generation Inc. ThermoTek Inc. TiMED Inc. Touch Bionics Townsend Design TRS Inc. (Therapeutic Recreation Systems Inc.) Truform Orthotics and Prosthetics Trulife Ultraflex Systems WalkWell International Laboratories Willow Wood Yale Surgical-Yale Comfort Shoe