HCPCS Code Section: HCPCS L Codes

Addition to tlso, (low profile), abdominal pad Short Description: Abdominal pad Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, 1988 Effective Date: …

Hip orthosis, abduction control of hip joint, postoperative hip abduction type, custom fabricated Short Description: Post-op hip abduct custom fa Coverage Code: Carrier judgment Action Code: No maintenance for …

Addition to tlso, (low profile), anterior thoracic derotation pad Short Description: Anterior thoracic derotation Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, …

Hip orthosis, abduction control of hip joints, dynamic, pelvic control, adjustable hip motion control, thigh cuffs (rancho hip action type), custom fabricated Coverage Code: Carrier judgment Action Code: No …

Hip orthosis, abduction control of hip joints, static, plastic, prefabricated, includes fitting and adjustment Short Description: Ho abduction static plastic Coverage Code: Carrier judgment Action Code: No maintenance for …

Hip orthosis, bilateral thigh cuffs with adjustable abductor spreader bar, adult size, prefabricated, includes fitting and adjustment, any type Short Description: Ho bi thighcuffs w sprdr bar Coverage Code: …

Hip orthosis, abduction control of hip joints, static, adjustable, (ilfled type), prefabricated, includes fitting and adjustment Short Description: Ho abduction hip adjustable Coverage Code: Carrier judgment Action Code: No …

Hip orthosis, abduction control of hip joints, static, pelvic band or spreader bar, thigh cuffs, custom fabricated Short Description: Pelv band/spread bar thigh c Coverage Code: Carrier judgment Action …

Hip orthosis, abduction control of hip joints, semi-flexible (von rosen type), custom fabricated Short Description: Abduct control hip semi-flex Coverage Code: Carrier judgment Action Code: No maintenance for this …

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