HCPCS Code Section: HCPCS L Codes

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 …

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

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

Knee orthosis, double upright with adjustable joint, with inflatable air support chamber(s), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient …

Legg perthes orthosis, (scottish rite type), custom fabricated Short Description: Legg perthes orth scottish r Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January …

Knee orthosis, 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 Short Description: …

Legg perthes orthosis, trilateral, (tachdijan type), custom fabricated Short Description: Legg perthes orthosis trilat Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, …

Knee orthosis, 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 …

Legg perthes orthosis, (newington type), custom fabricated Short Description: Legg perthes orth newington Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, 1982 …