HCPCS Code Section: HCPCS L Codes

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 …

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

Legg perthes orthosis, (patten bottom type), custom fabricated Short Description: Legg perthes patten bottom t Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January …

Knee orthosis, double upright with adjustable joint, with inflatable air support chamber(s), prefabricated, off-the-shelf Short Description: Ko dbl upright w/air pre ots Coverage Code: Carrier judgment Action Code: No …

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 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, 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, …