HCPCS Code Section: HCPCS L Codes

L0190

Cervical, multiple post collar, occipital/mandibular supports, adjustable cervical bars (somi, guilford, taylor types) Short Description: Cerv collar supp adj cerv ba Coverage Code: Carrier judgment Action Code: No maintenance …

L0180

Cervical, multiple post collar, occipital/mandibular supports, adjustable Short Description: Cer post col occ/man sup adj Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January …

L0174

Cervical, collar, semi-rigid, thermoplastic foam, two piece with thoracic extension, prefabricated, off-the-shelf Short Description: Cerv sr 2pc thor ext pre ots Coverage Code: Carrier judgment Action Code: No maintenance …

L0172

Cervical, collar, semi-rigid thermoplastic foam, two-piece, prefabricated, off-the-shelf Short Description: Cerv col sr foam 2pc pre ots Coverage Code: Carrier judgment Action Code: No maintenance for this code Date …

L0622

Sacroiliac orthosis, flexible, provides pelvic-sacral support, reduces motion about the sacroiliac joint, includes straps, closures, may include pendulous abdomen design, custom fabricated Short Description: Sio flex pelvisacral custom Coverage …

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 Short Description: Sio flex pelvic/sacr pre ots …

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 …

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 …

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 …

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 …