HCPCS Code Section: HCPCS L Codes

Transfer of an orthosis from one shoe to another, caliper plate, new Short Description: Trans shoe caliper plate new Coverage Code: Special coverage instructions apply Action Code: No maintenance …

Transfer of an orthosis from one shoe to another, caliper plate, existing Short Description: Trans shoe calip plate exist Coverage Code: Special coverage instructions apply Action Code: No maintenance …

Orthopedic shoe addition, march bar Short Description: Ortho shoe add march bar Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date Added: January 1, …

Orthopedic shoe addition, convert firm shoe counter to soft counter Short Description: O shoe convert to sof counte Coverage Code: Special coverage instructions apply Action Code: No maintenance for …

Shoulder orthosis, shoulder joint design, without joints, may include soft interface, straps, prefabricated, off-the-shelf Short Description: So hard plas stabili pre ots Coverage Code: Carrier judgment Action Code: No …

Wrist hand finger orthosis, rigid without joints, may include soft interface material; straps, custom fabricated, includes fitting and adjustment Short Description: Whfo, rigid w/o joints Coverage Code: Carrier judgment …

Shoulder orthosis, shoulder joint design, without joints, may include soft interface, straps, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient …

Wrist hand finger orthosis, without joint(s), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise Short …

Shoulder orthosis, vest type abduction restrainer, canvas webbing type or equal, prefabricated, off-the-shelf Short Description: So vest canvas/web pre ots Coverage Code: Carrier judgment Action Code: No maintenance for …

Wrist hand finger orthosis, includes one or more nontorsion joint(s), turnbuckles, elastic bands/springs, may include soft interface material, straps, custom fabricated, includes fitting and adjustment Short Description: Whfo w/joint(s) …