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Codes: l0472

l0472

l0472 is a valid HCPCS code for 2023. It's used to specify:
Tlso triplanar control hyperextension rigid anterior and lateral frame extends from symphysis pubis to sternal notch with two anterior components (one pubic and one sternal) posterior and lateral pads with straps and closures limits spinal flexion restricts gross trunk motion in sagittal coronal and transverse planes includes fitting and shaping the frame prefabricated includes fitting and adjustment

l0472- HCPCS Details

HCPCS Code

l0472

Description

Short Description
Tlso rigid frame hyperex pre
Long Description
Tlso triplanar control hyperextension rigid anterior and lateral frame extends from symphysis pubis to sternal notch with two anterior components (one pubic and one sternal) posterior and lateral pads with straps and closures limits spinal flexion restricts gross trunk motion in sagittal coronal and transverse planes includes fitting and shaping the frame prefabricated includes fitting and adjustment

A code denoting Medicare coverage status.

HCPCS Coverage Code ⓘ

C

A code denoting the change made to a procedure or modifier code within the HCPCS system.

HCPCS Action Code ⓘ
N =
No maintenance for this code

Code used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.

HCPCS Pricing Indicator ⓘ
38 =
Orthotics prosthetics prosthetic devices & vision services (price subject to floors and ceilings)

Code used to identify instances where a procedure could be priced under multiple methodologies.

HCPCS Multiple Pricing Indicator Code ⓘ
A =
Not applicable as HCPCS priced under one methodology

Berenson-Eggers Type of Service (BETOS) classification categories are used to analyze Medicare costs. All Health Care Financing Administration Common Procedure Coding System (HCPCS) procedure codes are assigned to a BETOS category.

BETOS Classification ⓘ

D1F =
Prosthetic/Orthotic devices

The carrier assigned CMS type of service which describes the particular kind(s) of service represented by the procedure code.

Type of Service ⓘ

P =
Lump sum purchase of DME prosthetics orthotics
( )

Effective date of action to a procedure or modifier code

Effective Date ⓘ

01/01/2003

The year the HCPCS code was added to the Healthcare Common Procedure Coding System.

Date Added ⓘ

01/01/2003
Termination Date
-

The HCPCS Code Section that this code belongs to. It's typically denoted by the first letter in the code.

Code Section ⓘ

l