2017 HCPCS Codes > L Codes >

L0486

Tlso, triplanar control, two 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 from symphysis pubis to sternal notch, lateral strength is enhanced by overlapping plastic, restricts gross trunk motion in the sagittal, coronal, and transverse planes, includes a carved plaster or cad-cam model, custom fabricated

  • Effective Date: 2003-01-01
  • Medicare Coverage Status: Carrier Judgement
  • BETOS Classification: Prosthestic/Orthotic devices

Medicare Fees (ceiling): $2256.59

L0484       L0488