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    2023 HCPCS Codes
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    Codes: l0491

    l0491

    l0491 is a valid HCPCS code for 2023. It's used to specify:
    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 symphysis pubis to the xiphoid soft liner restricts gross trunk motion in the sagittal and coronal planes lateral strength is provided by overlapping plastic and stabilizing closures includes straps and closures prefabricated includes fitting and adjustment

    l0491- HCPCS Details

    • Updated: May 23, 2023

    HCPCS Code

    l0491

    Description

    Short Description
    Tlso 2 piece rigid shell
    Long Description
    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 symphysis pubis to the xiphoid soft liner restricts gross trunk motion in the sagittal and coronal planes lateral strength is provided by overlapping plastic and stabilizing closures includes straps and closures 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 ⓘ

    01/01/2006

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

    Date Added ⓘ

    01/01/2006
    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
    HCPCS Coding Procedures →

    Code Sections