L0455
Tlso, flexible, provides trunk support, extends from sacrococcygeal junction to above t-9 vertebra, restricts gross trunk motion in the sagittal plane, produces intracavitary pressure to reduce load on the intervertebral disks with rigid stays or panel(s), includes shoulder straps and closures, prefabricated, off-the-shelf
- Effective Date: 2014-01-01
- Medicare Coverage Status: Carrier Judgement
- BETOS Classification: Prosthestic/Orthotic devices
Medicare Fees (ceiling): $400.94
L0454
L0456 