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Thoracic-lumbar-sacral orthosis (TLSO), flexible, provides trunk support, upper thoracic region, 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. L0452.
The HCPCS codes for Thoracic-lumbar-sacral (TLSO) Orthotics range from L0450 to L0492. These codes describe different types of orthotic devices that provide trunk support and restrict motion in the thoracic-lumbar-sacral region of the spine.
Both “off-the-shelf” (OTS) and custom-fit items are considered prefabricated braces for Medicare coding purposes. 42 CFR §414.402 establishes that correct coding of a spinal orthosis is dependent upon whether there is a need for “minimal self-adjustment” during the final fitting at the time of delivery.
L0467. Thoracic-lumbar-sacral orthosis (TLSO), sagittal control, rigid posterior frame and flexible soft anterior apron with straps, closures and padding, restricts gross trunk motion in sagittal plane, produces intracavitary pressure to reduce load on intervertebral disks, prefabricated, off-the-shelf. L0468.
For an item to be classified as a TLSO, the posterior portion of the brace must extend from the sacrococcygeal junction to just inferior to the scapular spine. This excludes elastic or equal shoulder straps or other strapping.
L0450 - TLSO, FLEXIBLE, PROVIDES TRUNK SUPPORT, UPPER THORACIC REGION, 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.
The HCPCS codes for Low-profile Additions, Thoracic-lumbar-sacral Orthotics (L1200-L1290) describe various additions and modifications to the Thoracic-lumbar-sacral orthosis (TLSO) that provide support and stabilization to the thoracic, lumbar, and sacral regions of the spine.
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HCPCS Code for Thoracic-lumbar-sacral orthosis (TLSO), flexible, provides trunk support, upper thoracic region, 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 L0450.
l1200 (thoracic-lumbar-sacral-orthosis (tlso), inclusive of furnishing initial orthosis only) The following table lists addition codes which describe components or features that can be physically incorporated into the L1200 orthosis but are not considered to be included in the allowance for the L1200 orthosis.