2025 HCPCS Code L0491
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
TAGS: stabilizing motion anterior fitting spinal provided symphysis overlapping segmented straps inferior sagittal sacrococcygeal coronal junction lateral terminates gross pubis extends restricts plastic rigid scapular strength modular posterior trunk adjustmentShort Description | Tlso 2 piece rigid shell |
HCPCS Action Code | N - No maintenance for this code |
HCPCS Coverage Code | C - Carrier judgment |
HCPCS Code Added Date | January 01, 2006 |
HCPCS Action Effective Date | January 01, 2006 |
HCPCS Pricing Indicator Code | 38 - Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings) |
HCPCS Type Of Service Code | P - Lump sum purchase of DME, prosthetics, orthotics |
HCPCS Multiple Pricing Indicator Code | A - Not applicable as HCPCS priced under one methodology |
HCPCS Anesthesia Base Unit Quantity | 0 |
HCPCS Coverage Issues Manual Reference Section Number |
Check Similar HCPCS Codes
- L5681 - Intl custm cong/latyp insert
- L5682 - Bk thigh lacer glut/ischia m
- L5683 - Initial custom socket insert
- L5684 - Bk fork strap
- L5685 - Below knee sus/seal sleeve
- L5686 - Bk back check
- L5688 - Bk waist belt webbing
- L5690 - Bk waist belt padded and lin
- L5692 - Ak pelvic control belt light
- L5694 - Ak pelvic control belt pad/l
- L5695 - Ak sleeve susp neoprene/equa
- L5696 - Ak/knee disartic pelvic join
- L5697 - Ak/knee disartic pelvic band
- L5698 - Ak/knee disartic silesian ba
- L5699 - Shoulder harness
- L5700 - Replace socket below knee
- L5701 - Replace socket above knee
- L5702 - Replace socket hip
- L5703 - Symes ankle w/o (sach) foot
- L5704 - Custom shape cover bk