2025 HCPCS Code L0490
Tlso, sagittal-coronal control, one piece rigid plastic shell, with overlapping reinforced anterior, with multiple straps and closures, posterior extends from sacrococcygeal junction and terminates at or before the t-9 vertebra, anterior extends from symphysis pubis to xiphoid, anterior opening, restricts gross trunk motion in sagittal and coronal planes, prefabricated, includes fitting and adjustment
TAGS: before motion anterior fitting symphysis overlapping straps piece sacrococcygeal sagittal coronal junction terminates multiple gross reinforced pubis extends restricts plastic rigid posterior trunk adjustmentShort Description | Tlso rigid plastic pre one |
HCPCS Action Code | N - No maintenance for this code |
HCPCS Coverage Code | C - Carrier judgment |
HCPCS Code Added Date | January 01, 2003 |
HCPCS Action Effective Date | January 01, 2003 |
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 |
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