Orthotic Devices
1,100 codes, page 4 of 6.
Other codes in this group 200
| Code | Name | Status | Hospitals with prices |
|---|---|---|---|
| HCPCS L0980 | Peroneal straps, prefabricated, off-the-shelf, pair | Current code | 23 hospitals |
| HCPCS L0982 | Stocking supporter grips, prefabricated, off-the-shelf, set of four (4) | Current code | 23 hospitals |
| HCPCS L0984 | Protective body sock, prefabricated, off-the-shelf, each | Current code | 24 hospitals |
| HCPCS L0999 | Addition to spinal orthosis, not otherwise specified | Current code | 1 hospital |
| HCPCS L1000 | Cervical-thoracic-lumbar-sacral orthosis (ctlso) (milwaukee), inclusive of furnishing initial orthosis, including model | Current code | 24 hospitals |
| HCPCS L1001 | Cervical thoracic lumbar sacral orthosis, immobilizer, infant size, prefabricated, includes fitting and adjustment | Current code | 2 hospitals |
| HCPCS L1005 | Tension based scoliosis orthosis and accessory pads, includes fitting and adjustment | Current code | 27 hospitals |
| HCPCS L1006 | Scoliosis orthosis, sagittal-coronal control provided by a rigid lateral frame, extends from axilla to trochanter, includes all accessory pads, straps and interface, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise | Current code | 12 hospitals |
| HCPCS L1010 | Addition to cervical-thoracic-lumbar-sacral orthosis (ctlso) or scoliosis orthosis, axilla sling | Current code | 24 hospitals |
| HCPCS L1020 | Addition to ctlso or scoliosis orthosis, kyphosis pad | Current code | 24 hospitals |
| HCPCS L1025 | Addition to ctlso or scoliosis orthosis, kyphosis pad, floating | Current code | 23 hospitals |
| HCPCS L1030 | Addition to ctlso or scoliosis orthosis, lumbar bolster pad | Current code | 23 hospitals |
| HCPCS L1040 | Addition to ctlso or scoliosis orthosis, lumbar or lumbar rib pad | Current code | 24 hospitals |
| HCPCS L1050 | Addition to ctlso or scoliosis orthosis, sternal pad | Current code | 24 hospitals |
| HCPCS L1060 | Addition to ctlso or scoliosis orthosis, thoracic pad | Current code | 24 hospitals |
| HCPCS L1070 | Addition to ctlso or scoliosis orthosis, trapezius sling | Current code | 24 hospitals |
| HCPCS L1080 | Addition to ctlso or scoliosis orthosis, outrigger | Current code | 24 hospitals |
| HCPCS L1085 | Addition to ctlso or scoliosis orthosis, outrigger, bilateral with vertical extensions | Current code | 23 hospitals |
| HCPCS L1090 | Addition to ctlso or scoliosis orthosis, lumbar sling | Current code | 23 hospitals |
| HCPCS L1100 | Addition to ctlso or scoliosis orthosis, ring flange, plastic or leather | Current code | 23 hospitals |
| HCPCS L1110 | Addition to ctlso or scoliosis orthosis, ring flange, plastic or leather, molded to patient model | Current code | 23 hospitals |
| HCPCS L1120 | Addition to ctlso, scoliosis orthosis, cover for upright, each | Current code | 24 hospitals |
| HCPCS L1200 | Thoracic-lumbar-sacral-orthosis (tlso), inclusive of furnishing initial orthosis only | Current code | 24 hospitals |
| HCPCS L1210 | Addition to tlso, (low profile), lateral thoracic extension | Current code | 24 hospitals |
| HCPCS L1220 | Addition to tlso, (low profile), anterior thoracic extension | Current code | 24 hospitals |
| HCPCS L1230 | Addition to tlso, (low profile), milwaukee type superstructure | Current code | 23 hospitals |
| HCPCS L1240 | Addition to tlso, (low profile), lumbar derotation pad | Current code | 24 hospitals |
| HCPCS L1250 | Addition to tlso, (low profile), anterior asis pad | Current code | 24 hospitals |
| HCPCS L1260 | Addition to tlso, (low profile), anterior thoracic derotation pad | Current code | 24 hospitals |
| HCPCS L1270 | Addition to tlso, (low profile), abdominal pad | Current code | 24 hospitals |
| HCPCS L1280 | Addition to tlso, (low profile), rib gusset (elastic), each | Current code | 24 hospitals |
| HCPCS L1290 | Addition to tlso, (low profile), lateral trochanteric pad | Current code | 24 hospitals |
| HCPCS L1300 | Other scoliosis procedure, body jacket molded to patient model | Current code | 23 hospitals |
| HCPCS L1310 | Other scoliosis procedure, post-operative body jacket | Current code | 24 hospitals |
| HCPCS L1499 | Spinal orthosis, not otherwise specified | Current code | 8 hospitals |
| HCPCS L1600 | Hip orthosis, abduction control of hip joints, flexible, frejka type with cover, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an inidividual with expertise | Current code | 23 hospitals |
| HCPCS L1610 | Hip orthosis, abduction control of hip joints, flexible, (frejka cover only), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise | Current code | 23 hospitals |
| HCPCS L1620 | Hip orthosis, abduction control of hip joints, flexible, (pavlik harness), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise | Current code | 25 hospitals |
| HCPCS L1630 | Hip orthosis, abduction control of hip joints, semi-flexible (von rosen type), custom fabricated | Current code | 23 hospitals |
| HCPCS L1640 | Hip orthosis, abduction control of hip joints, static, pelvic band or spreader bar, thigh cuffs, custom fabricated | Current code | 24 hospitals |
| HCPCS L1650 | Hip orthosis, abduction control of hip joints, static, adjustable, (ilfled type), prefabricated, includes fitting and adjustment | Current code | 23 hospitals |
| HCPCS L1652 | Hip orthosis, bilateral thigh cuffs with adjustable abductor spreader bar, adult size, prefabricated, includes fitting and adjustment, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise | Current code | 23 hospitals |
| HCPCS L1653 | Hip orthosis, bilateral thigh cuffs with adjustable abductor spreader bar, adult size, prefabricated, off the shelf | Current code | 12 hospitals |
| HCPCS L1660 | Hip orthosis, abduction control of hip joints, static, plastic, prefabricated, includes fitting and adjustment | Current code | 24 hospitals |
| HCPCS L1680 | Hip orthosis, abduction control of hip joints, dynamic, pelvic control, adjustable hip motion control, thigh cuffs (rancho hip action type), custom fabricated | Current code | 23 hospitals |
| HCPCS L1681 | Hip orthosis, bilateral hip joints and thigh cuffs, adjustable flexion, extension, abduction control of hip joint, postoperative hip abduction type, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise | Current code | 16 hospitals |
| HCPCS L1685 | Hip orthosis, abduction control of hip joint, postoperative hip abduction type, custom fabricated | Current code | 23 hospitals |
| HCPCS L1686 | Hip orthosis, abduction control of hip joint, postoperative hip abduction type, prefabricated, includes fitting and adjustment | Current code | 24 hospitals |
| HCPCS L1690 | Combination, bilateral, lumbo-sacral, hip, femur orthosis providing adduction and internal rotation control, prefabricated, includes fitting and adjustment | Current code | 23 hospitals |
| HCPCS L2040 | Hip knee ankle foot orthosis, torsion control, bilateral rotation straps, pelvic band/belt, custom fabricated | Current code | 24 hospitals |
| HCPCS L2050 | Hip knee ankle foot orthosis, torsion control, bilateral torsion cables, hip joint, pelvic band/belt, custom fabricated | Current code | 24 hospitals |
| HCPCS L2060 | Hip knee ankle foot orthosis, torsion control, bilateral torsion cables, ball bearing hip joint, pelvic band/ belt, custom fabricated | Current code | 24 hospitals |
| HCPCS L2070 | Hip knee ankle foot orthosis, torsion control, unilateral rotation straps, pelvic band/belt, custom fabricated | Current code | 24 hospitals |
| HCPCS L2080 | Hip knee ankle foot orthosis, torsion control, unilateral torsion cable, hip joint, pelvic band/belt, custom fabricated | Current code | 24 hospitals |
| HCPCS L2090 | Hip knee ankle foot orthosis, torsion control, unilateral torsion cable, ball bearing hip joint, pelvic band/ belt, custom fabricated | Current code | 23 hospitals |
| HCPCS L2132 | Kafo, fracture orthosis, femoral fracture cast orthosis, soft, prefabricated, includes fitting and adjustment | Current code | 25 hospitals |
| HCPCS L2134 | Kafo, fracture orthosis, femoral fracture cast orthosis, semi-rigid, prefabricated, includes fitting and adjustment | Current code | 23 hospitals |
| HCPCS L2136 | Kafo, fracture orthosis, femoral fracture cast orthosis, rigid, prefabricated, includes fitting and adjustment | Current code | 28 hospitals |
| HCPCS L2190 | Addition to lower extremity fracture orthosis, waist belt | Current code | 23 hospitals |
| HCPCS L2192 | Addition to lower extremity fracture orthosis, hip joint, pelvic band, thigh flange, and pelvic belt | Current code | 24 hospitals |
| HCPCS L2300 | Addition to lower extremity, abduction bar (bilateral hip involvement), jointed, adjustable | Current code | 24 hospitals |
| HCPCS L2310 | Addition to lower extremity, abduction bar-straight | Current code | 24 hospitals |
| HCPCS L2500 | Addition to lower extremity, thigh/weight bearing, gluteal/ ischial weight bearing, ring | Current code | 23 hospitals |
| HCPCS L2510 | Addition to lower extremity, thigh/weight bearing, quadri- lateral brim, molded to patient model | Current code | 24 hospitals |
| HCPCS L2520 | Addition to lower extremity, thigh/weight bearing, quadri- lateral brim, custom fitted | Current code | 23 hospitals |
| HCPCS L2525 | Addition to lower extremity, thigh/weight bearing, ischial containment/narrow m-l brim molded to patient model | Current code | 24 hospitals |
| HCPCS L2526 | Addition to lower extremity, thigh/weight bearing, ischial containment/narrow m-l brim, custom fitted | Current code | 23 hospitals |
| HCPCS L2530 | Addition to lower extremity, thigh-weight bearing, lacer, non-molded | Current code | 23 hospitals |
| HCPCS L2540 | Addition to lower extremity, thigh/weight bearing, lacer, molded to patient model | Current code | 23 hospitals |
| HCPCS L2550 | Addition to lower extremity, thigh/weight bearing, high roll cuff | Current code | 23 hospitals |
| HCPCS L2570 | Addition to lower extremity, pelvic control, hip joint, clevis type two position joint, each | Current code | 23 hospitals |
| HCPCS L2580 | Addition to lower extremity, pelvic control, pelvic sling | Current code | 23 hospitals |
| HCPCS L2600 | Addition to lower extremity, pelvic control, hip joint, clevis type, or thrust bearing, free, each | Current code | 24 hospitals |
| HCPCS L2610 | Addition to lower extremity, pelvic control, hip joint, clevis or thrust bearing, lock, each | Current code | 24 hospitals |
| HCPCS L2620 | Addition to lower extremity, pelvic control, hip joint, heavy duty, each | Current code | 24 hospitals |
| HCPCS L2622 | Addition to lower extremity, pelvic control, hip joint, adjustable flexion, each | Current code | 23 hospitals |
| HCPCS L2624 | Addition to lower extremity, pelvic control, hip joint, adjustable flexion, extension, abduction control, each | Current code | 27 hospitals |
| HCPCS L2627 | Addition to lower extremity, pelvic control, plastic, molded to patient model, reciprocating hip joint and cables | Current code | 24 hospitals |
| HCPCS L2628 | Addition to lower extremity, pelvic control, metal frame, reciprocating hip joint and cables | Current code | 24 hospitals |
| HCPCS L2630 | Addition to lower extremity, pelvic control, band and belt, unilateral | Current code | 24 hospitals |
| HCPCS L2640 | Addition to lower extremity, pelvic control, band and belt, bilateral | Current code | 24 hospitals |
| HCPCS L2650 | Addition to lower extremity, pelvic and thoracic control, gluteal pad, each | Current code | 23 hospitals |
| HCPCS L2660 | Addition to lower extremity, thoracic control, thoracic band | Current code | 23 hospitals |
| HCPCS L2670 | Addition to lower extremity, thoracic control, paraspinal uprights | Current code | 23 hospitals |
| HCPCS L2680 | Addition to lower extremity, thoracic control, lateral support uprights | Current code | 23 hospitals |
| HCPCS L2750 | Addition to lower extremity orthosis, plating chrome or nickel, per bar | Current code | 23 hospitals |
| HCPCS L2755 | Addition to lower extremity orthosis, high strength, lightweight material, all hybrid lamination/prepreg composite, per segment, for custom fabricated orthosis only | Current code | 24 hospitals |
| HCPCS L2760 | Addition to lower extremity orthosis, extension, per extension, per bar (for lineal adjustment for growth) | Current code | 24 hospitals |
| HCPCS L2768 | Orthotic side bar disconnect device, per bar | Current code | 24 hospitals |
| HCPCS L2780 | Addition to lower extremity orthosis, non-corrosive finish, per bar | Current code | 24 hospitals |
| HCPCS L2785 | Addition to lower extremity orthosis, drop lock retainer, each | Current code | 24 hospitals |
| HCPCS L2830 | Addition to lower extremity orthosis, soft interface for molded plastic, above knee section | Current code | 24 hospitals |
| HCPCS L2999 | Lower extremity orthoses, not otherwise specified | Current code | 23 hospitals |
| HCPCS L3206 | Orthopedic shoe, hightop with supinator or pronator, child | Current code | 9 hospitals |
| HCPCS L3650 | Shoulder orthosis, figure of eight design abduction restrainer, prefabricated, off-the-shelf | Current code | 41 hospitals |
| HCPCS L3660 | Shoulder orthosis, figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf | Current code | 24 hospitals |
| HCPCS L3670 | Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf | Current code | 42 hospitals |
| HCPCS L3671 | Shoulder orthosis, shoulder joint design, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment | Current code | 25 hospitals |
| HCPCS L3674 | Shoulder orthosis, abduction positioning (airplane design), thoracic component and support bar, with or without nontorsion joint/turnbuckle, may include soft interface, straps, custom fabricated, includes fitting and adjustment | Current code | 25 hospitals |
| HCPCS L3675 | Shoulder orthosis, vest type abduction restrainer, canvas webbing type or equal, prefabricated, off-the-shelf | Current code | 23 hospitals |
| HCPCS L3677 | Shoulder orthosis, shoulder joint design, without joints, may include soft interface, straps, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise | Current code | 9 hospitals |
| HCPCS L3678 | Shoulder orthosis, shoulder joint design, without joints, may include soft interface, straps, prefabricated, off-the-shelf | Current code | |
| HCPCS L3702 | Elbow orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment | Current code | 41 hospitals |
| HCPCS L3710 | Elbow orthosis, elastic with metal joints, prefabricated, off-the-shelf | Current code | 23 hospitals |
| HCPCS L3720 | Elbow orthosis, double upright with forearm/arm cuffs, free motion, custom fabricated | Current code | 27 hospitals |
| HCPCS L3730 | Elbow orthosis, double upright with forearm/arm cuffs, extension/ flexion assist, custom fabricated | Current code | 25 hospitals |
| HCPCS L3740 | Elbow orthosis, double upright with forearm/arm cuffs, adjustable position lock with active control, custom fabricated | Current code | 24 hospitals |
| HCPCS L3760 | Elbow orthosis (eo), with adjustable position locking joint(s), prefabricated, item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise | Current code | 25 hospitals |
| HCPCS L3761 | Elbow orthosis (eo), with adjustable position locking joint(s), prefabricated, off-the-shelf | Current code | 23 hospitals |
| HCPCS L3762 | Elbow orthosis, rigid, without joints, includes soft interface material, prefabricated, off-the-shelf | Current code | 23 hospitals |
| HCPCS L3763 | Elbow wrist hand orthosis, rigid, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment | Current code | 38 hospitals |
| HCPCS L3764 | Elbow wrist hand orthosis, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment | Current code | 28 hospitals |
| HCPCS L3765 | Elbow wrist hand finger orthosis, rigid, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment | Current code | 34 hospitals |
| HCPCS L3766 | Elbow wrist hand finger orthosis, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment | Current code | 25 hospitals |
| HCPCS L3806 | Wrist hand finger orthosis, includes one or more nontorsion joint(s), turnbuckles, elastic bands/springs, may include soft interface material, straps, custom fabricated, includes fitting and adjustment | Current code | 33 hospitals |
| HCPCS L3807 | Wrist hand finger orthosis, without joint(s), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise | Current code | 31 hospitals |
| HCPCS L3808 | Wrist hand finger orthosis, rigid without joints, may include soft interface material; straps, custom fabricated, includes fitting and adjustment | Current code | 41 hospitals |
| HCPCS L3809 | Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type | Current code | 33 hospitals |
| HCPCS L3900 | Wrist hand finger orthosis, dynamic flexor hinge, reciprocal wrist extension/ flexion, finger flexion/extension, wrist or finger driven, custom fabricated | Current code | 25 hospitals |
| HCPCS L3901 | Wrist hand finger orthosis, dynamic flexor hinge, reciprocal wrist extension/ flexion, finger flexion/extension, cable driven, custom fabricated | Current code | 24 hospitals |
| HCPCS L3904 | Wrist hand finger orthosis, external powered, electric, custom fabricated | Current code | 23 hospitals |
| HCPCS L3905 | Wrist hand orthosis, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment | Current code | 36 hospitals |
| HCPCS L3906 | Wrist hand orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment | Current code | 42 hospitals |
| HCPCS L3908 | Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf | Current code | 43 hospitals |
| HCPCS L3912 | Hand finger orthosis (hfo), flexion glove with elastic finger control, prefabricated, off-the-shelf | Current code | 34 hospitals |
| HCPCS L3913 | Hand finger orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment | Current code | 41 hospitals |
| HCPCS L3915 | Wrist hand orthosis, includes one or more nontorsion joint(s), elastic bands, turnbuckles, may include soft interface, straps, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise | Current code | 24 hospitals |
| HCPCS L3916 | Wrist hand orthosis, includes one or more nontorsion joint(s), elastic bands, turnbuckles, may include soft interface, straps, prefabricated, off-the-shelf | Current code | 23 hospitals |
| HCPCS L3917 | Hand orthosis, metacarpal fracture orthosis, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise | Current code | 23 hospitals |
| HCPCS L3918 | Hand orthosis, metacarpal fracture orthosis, prefabricated, off-the-shelf | Current code | 23 hospitals |
| HCPCS L3919 | Hand orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment | Current code | 32 hospitals |
| HCPCS L3921 | Hand finger orthosis, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment | Current code | 41 hospitals |
| HCPCS L3923 | Hand finger orthosis, without joints, may include soft interface, straps, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise | Current code | 39 hospitals |
| HCPCS L3924 | Hand finger orthosis, without joints, may include soft interface, straps, prefabricated, off-the-shelf | Current code | 24 hospitals |
| HCPCS L3925 | Finger orthosis, proximal interphalangeal (pip)/distal interphalangeal (dip), non torsion joint/spring, extension/flexion, may include soft interface material, prefabricated, off-the-shelf | Current code | 37 hospitals |
| HCPCS L3927 | Finger orthosis, proximal interphalangeal (pip)/distal interphalangeal (dip), without joint/spring, extension/flexion (e.g., static or ring type), may include soft interface material, prefabricated, off-the-shelf | Current code | 36 hospitals |
| HCPCS L3929 | Hand finger orthosis, includes one or more nontorsion joint(s), turnbuckles, elastic bands/springs, may include soft interface material, straps, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise | Current code | 31 hospitals |
| HCPCS L3930 | Hand finger orthosis, includes one or more nontorsion joint(s), turnbuckles, elastic bands/springs, may include soft interface material, straps, prefabricated, off-the-shelf | Current code | 23 hospitals |
| HCPCS L3931 | Wrist hand finger orthosis, includes one or more nontorsion joint(s), turnbuckles, elastic bands/springs, may include soft interface material, straps, prefabricated, includes fitting and adjustment | Current code | 33 hospitals |
| HCPCS L3933 | Finger orthosis, without joints, may include soft interface, custom fabricated, includes fitting and adjustment | Current code | 41 hospitals |
| HCPCS L3935 | Finger orthosis, nontorsion joint, may include soft interface, custom fabricated, includes fitting and adjustment | Current code | 34 hospitals |
| HCPCS L3956 | Addition of joint to upper extremity orthosis, any material; per joint | Current code | 2 hospitals |
| HCPCS L3960 | Shoulder elbow wrist hand orthosis, abduction positioning, airplane design, prefabricated, includes fitting and adjustment | Current code | 24 hospitals |
| HCPCS L3961 | Shoulder elbow wrist hand orthosis, shoulder cap design, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment | Current code | 25 hospitals |
| HCPCS L3962 | Shoulder elbow wrist hand orthosis, abduction positioning, erb's palsey design, prefabricated, includes fitting and adjustment | Current code | 25 hospitals |
| HCPCS L3967 | Shoulder elbow wrist hand orthosis, abduction positioning (airplane design), thoracic component and support bar, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment | Current code | 23 hospitals |
| HCPCS L3971 | Shoulder elbow wrist hand orthosis, shoulder cap design, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment | Current code | 23 hospitals |
| HCPCS L3973 | Shoulder elbow wrist hand orthosis, abduction positioning (airplane design), thoracic component and support bar, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment | Current code | 23 hospitals |
| HCPCS L3975 | Shoulder elbow wrist hand finger orthosis, shoulder cap design, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment | Current code | 23 hospitals |
| HCPCS L3976 | Shoulder elbow wrist hand finger orthosis, abduction positioning (airplane design), thoracic component and support bar, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment | Current code | 23 hospitals |
| HCPCS L3977 | Shoulder elbow wrist hand finger orthosis, shoulder cap design, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment | Current code | 23 hospitals |
| HCPCS L3978 | Shoulder elbow wrist hand finger orthosis, abduction positioning (airplane design), thoracic component and support bar, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment | Current code | 23 hospitals |
| HCPCS L3980 | Upper extremity fracture orthosis, humeral, prefabricated, includes fitting and adjustment | Current code | 28 hospitals |
| HCPCS L3981 | Upper extremity fracture orthosis, humeral, prefabricated, includes shoulder cap design, with or without joints, forearm section, may include soft interface, straps, includes fitting and adjustments | Current code | 23 hospitals |
| HCPCS L3982 | Upper extremity fracture orthosis, radius/ulnar, prefabricated, includes fitting and adjustment | Current code | 29 hospitals |
| HCPCS L3984 | Upper extremity fracture orthosis, wrist, prefabricated, includes fitting and adjustment | Current code | 23 hospitals |
| HCPCS L3995 | Addition to upper extremity orthosis, sock, fracture or equal, each | Current code | 24 hospitals |
| HCPCS L3999 | Upper limb orthosis, not otherwise specified | Current code | 11 hospitals |
| HCPCS L4000 | Replace girdle for spinal orthosis (ctlso or so) | Current code | 23 hospitals |
| HCPCS L4002 | Replacement strap, any orthosis, includes all components, any length, any type | Current code | 3 hospitals |
| HCPCS L4010 | Replace trilateral socket brim | Current code | 23 hospitals |
| HCPCS L4020 | Replace quadrilateral socket brim, molded to patient model | Current code | 23 hospitals |
| HCPCS L4030 | Replace quadrilateral socket brim, custom fitted | Current code | 23 hospitals |
| HCPCS L4040 | Replace molded thigh lacer, for custom fabricated orthosis only | Current code | 23 hospitals |
| HCPCS L4045 | Replace non-molded thigh lacer, for custom fabricated orthosis only | Current code | 23 hospitals |
| HCPCS L4060 | Replace high roll cuff | Current code | 23 hospitals |
| HCPCS L4070 | Replace proximal and distal upright for kafo | Current code | 24 hospitals |
| HCPCS L4080 | Replace metal bands kafo, proximal thigh | Current code | 23 hospitals |
| HCPCS L4100 | Replace leather cuff kafo, proximal thigh | Current code | 23 hospitals |
| HCPCS L4205 | Repair of orthotic device, labor component, per 15 minutes | Current code | 20 hospitals |
| HCPCS L4210 | Repair of orthotic device, repair or replace minor parts | Current code | 14 hospitals |
| HCPCS L4370 | Pneumatic full leg splint, prefabricated, off-the-shelf | Current code | 23 hospitals |
| HCPCS L4392 | Replacement, soft interface material, static afo | Current code | 30 hospitals |
| HCPCS L5200 | Above knee, molded socket, single axis constant friction knee, shin, sach foot | Current code | 24 hospitals |
| HCPCS L5210 | Above knee, short prosthesis, no knee joint ('stubbies'), with foot blocks, no ankle joints, each | Current code | 24 hospitals |
| HCPCS L5220 | Above knee, short prosthesis, no knee joint ('stubbies'), with articulated ankle/foot, dynamically aligned, each | Current code | 24 hospitals |
| HCPCS L5230 | Above knee, for proximal femoral focal deficiency, constant friction knee, shin, sach foot | Current code | 24 hospitals |
| HCPCS L5250 | Hip disarticulation, canadian type; molded socket, hip joint, single axis constant friction knee, shin, sach foot | Current code | 23 hospitals |
| HCPCS L5270 | Hip disarticulation, tilt table type; molded socket, locking hip joint, single axis constant friction knee, shin, sach foot | Current code | 23 hospitals |
| HCPCS L5321 | Above knee, molded socket, open end, sach foot, endoskeletal system, single axis knee | Current code | 24 hospitals |
| HCPCS L5331 | Hip disarticulation, canadian type, molded socket, endoskeletal system, hip joint, single axis knee, sach foot | Current code | 24 hospitals |
| HCPCS L5341 | Hemipelvectomy, canadian type, molded socket, endoskeletal system, hip joint, single axis knee, sach foot | Current code | 24 hospitals |
| HCPCS L5460 | Immediate post surgical or early fitting, application of non-weight bearing rigid dressing, above knee | Current code | 23 hospitals |
| HCPCS L5505 | Initial, above knee - knee disarticulation, ischial level socket, non-alignable system, pylon, no cover, sach foot, plaster socket, direct formed | Current code | 23 hospitals |
| HCPCS L5560 | Preparatory, above knee- knee disarticulation, ischial level socket, non-alignable system, pylon, no cover, sach foot, plaster socket, molded to model | Current code | 23 hospitals |
| HCPCS L5570 | Preparatory, above knee - knee disarticulation, ischial level socket, non-alignable system, pylon, no cover, sach foot, thermoplastic or equal, direct formed | Current code | 23 hospitals |
| HCPCS L5580 | Preparatory, above knee - knee disarticulation ischial level socket, non-alignable system, pylon, no cover, sach foot, thermoplastic or equal, molded to model | Current code | 24 hospitals |
| HCPCS L5585 | Preparatory, above knee - knee disarticulation, ischial level socket, non-alignable system, pylon, no cover, sach foot, prefabricated adjustable open end socket | Current code | 24 hospitals |
| HCPCS L5590 | Preparatory, above knee - knee disarticulation ischial level socket, non-alignable system, pylon no cover, sach foot, laminated socket, molded to model | Current code | 24 hospitals |
| HCPCS L5595 | Preparatory, hip disarticulation-hemipelvectomy, pylon, no cover, sach foot, thermoplastic or equal, molded to patient model | Current code | 23 hospitals |
| HCPCS L5600 | Preparatory, hip disarticulation-hemipelvectomy, pylon, no cover, sach foot, laminated socket, molded to patient model | Current code | 23 hospitals |
| HCPCS L5610 | Addition to lower extremity, endoskeletal system, above knee, hydracadence system | Current code | 23 hospitals |
| HCPCS L5611 | Addition to lower extremity, endoskeletal system, above knee - knee disarticulation, 4 bar linkage, with friction swing phase control | Current code | 24 hospitals |
| HCPCS L5613 | Addition to lower extremity, endoskeletal system, above knee-knee disarticulation, 4 bar linkage, with hydraulic swing phase control | Current code | 24 hospitals |
| HCPCS L5614 | Addition to lower extremity, exoskeletal system, above knee-knee disarticulation, 4 bar linkage, with pneumatic swing phase control | Current code | 24 hospitals |
| HCPCS L5616 | Addition to lower extremity, endoskeletal system, above knee, universal multiplex system, friction swing phase control | Current code | 24 hospitals |
| HCPCS L5617 | Addition to lower extremity, quick change self-aligning unit, above knee or below knee, each | Current code | 23 hospitals |
| HCPCS L5618 | Addition to lower extremity, test socket, symes | Current code | 24 hospitals |
| HCPCS L5622 | Addition to lower extremity, test socket, knee disarticulation | Current code | 24 hospitals |
| HCPCS L5624 | Addition to lower extremity, test socket, above knee | Current code | 24 hospitals |