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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

HCPCS code L0450 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 as maintained by CMS falls under Thoracic-lumbar-sacral (TLSO) Orthotics.

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Official Long Descriptor

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

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Have an example of CPT/HCPCS which is almost always billed with a specific Modifier?
For services reportable as an L3923 orthosis that has a rigid plastic or metal component, you must add the CG modifier. If you bill a claim for L3923 without a CG modifier, it will be denied. Similarl... [ Read More ]
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