Directory

Description:

A5500-For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe

This code is commonly billed along side of Diabetic Inserts A-Codes

This code is commonly billed along side of Diabetic Inserts A-Codes

Shoes Modification Codes

A5503- For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with roller or rigid rocker bottom, per shoe

A5504- For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with wedge(s), per shoe

A5505- For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with metatarsal bar, per shoe

A5506- For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with off-set heel(s), per shoe

A5507- For diabetics only, not otherwise specified modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe, per shoe

A5508- For diabetics only, deluxe feature of off-the-shelf depth-inlay shoe or custom-molded shoe, per shoe

ICD10 Code:: E11-Type 2 diabetes mellitus
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Disclaimer: Responsibility for accurate coding lies solely with the clinician treating the patient. OandP Academy assumes no responsibility or liability for the provider’s coding decisions. OandP Academy coding suggestions rest on its best judgment and are subject to revision based on additional information or changes in the alpha-numeric system. Ultimately it is your responsibility to code appropriately. Code using this tool at your own risk. OandP Academy suggest that there is documentation of what is being provided to the patient and that services furnished are clinically justified.
Description:

A5501-For diabetics only, fitting (including follow-up), custom preparation and supply of shoe molded from cast(s) of patient's foot (custom molded shoe), per shoe

This code is commonly billed along side of Diabetic Inserts A-Codes

The following add-on codes may be used for this base code (only code for what you use):

Shoes Modification Codes

A5503- For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with roller or rigid rocker bottom, per shoe

A5504- For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with wedge(s), per shoe

A5505- For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with metatarsal bar, per shoe

A5506- For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with off-set heel(s), per shoe

A5507- For diabetics only, not otherwise specified modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe, per shoe

A5508- For diabetics only, deluxe feature of off-the-shelf depth-inlay shoe or custom-molded shoe, per shoe

ICD10 Code:: E11-Type 2 diabetes mellitus
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Disclaimer: Responsibility for accurate coding lies solely with the clinician treating the patient. OandP Academy assumes no responsibility or liability for the provider’s coding decisions. OandP Academy coding suggestions rest on its best judgment and are subject to revision based on additional information or changes in the alpha-numeric system. Ultimately it is your responsibility to code appropriately. Code using this tool at your own risk. OandP Academy suggest that there is documentation of what is being provided to the patient and that services furnished are clinically justified.
Description:

A5510-For diabetics only, direct formed, compression molded to patient's foot without external heat source, multiple-density insert(s) prefabricated, per shoe

We do not suggest billing add-on codes with the base code above. However, this code is commonly billed along side of Diabetic Shoe A-Codes

A5500-For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe

A5501-For diabetics only, fitting (including follow-up), custom preparation and supply of shoe molded from cast(s) of patient's foot (custom molded shoe), per shoe

ICD10 Code:: E11-Type 2 diabetes mellitus
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Disclaimer: Responsibility for accurate coding lies solely with the clinician treating the patient. OandP Academy assumes no responsibility or liability for the provider’s coding decisions. OandP Academy coding suggestions rest on its best judgment and are subject to revision based on additional information or changes in the alpha-numeric system. Ultimately it is your responsibility to code appropriately. Code using this tool at your own risk. OandP Academy suggest that there is documentation of what is being provided to the patient and that services furnished are clinically justified.
Description:

A5512-For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or 3/16 inch material of shore a 40 durometer (or higher), prefabricated, each

We do not suggest billing add-on codes with the base code above. However, this code is commonly billed along side of Diabetic Shoe A-Codes

A5500-For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe

A5501-For diabetics only, fitting (including follow-up), custom preparation and supply of shoe molded from cast(s) of patient's foot (custom molded shoe), per shoe

ICD10 Code:: E11-Type 2 diabetes mellitus
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Disclaimer: Responsibility for accurate coding lies solely with the clinician treating the patient. OandP Academy assumes no responsibility or liability for the provider’s coding decisions. OandP Academy coding suggestions rest on its best judgment and are subject to revision based on additional information or changes in the alpha-numeric system. Ultimately it is your responsibility to code appropriately. Code using this tool at your own risk. OandP Academy suggest that there is documentation of what is being provided to the patient and that services furnished are clinically justified.
Description:

A5513-For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer or higher), includes arch filler and other shaping material, custom fabricated, each

We do not suggest billing add-on codes with the base code above. However, this code is commonly billed along side of Diabetic Shoe A-Codes

A5500-For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe

A5501-For diabetics only, fitting (including follow-up), custom preparation and supply of shoe molded from cast(s) of patient's foot (custom molded shoe), per shoe

ICD10 Code:: E11-Type 2 diabetes mellitus
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Disclaimer: Responsibility for accurate coding lies solely with the clinician treating the patient. OandP Academy assumes no responsibility or liability for the provider’s coding decisions. OandP Academy coding suggestions rest on its best judgment and are subject to revision based on additional information or changes in the alpha-numeric system. Ultimately it is your responsibility to code appropriately. Code using this tool at your own risk. OandP Academy suggest that there is documentation of what is being provided to the patient and that services furnished are clinically justified.
Description:

A8000-Helmet, protective, soft, prefabricated, includes all components and accessories

We do not suggest billing add-on codes with the base code above. 

 

Orthotic or Prosthetic Lcodes: Ox-Spinal
ICD10 Code:: F84.0-Autistic disorder
Manufacturer: Danmar 9820 soft shell helmet,
Disclaimer: Responsibility for accurate coding lies solely with the clinician treating the patient. OandP Academy assumes no responsibility or liability for the provider’s coding decisions. OandP Academy coding suggestions rest on its best judgment and are subject to revision based on additional information or changes in the alpha-numeric system. Ultimately it is your responsibility to code appropriately. Code using this tool at your own risk. OandP Academy suggest that there is documentation of what is being provided to the patient and that services furnished are clinically justified.
Description:

A8001-Helmet, protective, hard, prefabricated, includes all components and accessories

We do not suggest billing add-on codes with the base code above. 

 

Orthotic or Prosthetic Lcodes: Ox-Spinal
ICD10 Code:: f84.0-Autistic disorder
Manufacturer: Orthomerica® Pediatric A-Flex™ Protective Headgear, Danmar 9821 Hard Shell Helmet
Disclaimer: Responsibility for accurate coding lies solely with the clinician treating the patient. OandP Academy assumes no responsibility or liability for the provider’s coding decisions. OandP Academy coding suggestions rest on its best judgment and are subject to revision based on additional information or changes in the alpha-numeric system. Ultimately it is your responsibility to code appropriately. Code using this tool at your own risk. OandP Academy suggest that there is documentation of what is being provided to the patient and that services furnished are clinically justified.
Description:

A8002-Helmet, protective, soft, custom fabricated, includes all components and accessories

We do not suggest billing add-on codes with the base code above. 

Orthotic or Prosthetic Lcodes: Ox-Spinal
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Disclaimer: Responsibility for accurate coding lies solely with the clinician treating the patient. OandP Academy assumes no responsibility or liability for the provider’s coding decisions. OandP Academy coding suggestions rest on its best judgment and are subject to revision based on additional information or changes in the alpha-numeric system. Ultimately it is your responsibility to code appropriately. Code using this tool at your own risk. OandP Academy suggest that there is documentation of what is being provided to the patient and that services furnished are clinically justified.
Description:

A8003-Helmet, protective, hard, custom fabricated, includes all components and accessories

We do not suggest billing add-on codes with the base code above. 

Orthotic or Prosthetic Lcodes: Ox-Spinal
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Disclaimer: Responsibility for accurate coding lies solely with the clinician treating the patient. OandP Academy assumes no responsibility or liability for the provider’s coding decisions. OandP Academy coding suggestions rest on its best judgment and are subject to revision based on additional information or changes in the alpha-numeric system. Ultimately it is your responsibility to code appropriately. Code using this tool at your own risk. OandP Academy suggest that there is documentation of what is being provided to the patient and that services furnished are clinically justified.
Description:

A8004-Soft interface for helmet, replacement only

We do not suggest billing add-on codes with the base code above. 

Orthotic or Prosthetic Lcodes: Ox-Spinal
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Disclaimer: Responsibility for accurate coding lies solely with the clinician treating the patient. OandP Academy assumes no responsibility or liability for the provider’s coding decisions. OandP Academy coding suggestions rest on its best judgment and are subject to revision based on additional information or changes in the alpha-numeric system. Ultimately it is your responsibility to code appropriately. Code using this tool at your own risk. OandP Academy suggest that there is documentation of what is being provided to the patient and that services furnished are clinically justified.
Description:

E0770-Functional electrical stimulator, transcutaneous stimulation of nerve and/or muscle groups, any type, complete system, not otherwise specified

Commonly associated with the WalkAide System which includes: Control Unit, lead cables, Bi-Flex cuff, 4 electrodes (1 pack = 1 month supply)

The following add-on codes may be used for this base code (only code for what you use):

A4595-Electrical stimulator supplies, 2 lead, per month, (e.g., tens, nmes)

WalkAide Electrodes: Single Pack
1 pack per Month = 4 Leads = 2 sets Input as quantity of 2 units

E1399-Durable medical equipment, miscellaneous

ICD10 Code:: M1.37- Foot Drop, G81.00 Hemiparesis unspecified side, I63.0-Cerebral infarction due to thrombosis of precerebral arteries
Manufacturer: Innovative Neurotronics
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Disclaimer: Responsibility for accurate coding lies solely with the clinician treating the patient. OandP Academy assumes no responsibility or liability for the provider’s coding decisions. OandP Academy coding suggestions rest on its best judgment and are subject to revision based on additional information or changes in the alpha-numeric system. Ultimately it is your responsibility to code appropriately. Code using this tool at your own risk. OandP Academy suggest that there is documentation of what is being provided to the patient and that services furnished are clinically justified.
Description:

L0112-Cranial cervical orthosis, congenital torticollis type, with or without soft interface material, adjustable range of motion joint, custom fabricated

We do not suggest billing add-on codes with the base code above. 

ICD10 Code:: M43.6-torticollis
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Disclaimer: Responsibility for accurate coding lies solely with the clinician treating the patient. OandP Academy assumes no responsibility or liability for the provider’s coding decisions. OandP Academy coding suggestions rest on its best judgment and are subject to revision based on additional information or changes in the alpha-numeric system. Ultimately it is your responsibility to code appropriately. Code using this tool at your own risk. OandP Academy suggest that there is documentation of what is being provided to the patient and that services furnished are clinically justified.
Description:

L0113-Cranial cervical orthosis, torticollis type, with or without joint, with or without soft interface material, prefabricated, includes fitting and adjustment

We do not suggest billing add-on codes with the base code above. 

ICD10 Code:: M43.6-torticollis
Manufacturer: RMI Restorative™ Kentucky Collar Cervical Brace, TOT Collar
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Disclaimer: Responsibility for accurate coding lies solely with the clinician treating the patient. OandP Academy assumes no responsibility or liability for the provider’s coding decisions. OandP Academy coding suggestions rest on its best judgment and are subject to revision based on additional information or changes in the alpha-numeric system. Ultimately it is your responsibility to code appropriately. Code using this tool at your own risk. OandP Academy suggest that there is documentation of what is being provided to the patient and that services furnished are clinically justified.
Description:

L0120-Cervical, flexible, non-adjustable, prefabricated, off-the-shelf (foam collar)

We do not suggest billing add-on codes with the base code above. 

Manufacturer: DeRoyal® Medium Density Cervical Collar, Bell-Horn Sized Cervical Collar, Ossur® Universal Cervical Collar
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Disclaimer: Responsibility for accurate coding lies solely with the clinician treating the patient. OandP Academy assumes no responsibility or liability for the provider’s coding decisions. OandP Academy coding suggestions rest on its best judgment and are subject to revision based on additional information or changes in the alpha-numeric system. Ultimately it is your responsibility to code appropriately. Code using this tool at your own risk. OandP Academy suggest that there is documentation of what is being provided to the patient and that services furnished are clinically justified.
Description:

L0452-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, custom fabricated
The following add-on codes may be used for this base code (only code for what you use):
Custom TLSO Additions

L0974- Tlso full corset

L0978- Axillary crutch extension

L1240- Lumbar derotation pad

L1250- Addition to tlso, (low profile), anterior asis pad

L1260- Addition to tlso, (low profile), anterior thoracic derotation pad

L1290- Addition to tlso, (low profile), lateral trochanteric pad
Custom or Prefab TLSO Additions
L0980- Peroneal straps, prefabricated, off-the-shelf, pair
L0982- Stocking supporter grips, prefabricated, off-the-shelf, set of four (4)
L0984- Protective body sock, prefabricated, off-the-shelf, each
One or more of the following criteria should be met for the spinal orthosis to be covered by Medicare.

1. To reduce pain by restricting mobility of the trunk

2. To facilitate healing following an injury to the spine or related soft tissues

3. To facilitate healing following a surgical procedure on the spine or related soft tissue

4. To otherwise support weak SPINAL muscles and/or a deformed spine

 

ICD10 Code:: S32.00 Fracture of unspecified lumbar vertebra, S22.0-Fracture of rib(s), sternum and thoracic spine, M47.-osteoarthritis of the spine, M40.0 Postural kyphosis, S22.- Stable burst Fx of Lumbar
Disclaimer: Responsibility for accurate coding lies solely with the clinician treating the patient. OandP Academy assumes no responsibility or liability for the provider’s coding decisions. OandP Academy coding suggestions rest on its best judgment and are subject to revision based on additional information or changes in the alpha-numeric system. Ultimately it is your responsibility to code appropriately. Code using this tool at your own risk. OandP Academy suggest that there is documentation of what is being provided to the patient and that services furnished are clinically justified.
Description:

L0454-Tlso flexible, provides trunk support, extends from sacrococcygeal junction to above t-9 vertebra, restricts gross trunk motion in the sagittal plane, produces intracavitary pressure to reduce load on the intervertebral disks with rigid stays or panel(s), includes shoulder straps and closures, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise

Disclaimer: Responsibility for accurate coding lies solely with the clinician treating the patient. OandP Academy assumes no responsibility or liability for the provider’s coding decisions. OandP Academy coding suggestions rest on its best judgment and are subject to revision based on additional information or changes in the alpha-numeric system. Ultimately it is your responsibility to code appropriately. Code using this tool at your own risk. OandP Academy suggest that there is documentation of what is being provided to the patient and that services furnished are clinically justified.
Description:

L0455-Tlso, flexible, provides trunk support, extends from sacrococcygeal junction to above t-9 vertebra, restricts gross trunk motion in the sagittal plane, 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 following add-on codes may be used for this base code (only code for what you use):

Custom or OTS TLSO Additions

L0980- Peroneal straps, prefabricated, off-the-shelf, pair

L0982- Stocking supporter grips, prefabricated, off-the-shelf, set of four (4)

L0984- Protective body sock, prefabricated, off-the-shelf, each

Disclaimer: Responsibility for accurate coding lies solely with the clinician treating the patient. OandP Academy assumes no responsibility or liability for the provider’s coding decisions. OandP Academy coding suggestions rest on its best judgment and are subject to revision based on additional information or changes in the alpha-numeric system. Ultimately it is your responsibility to code appropriately. Code using this tool at your own risk. OandP Academy suggest that there is documentation of what is being provided to the patient and that services furnished are clinically justified.
Description:

L0456-Tlso, flexible, provides trunk support, thoracic region, rigid posterior panel and soft anterior apron, extends from the sacrococcygeal junction and terminates just inferior to the scapular spine, restricts gross trunk motion in the sagittal plane, produces intracavitary pressure to reduce load on the intervertebral disks, includes straps and closures, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise

The following add-on codes may be used for this base code (only code for what you use):

Any TLSO Additions

L0980- Peroneal straps, prefabricated, off-the-shelf, pair

L0982- Stocking supporter grips, prefabricated, off-the-shelf, set of four (4)

L0984- Protective body sock, prefabricated, off-the-shelf, each

ICD10 Code:: M43.24-Fusion of spine, thoracic region, M47.815-Spondylosis thoracolumbar region
Manufacturer: Aspen® Horizon™ 456 TLSO, Ossur® Miami Lumbar® Posteo, Aspen® Evergreen™ 456 TLSO, Ottobock TLSO
Disclaimer: Responsibility for accurate coding lies solely with the clinician treating the patient. OandP Academy assumes no responsibility or liability for the provider’s coding decisions. OandP Academy coding suggestions rest on its best judgment and are subject to revision based on additional information or changes in the alpha-numeric system. Ultimately it is your responsibility to code appropriately. Code using this tool at your own risk. OandP Academy suggest that there is documentation of what is being provided to the patient and that services furnished are clinically justified.
Description:

L0457-Tlso, flexible, provides trunk support, thoracic region, rigid posterior panel and soft anterior apron, extends from the sacrococcygeal junction and terminates just inferior to the scapular spine, restricts gross trunk motion in the sagittal plane, produces intracavitary pressure to reduce load on the intervertebral disks, includes straps and closures, prefabricated, off-the-shelf

The following add-on codes may be used for this base code (only code for what you use):

Custom or OTS TLSO Additions

L0980- Peroneal straps, prefabricated, off-the-shelf, pair

L0982- Stocking supporter grips, prefabricated, off-the-shelf, set of four (4)

L0984- Protective body sock, prefabricated, off-the-shelf, each

ICD10 Code:: M51.05 Intervertebral disc disorders with myelopathy, thoracolumbar region, 721.2 Thoracic spondylosis without myelopathy
Manufacturer: ottobock TLSO, Optec STEALTH AIR™ TLSO With DLK, DeRoyal® OSO® - Osteoporosis Spinal Orthosis
Disclaimer: Responsibility for accurate coding lies solely with the clinician treating the patient. OandP Academy assumes no responsibility or liability for the provider’s coding decisions. OandP Academy coding suggestions rest on its best judgment and are subject to revision based on additional information or changes in the alpha-numeric system. Ultimately it is your responsibility to code appropriately. Code using this tool at your own risk. OandP Academy suggest that there is documentation of what is being provided to the patient and that services furnished are clinically justified.
Description:

L0458-Tlso, triplanar 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, coronal, and transverse planes, lateral strength is provided by overlapping plastic and stabilizing closures, includes straps and closures, prefabricated, includes fitting and adjustment

The following add-on codes may be used for this base code (only code for what you use):

Custom or Prefab TLSO Additions

L0980- Peroneal straps, prefabricated, off-the-shelf, pair

L0982- Stocking supporter grips, prefabricated, off-the-shelf, set of four (4)

L0984- Protective body sock, prefabricated, off-the-shelf, each

ICD10 Code:: m47.-osteoarthritis of the spine, M40.0 Postural kyphosis, S22.- Stable burst Fx of Lumbar
Manufacturer: Optec Edge SL LSO & TLSO, DeRoyal® Ultralign®+ TLSO, RCAI TLSO With Sternal Attachment
Disclaimer: Responsibility for accurate coding lies solely with the clinician treating the patient. OandP Academy assumes no responsibility or liability for the provider’s coding decisions. OandP Academy coding suggestions rest on its best judgment and are subject to revision based on additional information or changes in the alpha-numeric system. Ultimately it is your responsibility to code appropriately. Code using this tool at your own risk. OandP Academy suggest that there is documentation of what is being provided to the patient and that services furnished are clinically justified.
Description:

L0460-Tlso, triplanar 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 sternal notch, soft liner, restricts gross trunk motion in the sagittal, coronal, and transverse planes, lateral strength is provided by overlapping plastic and stabilizing closures, includes straps and closures, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise

The following add-on codes may be used for this base code (only code for what you use):

Custom or Prefab TLSO Additions

L0980- Peroneal straps, prefabricated, off-the-shelf, pair

L0982- Stocking supporter grips, prefabricated, off-the-shelf, set of four (4)

L0984- Protective body sock, prefabricated, off-the-shelf, each

Description:

L0460-Tlso, triplanar 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 sternal notch, soft liner, restricts gross trunk motion in the sagittal, coronal, and transverse planes, lateral strength is provided by overlapping plastic and stabilizing closures, includes straps and closures, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise

The following add-on codes may be used for this base code (only code for what you use):

Custom or Prefab TLSO Additions

L0980- Peroneal straps, prefabricated, off-the-shelf, pair

L0982- Stocking supporter grips, prefabricated, off-the-shelf, set of four (4)

L0984- Protective body sock, prefabricated, off-the-shelf, each

ICD10 Code:: m47.-osteoarthritis of the spine, M40.0 Postural kyphosis, S22.- Stable burst Fx of Lumbar
Disclaimer: Responsibility for accurate coding lies solely with the clinician treating the patient. OandP Academy assumes no responsibility or liability for the provider’s coding decisions. OandP Academy coding suggestions rest on its best judgment and are subject to revision based on additional information or changes in the alpha-numeric system. Ultimately it is your responsibility to code appropriately. Code using this tool at your own risk. OandP Academy suggest that there is documentation of what is being provided to the patient and that services furnished are clinically justified.
Description:

L0462-Tlso, triplanar control, modular segmented spinal system, three 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 sternal notch, soft liner, restricts gross trunk motion in the sagittal, coronal, and transverse planes, lateral strength is provided by overlapping plastic and stabilizing closures, includes straps and closures, prefabricated, includes fitting and adjustment

The following add-on codes may be used for this base code (only code for what you use):

Any TLSO Additions

L0980- Peroneal straps, prefabricated, off-the-shelf, pair

L0982- Stocking supporter grips, prefabricated, off-the-shelf, set of four (4)

L0984- Protective body sock, prefabricated, off-the-shelf, each

 

ICD10 Code:: S32.00 Fracture of unspecified lumbar vertebra, S22.0-Fracture of rib(s), sternum and thoracic spine
Manufacturer: Aspen® TLSO, Ossur® Miami Lumbar® TLSO, Optec Oasis™ TLSO
Disclaimer: Responsibility for accurate coding lies solely with the clinician treating the patient. OandP Academy assumes no responsibility or liability for the provider’s coding decisions. OandP Academy coding suggestions rest on its best judgment and are subject to revision based on additional information or changes in the alpha-numeric system. Ultimately it is your responsibility to code appropriately. Code using this tool at your own risk. OandP Academy suggest that there is documentation of what is being provided to the patient and that services furnished are clinically justified.
Description:

L0462-Tlso, triplanar control, modular segmented spinal system, three 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 sternal notch, soft liner, restricts gross trunk motion in the sagittal, coronal, and transverse planes, lateral strength is provided by overlapping plastic and stabilizing closures, includes straps and closures, prefabricated, includes fitting and adjustment

The following add-on codes may be used for this base code (only code for what you use):

Custom or Prefab TLSO Additions

L0980- Peroneal straps, prefabricated, off-the-shelf, pair

L0982- Stocking supporter grips, prefabricated, off-the-shelf, set of four (4)

L0984- Protective body sock, prefabricated, off-the-shelf, each

ICD10 Code:: m47.-osteoarthritis of the spine, M40.0 Postural kyphosis, S22.- Stable burst Fx of Lumbar
Manufacturer: Optec GALAXY™, Aspen® TLSO, Ossur® Miami Lumbar® TLSO
Disclaimer: Responsibility for accurate coding lies solely with the clinician treating the patient. OandP Academy assumes no responsibility or liability for the provider’s coding decisions. OandP Academy coding suggestions rest on its best judgment and are subject to revision based on additional information or changes in the alpha-numeric system. Ultimately it is your responsibility to code appropriately. Code using this tool at your own risk. OandP Academy suggest that there is documentation of what is being provided to the patient and that services furnished are clinically justified.
Description:

L0464-Tlso, triplanar control, modular segmented spinal system, four rigid plastic shells, posterior extends from sacrococcygeal junction and terminates just inferior to scapular spine, anterior extends from symphysis pubis to the sternal notch, soft liner, restricts gross trunk motion in sagittal, coronal, and transverse planes, lateral strength is provided by overlapping plastic and stabilizing closures, includes straps and closures, prefabricated, includes fitting and adjustment

The following add-on codes may be used for this base code (only code for what you use):

Custom or Prefab TLSO Additions

L0980- Peroneal straps, prefabricated, off-the-shelf, pair

L0982- Stocking supporter grips, prefabricated, off-the-shelf, set of four (4)

L0984- Protective body sock, prefabricated, off-the-shelf, each

ICD10 Code:: M43.24-Fusion of spine, thoracic region, M47.815-Spondylosis thoracolumbar region, S32.000A-initial encounter for closed fracture
Manufacturer: Aspen® Vista® 464 TLSO, Optec Venum™1 Tlso W/ DLK, Aspen® Contour™ TLSO, Cybertech™ CyberSpine TLSOx4
Disclaimer: Responsibility for accurate coding lies solely with the clinician treating the patient. OandP Academy assumes no responsibility or liability for the provider’s coding decisions. OandP Academy coding suggestions rest on its best judgment and are subject to revision based on additional information or changes in the alpha-numeric system. Ultimately it is your responsibility to code appropriately. Code using this tool at your own risk. OandP Academy suggest that there is documentation of what is being provided to the patient and that services furnished are clinically justified.