O-EOs/EWHOs/EWHFOs

Description:

L3710-Elbow orthosis, elastic with metal joints, prefabricated, off-the-shelf

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

ICD10 Code:: S53.401A-Unspecified sprain of right elbow, initial encounter,
Manufacturer: Hely & Weber Hayes™ Hinged Orthosis, New Options E15 Hyperextension Polycentric Hinge Elbow, DeRoyal® Hypercontrol® Elbow Brace
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:

L3720-Elbow orthosis, double upright with forearm/arm cuffs, free motion, custom fabricated

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

L3891- Addition to upper extremity joint, wrist or elbow, concentric adjustable torsion style mechanism for custom fabricated orthotics only, each

L3956- Addition of joint to upper extremity orthosis, any material; per joint

L3995- Addition to upper extremity orthosis, sock, fracture or equal, each

L3999- Upper limb orthosis, not otherwise specified

 

ICD10 Code:: S53.401A-Unspecified sprain of right elbow, initial encounter,
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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:

L3730-Elbow orthosis, double upright with forearm/arm cuffs, extension/ flexion assist, custom fabricated

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

L3891- Addition to upper extremity joint, wrist or elbow, concentric adjustable torsion style mechanism for custom fabricated orthotics only, each

L3956- Addition of joint to upper extremity orthosis, any material; per joint

L3995- Addition to upper extremity orthosis, sock, fracture or equal, each

L3999- Upper limb orthosis, not otherwise specified

ICD10 Code:: M24.5-Contracture, unspecified elbow
Manufacturer: Orthomrica Fuzion Elbow Orthosis
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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:

L3740-Elbow orthosis, double upright with forearm/arm cuffs, adjustable position lock with active control, custom fabricated

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

L3891- Addition to upper extremity joint, wrist or elbow, concentric adjustable torsion style mechanism for custom fabricated orthotics only, each

L3956- Addition of joint to upper extremity orthosis, any material; per joint

L3995- Addition to upper extremity orthosis, sock, fracture or equal, each

L3999- Upper limb orthosis, not otherwise specified

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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:

L3760-Elbow orthosis, with adjustable position locking joint(s), prefabricated, includes fitting and adjustments, any type

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

ICD10 Code:: M24.5-Contracture, unspecified elbow,
Manufacturer: Bledsoe® Hinged Elbow, Ossur® Innovator X®
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:

L3762-Elbow orthosis, rigid, without joints, includes soft interface material, prefabricated, off-the-shelf

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

ICD10 Code:: G56.20 – Lesion of ulnar nerve, unspecified upper limb.
Manufacturer: Corflex XR Cubital Tunnel Splint, Hely & Weber Cubital Comfort™ Brace,Breg® Essentials Elbow Immobilizer
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:

L3763-Elbow wrist hand orthosis, rigid, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment

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

L3891- Addition to upper extremity joint, wrist or elbow, concentric adjustable torsion style mechanism for custom fabricated orthotics only, each

L3956- Addition of joint to upper extremity orthosis, any material; per joint

L3995- Addition to upper extremity orthosis, sock, fracture or equal, each

L3999- Upper limb orthosis, not otherwise specified

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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:

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

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

L3891- Addition to upper extremity joint, wrist or elbow, concentric adjustable torsion style mechanism for custom fabricated orthotics only, each

L3956- Addition of joint to upper extremity orthosis, any material; per joint

L3995- Addition to upper extremity orthosis, sock, fracture or equal, each

L3999- Upper limb orthosis, not otherwise specified

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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:

L3765-Elbow wrist hand finger orthosis, rigid, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment

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

L3891- Addition to upper extremity joint, wrist or elbow, concentric adjustable torsion style mechanism for custom fabricated orthotics only, each

L3956- Addition of joint to upper extremity orthosis, any material; per joint

L3995- Addition to upper extremity orthosis, sock, fracture or equal, each

L3999- Upper limb orthosis, not otherwise specified

Search by Category: ,
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:

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

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

L3891- Addition to upper extremity joint, wrist or elbow, concentric adjustable torsion style mechanism for custom fabricated orthotics only, each

L3956- Addition of joint to upper extremity orthosis, any material; per joint

L3995- Addition to upper extremity orthosis, sock, fracture or equal, each

L3999- Upper limb orthosis, not otherwise specified

 

Search by Category: ,
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.