O-SOs/SEWHOs/SEWHFOs

Description:

L3650-Shoulder orthosis, figure of eight design abduction restrainer, prefabricated, off-the-shelf

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

ICD10 Code:: S42.00 Fracture of unspecified part of clavicle, M89.8X1-Scapulalgia
Manufacturer: OSSUR ORTHOTICS Front Closure Clavicle Support, BLEDSOE Clavicle Support, Corflex Pediatric Ultra Clavicle Strap
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:

L3660-Shoulder orthosis, figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf

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

ICD10 Code:: M89.8X1-Scapulalgia, M89.8X1-Grating scapula
Manufacturer: Ossur® Figure 8 Clavicle Splint, Wheaton Brace Pediatric Clavicular Splint
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:

L3670-Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf

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

ICD10 Code:: Z98.89-Other specified postprocedural states
Manufacturer: DeRoyal® Shoulder P.A.D, Corflex Neutral Shoulder Pillow With Sling, Breg® SlingShot™ Neutral
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:

L3671-Shoulder orthosis, shoulder joint design, 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:

L3999- Upper limb orthosis, not otherwise specified

 

ICD10 Code:: Z98.89-Other specified postprocedural states
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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:

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

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

L3999- Upper limb orthosis, not otherwise specified

ICD10 Code:: M75.1-Rotator cuff tear or rupture, not specified as traumatic, S42.2 Fracture of upper end of humerus
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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.