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.
Description:

L3675-Shoulder orthosis, vest type abduction restrainer, canvas webbing type or equal, prefabricated, off-the-shelf

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

ICD10 Code:: M75.1-Rotator cuff tear or rupture, not specified as traumatic, S42.2 Fracture of upper end of humerus
Manufacturer: Breg® Shoulder Stabilizer, DJO Sully Shoulder Stabilizer
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:

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

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

ICD10 Code:: S43.0 Subluxation and dislocation of shoulder joint, S46.211A-Strain of muscle, fascia and tendon of other parts of biceps, right arm, initial encounter
Manufacturer: New Options PS5: Arm-Adillo Shoulder Stabilizer
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:

L3678-Shoulder orthosis, shoulder joint design, without joints, may include soft interface, straps, prefabricated, off-the-shelf

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

ICD10 Code:: S43.0 Subluxation and dislocation of shoulder joint, S46.211A-Strain of muscle, fascia and tendon of other parts of biceps, right arm, initial encounter
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:

L3960-Shoulder elbow wrist hand orthosis, abduction positioning, airplane design, prefabricated, includes fitting and adjustment

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

ICD10 Code:: S42.2 – Fracture of upper end of humerus, S42.20 – Unspecified fracture of upper end of humerus
Manufacturer: Breg® ARC 2.0 Shoulder Brace, Lerman Pediatric Shoulder Abduction Rotation Orthosis, Trulife Gunslinger, AliMed® Gunslinger™ Shoulder 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:

L3961-Shoulder elbow wrist hand orthosis, shoulder cap 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:: S42.2 – Fracture of upper end of humerus, S42.20 – Unspecified 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.
Description:

L3962-Shoulder elbow wrist hand orthosis, abduction positioning, erb’s palsey design, prefabricated, includes fitting and adjustment

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

Manufacturer: Bird & Cronin Comfort™ Shoulder Abduction Pillow,
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:

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

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:: S42.2 – Fracture of upper end of humerus, S42.20 – Unspecified 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.
Description:

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

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

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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:

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

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

 

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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:

L3975-Shoulder elbow wrist hand finger orthosis, shoulder cap 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

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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:

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

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

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Description:

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

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

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:

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

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

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.