O-TLSOs/Scoliosis/Pectus/Rib Belts

Description:

L0220-Thoracic, rib belt, custom fabricated

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

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:

L0430-Spinal orthosis, anterior-posterior-lateral control, with interface material, custom fitted (dewall posture protector only)

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

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:

L0450-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

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

OTS or Custom 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

Manufacturer: Orthomerica® California® LOMBAR™, Freeman Orthotics Dorsolumbar 511
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.
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:: m47.-osteoarthritis of the spine, M40.0 Postural kyphosis, S22.- Stable burst Fx of Lumbar
Manufacturer: Aspen® Vista® 464 TLSO, Aspen® Sierra™, Cybertech™ CyberSpine TLSOx4, Aspen® Contour™ 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:

L0466-Tlso, sagittal control, rigid posterior frame and flexible soft anterior apron with straps, closures and padding, restricts gross trunk motion in sagittal plane, produces intracavitary pressure to reduce load on intervertebral disks, 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:: M43.24-Fusion of spine, thoracic region, M47.815-Spondylosis thoracolumbar region
Manufacturer: U.S. Orthotics Knight-Taylor Orthosis, RCAI Knight-Taylor 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:

L0467-Tlso, sagittal control, rigid posterior frame and flexible soft anterior apron with straps, closures and padding, restricts gross trunk motion in sagittal plane, produces intracavitary pressure to reduce load on intervertebral disks, 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:

L0468-Tlso, sagittal-coronal control, rigid posterior frame and flexible soft anterior apron with straps, closures and padding, extends from sacrococcygeal junction over scapulae, lateral strength provided by pelvic, thoracic, and lateral frame pieces, restricts gross trunk motion in sagittal, and coronal planes, produces intracavitary pressure to reduce load on intervertebral disks, 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:: S32.00 Fracture of unspecified lumbar vertebra
Manufacturer: Bauerfeind® SofTec® Dorso, Freeman Spinalite™ Knight-Taylor 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:

L0469-Tlso, sagittal-coronal control, rigid posterior frame and flexible soft anterior apron with straps, closures and padding, extends from sacrococcygeal junction over scapulae, lateral strength provided by pelvic, thoracic, and lateral frame pieces, restricts gross trunk motion in sagittal and coronal planes, produces intracavitary pressure to reduce load on intervertebral disks, prefabricated, off-the-shelf

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

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:

L0470-Tlso, triplanar control, rigid posterior frame and flexible soft anterior apron with straps, closures and padding, extends from sacrococcygeal junction to scapula, lateral strength provided by pelvic, thoracic, and lateral frame pieces, rotational strength provided by subclavicular extensions, restricts gross trunk motion in sagittal, coronal, and transverse planes, provides intracavitary pressure to reduce load on the intervertebral disks, includes fitting and shaping the frame, 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,
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:

L0472-Tlso, triplanar control, hyperextension, rigid anterior and lateral frame extends from symphysis pubis to sternal notch with two anterior components (one pubic and one sternal), posterior and lateral pads with straps and closures, limits spinal flexion, restricts gross trunk motion in sagittal, coronal, and transverse planes, includes fitting and shaping the frame, 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:: S32.0* : Fracture of lumbar vertebra.
Manufacturer: Ottobock Hyperextension Orthosis,Trulife C39 Articulating Hyperextension Orthosis,Becker Hyperextension TLSO With Deltopectoral Pads,
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:

L0480-Tlso, triplanar control, one piece rigid plastic shell without interface liner, with multiple straps and closures, posterior extends from sacrococcygeal junction and terminates just inferior to scapular spine, anterior extends from symphysis pubis to sternal notch, anterior or posterior opening, restricts gross trunk motion in sagittal, coronal, and transverse planes, includes a carved plaster or cad-cam model, custom fabricated

Orthotic or Prosthetic Lcodes: Orthotics
Disclaimer: Please use your own discretion when coding. Oandpacademy.com will not be held responsible for any miscoding.
Description:

L0480-Tlso, triplanar control, one piece rigid plastic shell without interface liner, with multiple straps and closures, posterior extends from sacrococcygeal junction and terminates just inferior to scapular spine, anterior extends from symphysis pubis to sternal notch, anterior or posterior opening, restricts gross trunk motion in sagittal, coronal, and transverse planes, includes a carved plaster or cad-cam model, 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:

L0482-Tlso, triplanar control, one piece rigid plastic shell with interface liner, multiple straps and closures, posterior extends from sacrococcygeal junction and terminates just inferior to scapular spine, anterior extends from symphysis pubis to sternal notch, anterior or posterior opening, restricts gross trunk motion in sagittal, coronal, and transverse planes, includes a carved plaster or cad-cam model, 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:

L0484-Tlso, triplanar control, two piece rigid plastic shell without interface liner, with multiple straps and closures, posterior extends from sacrococcygeal junction and terminates just inferior to scapular spine, anterior extends from symphysis pubis to sternal notch, lateral strength is enhanced by overlapping plastic, restricts gross trunk motion in the sagittal, coronal, and transverse planes, includes a carved plaster or cad-cam model, 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.