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.