O-WHOs/WHFOs

Description:

L3806-Wrist hand finger orthosis, includes one or more nontorsion joint(s), turnbuckles, elastic bands/springs, may include soft interface material, 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:

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:

L3807-Wrist hand finger orthosis, without joint(s), 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:: G56.00-Carpal tunnel syndrome, unspecified upper limb, G80.9-Cerebral palsy, unspecified, S63.50 Unspecified sprain of wrist
Manufacturer: Bledsoe™ Universal Wrist Lacer With Thumb, Comfy Resting Hand Splint, AliMed Omni Progressive Wrist Hand Thumb Orthosis ALIMED
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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:

L3808-Wrist hand finger orthosis, rigid without joints, may include soft interface material; straps, custom fabricated, includes fitting and adjustment

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

ICD10 Code:: G56.00-Carpal tunnel syndrome, unspecified upper limb, G80.9-Cerebral palsy, unspecified, S63.50 Unspecified sprain of wrist
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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:

L3809-Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type

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

ICD10 Code:: G56.00-Carpal tunnel syndrome, unspecified upper limb, G80.9-Cerebral palsy, unspecified, S63.50 Unspecified sprain of wrist
Manufacturer: Breg® Wrist Lacer With Thumb Spica, Corflex Suede Wrist Lacer Splint With Abducted Thumb, Allard S.O.T. Resting Hand 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:

L3900-Wrist hand finger orthosis, dynamic flexor hinge, reciprocal wrist extension/ flexion, finger flexion/extension, wrist or finger driven, custom fabricated

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

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:: G80.9-Cerebral palsy, unspecified
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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:

L3901-Wrist hand finger orthosis, dynamic flexor hinge, reciprocal wrist extension/ flexion, finger flexion/extension, cable driven, custom fabricated

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

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:

L3904-Wrist hand finger orthosis, external powered, electric, custom fabricated

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

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:

L3905-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:

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:: G56.00-Carpal tunnel syndrome, unspecified upper limb, G80.9-Cerebral palsy, unspecified, S63.50 Unspecified sprain of wrist
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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:

L3906-Wrist hand orthosis, 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:

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:: G56.00-Carpal tunnel syndrome, unspecified upper limb, G80.9-Cerebral palsy, unspecified, S63.50 Unspecified sprain of wrist
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:

L3908-Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf

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

ICD10 Code:: G56.00-Carpal tunnel syndrome, unspecified upper limb, G80.9-Cerebral palsy, unspecified, S63.50 Unspecified sprain of wrist
Manufacturer: Breg® Apollo Universal Wrist Brace, Titan Wrist – Lacing Orthosis HELY & WEBER
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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:

L3915-Wrist hand orthosis, includes one or more nontorsion joint(s), elastic bands, turnbuckles, 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. 

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:

L3916-Wrist hand orthosis, includes one or more nontorsion joint(s), elastic bands, turnbuckles, may include soft interface, straps, prefabricated, off-the-shelf

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

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:

L3931-Wrist hand finger orthosis, includes one or more nontorsion joint(s), turnbuckles, elastic bands/springs, may include soft interface material, straps, prefabricated, includes fitting and adjustment

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

ICD10 Code:: M24.53-Contracture, wrist
Manufacturer: Turnbuckle Functional Position Splint,
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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:

L3984-Upper extremity fracture orthosis, wrist, prefabricated, 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:

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:: S62.1- Fracture of other and unspecified carpal bone(s), S62.9- Unspecified fracture of wrist and hand
Manufacturer: DeRoyal® Black Foam Wrist and Wrist/Forearm Splint, MARAMED Wrist Hand Extended
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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.