Custom

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

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

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
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

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

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.