Prefabricated/OTS

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

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.