TLSO Custom Molded

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.
Description

L0486-Tlso, triplanar control, two 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, 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.