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Prefabricated, single upright knee orthosis extending to thigh and calf, featuring adjustable flexion/extension joint with medial-lateral and rotational control, and optional varus/valgus adjustment.
2025 HCPCS code L2035
Child's standard size knee-ankle-foot orthosis (KAFO), static, prefabricated.
Prefabricated ankle-foot orthosis (AFO) made from plastic or other material. Includes fitting and adjustment.
2025 HCPCS code L3915
Supply of a single prefabricated wrist and hand orthosis with customization.
2025 HCPCS code L2600
Supply of each clevis type, or thrust bearing, free hip joint for pelvic control.
2025 HCPCS code L3213
Supply of a pair of Benesch boots for a child (1-8 years), including fitting and adjustment.
2025 HCPCS code L0631
Supply of a prefabricated lumbosacral orthosis, customized for a specific patient.
2025 HCPCS code L0630
Supply of a prefabricated lumbosacral orthosis, customized to fit a specific patient.
2025 HCPCS code L1230
Reports a Milwaukee-type superstructure added to a TLSO or scoliosis orthosis to support or correct spinal alignment.
2025 HCPCS code L3420
Full sole and heel wedge orthosis supply, fitting, and adjustment.
2025 HCPCS code L3720
Supply of a custom-fabricated, free-motion elbow orthosis with double uprights connecting upper and lower arm cuffs; includes fitting and adjustment.
2025 HCPCS code L2186
Supply of an adjustable motion knee joint (Lerman type) for use with a lower extremity fracture orthosis.
2025 HCPCS code L2280
HCPCS code L2280 represents a molded inner boot, an addition to a lower extremity orthosis.
2025 HCPCS code L3400
Supply of a rocker metatarsal bar wedge to relieve forefoot pressure and improve gait, including fitting and adjustment.
2025 HCPCS code L3350
Heel wedge.
2025 HCPCS code L2360
Addition to lower extremity, extended steel shank.
2025 HCPCS code L2020
Knee ankle foot orthosis (KAFO), double upright, free ankle, solid stirrup, thigh and calf bands/cuffs (double bar 'AK' orthosis), custom-fabricated.
2025 HCPCS code L2038
Knee ankle foot orthosis, full plastic, with or without free motion knee, multi-axis ankle, custom fabricated.
2025 HCPCS code L2500
Ring addition to upper part of knee ankle foot orthosis (KAFO) to lift weight off lower extremity for weight bearing at gluteal and ischial regions during walking.
2025 HCPCS code L1847
Knee orthosis, double upright with adjustable joint, with inflatable air support chamber(s), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient.
2025 HCPCS code L3984
Prefabricated wrist fracture orthosis, including fitting and adjustment.
2025 HCPCS code L2034
Knee ankle foot orthosis (KAFO), full plastic, single upright, with or without free motion knee, medial lateral rotation control, with or without free motion ankle, custom fabricated.
2025 HCPCS code L3710
Prefabricated, off-the-shelf, elastic elbow orthosis with metal joints, including fitting and adjustment.
2025 HCPCS code L0622
Sacroiliac orthosis, flexible, providing pelvic-sacral support and reducing motion around the sacroiliac joint. Includes straps, closures, and may include a pendulous abdomen design. Custom fabricated.
2025 HCPCS code L0492
Prefabricated TLSO, triplanar control, with rigid plastic shells, posterior extends from sacrococcygeal junction to below scapular spine, anterior extends from symphysis pubis to xiphoid, includes fitting and adjustment.
2025 HCPCS code L0621
Sacroiliac orthosis, flexible, provides pelvic-sacral support, reduces motion about the sacroiliac joint.
2025 HCPCS code L1840
Custom fabricated knee orthosis designed to protect knee ligaments by limiting medial-lateral rotation, providing stability, and preventing rotation.
2025 HCPCS code L1834
Knee orthosis (KO), without knee joint, rigid, custom-fabricated.
Hip knee ankle foot orthosis (HKAFO), torsion control, unilateral torsion cable, ball bearing hip joint, pelvic band/belt, custom fabricated.
2025 HCPCS code L2340
Molded pretibial shell addition to a lower extremity orthosis.
2025 HCPCS code L0635
Prefabricated lumbosacral orthosis (LSO) with sagittal-coronal control and a rigid posterior frame, designed for lumbar flexion. Includes fitting and adjustments.
2025 HCPCS code L0457
Prefabricated, off-the-shelf TLSO, providing flexible trunk support in the thoracic region.
2025 HCPCS code L0456
Prefabricated, customized TLSO back brace used to immobilize the spine, providing trunk support and reducing load on intervertebral discs.
2025 HCPCS code L2660
Thoracic band addition to lower extremity orthosis for thoracic spine control.
2025 HCPCS code L3334
Heel lift, provided per inch of elevation.
2025 HCPCS code L2999
Lower extremity orthoses, not otherwise specified.
2025 HCPCS code L2650
Addition to lower extremity prosthesis for pelvic and thoracic support, gluteal pad.
2025 HCPCS code L3010
Removable foot insert with a longitudinal arch, molded to patient model.
2025 HCPCS code L3204
Orthopedic shoe, hightop with supinator or pronator, infant.
2025 HCPCS code L3764
Elbow-wrist-hand orthosis (EWHO), includes one or more nontorsion joints, elastic bands, turnbuckles; may include soft interface, straps, custom fabricated; includes fitting and adjustment.
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