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ALL MEDICAL CODES IN CATEGORY Orthotic Procedures and services

2025 HCPCS code L4060

Replacement of a high roll cuff for a lower extremity orthosis.

2025 HCPCS code L3560

Orthopedic shoe addition, horseshoe toe tap, metal

2025 HCPCS code L0625

Flexible lumbar orthosis providing lumbar support, extending posteriorly from L1 to below L5, using intracavitary pressure to reduce load on intervertebral discs.

2025 HCPCS code L3350

Heel wedge.

2025 HCPCS code L1630

Semiflexible, custom fabricated von Rosen type hip orthosis for developmental dysplasia of the hip.

2025 HCPCS code L3670

Shoulder orthosis, acromioclavicular, prefabricated, off-the-shelf (canvas and webbing type).

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 L2390

Addition to lower extremity, offset knee joint, each.

2025 HCPCS code L3660

Prefabricated, off-the-shelf, figure-of-eight shoulder orthosis made of canvas and webbing, including fitting and adjustment.

2025 HCPCS code L3470

Thomas heel, extends to ball of foot.

2025 HCPCS code L1120

Single upright cover for a cervical thoracic lumbar sacral orthosis (CTLSO) or scoliosis orthosis.

2025 HCPCS code L1200

Thoracic-lumbar-sacral-orthosis (TLSO), inclusive of furnishing initial orthosis only.

2025 HCPCS code L1300

Body jacket, molded to patient model, for scoliosis treatment.

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 L1652

Hip orthosis, bilateral thigh cuffs with adjustable abductor spreader bar, adult size, prefabricated, includes fitting and adjustment.

2025 HCPCS code L2060

Hip knee ankle foot orthosis (HKAFO), torsion control, bilateral torsion cables, ball bearing hip joint, pelvic band/belt, custom fabricated.

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 L0482

Custom fabricated TLSO, triplanar control, one piece rigid plastic shell, interface liner, multiple straps and closures, posterior extends from sacrococcygeal junction to just inferior to scapular spine, anterior extends from symphysis pubis to sternal notch, anterior/posterior opening, restricts gross trunk motion.

2025 HCPCS code L3010

Removable foot insert with a longitudinal arch, molded to patient model.

2025 HCPCS code L3206

Orthopedic shoe, hightop with supinator or pronator, child.

2025 HCPCS code L3201

Orthopedic shoe, Oxford with supinator or pronator, infant.

2025 HCPCS code L3891

Addition to upper extremity joint, wrist or elbow, concentric adjustable torsion style mechanism for custom fabricated orthotics only, each.

2025 HCPCS code L3917

Prefabricated hand orthosis, customized for metacarpal fracture, adjusted by expert.

2025 HCPCS code L4045

Replacement of a non-molded thigh lacer for a custom fabricated orthosis.

2025 HCPCS code L4100

Replacement of leather cuff, proximal thigh, for knee-ankle-foot orthosis (KAFO).

2025 HCPCS code L4090

Replacement of metal bands, distal thigh or calf, for knee-ankle-foot orthosis (KAFO) or ankle-foot orthosis (AFO).

2025 HCPCS code L3962

Prefabricated shoulder, elbow, wrist, and hand orthosis for abduction positioning, specifically designed for Erb's palsy, including fitting and adjustment.

2025 HCPCS code L4070

Replacement of proximal and distal uprights for a knee ankle foot orthosis (KAFO).

2025 HCPCS code L3806

Custom fabricated wrist-hand-finger orthosis with nontorsion joints, elastic bands/springs, turnbuckles, and optional soft interface and straps. Includes fitting and adjustment.

2025 HCPCS code L1851

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 L4394

Replacement of soft interface material for a foot drop splint.

2025 HCPCS code L2040

Hip knee ankle foot orthosis (HKAFO), torsion control, bilateral rotation straps, pelvic band/belt, custom fabricated.

2025 HCPCS code L2188

Addition to lower extremity fracture orthosis, quadrilateral brim.

2025 HCPCS code L4392

Replacement of soft interface material for a static ankle-foot orthosis (AFO).

2025 HCPCS code L0972

Lumbar-sacral orthosis (LSO), corset front.This is an addition to a lumbosacral orthosis (LSO) and provides additional support and strength.

2025 HCPCS code L3981

Prefabricated humeral fracture orthosis with shoulder cap, forearm section, with or without joints, and may include soft interface or straps. Includes fitting and adjustment.

2025 HCPCS code L3330

Supply of a metal shoe lift apparatus, including fitting and adjustment.

2025 HCPCS code L3320

Supply of cork heel and sole lift for an orthosis, per inch of elevation, including fitting and adjustment.

2025 HCPCS code L1820

Prefabsricated elastic knee orthosis with joints and condylar pads, with or without patellar control; customized to fit a specific patient.

2025 HCPCS code L3070

Supply of a nonremovable foot arch support attached to the patient's shoe, including fitting and adjustment.

2025 HCPCS code L1850

Supply of a prefabricated Swedish-type knee orthosis.

2025 HCPCS code L4386

Supply of a non-pneumatic walking boot, customized to fit a specific patient.

2025 HCPCS code L0810

Supply of a cervical halo incorporated into a jacket vest; a component of a halo vest traction unit.

2025 HCPCS code L3808

Supply of a custom-fabricated, rigid, jointless wrist-hand-finger orthosis; includes fitting and adjustment.

2025 HCPCS code L3915

Supply of a single prefabricated wrist and hand orthosis with customization.

2025 HCPCS code L3900

Custom-fabricated wrist-hand-finger orthosis with a wrist or finger-driven dynamic flexor hinge; includes fitting and adjustment.

2025 HCPCS code L3465

Supply of a Thomas heel orthosis, including fitting and adjustment, to provide additional foot support.

2025 HCPCS code L2760

Addition to lower extremity orthosis, extension, per extension, per bar (for lineal adjustment for growth).

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