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ALL MEDICAL CODES IN CATEGORY Orthotic Procedures and services L0112-L4631

2025 HCPCS code L3650

Prefabricated, off-the-shelf, figure-of-eight shoulder orthosis for abduction restraint. Includes fitting and adjustment.

2025 HCPCS code L3570

Orthopedic shoe addition, special extension to instep (leather with eyelets).

2025 HCPCS code L2624

Addition to lower extremity, pelvic control, hip joint, adjustable flexion, extension, abduction control, each.

2025 HCPCS code L3620

Transfer of an existing solid stirrup orthosis from one shoe to another, including fitting and adjustment.

2025 HCPCS code L1930

Prefabricated ankle-foot orthosis (AFO) made from plastic or other material. Includes fitting and adjustment.

2025 HCPCS code L3360

Sole wedge, attached to the outside of the sole.

2025 HCPCS code L3671

Custom fabricated shoulder orthosis, without joints, may include a soft interface and straps. Includes fitting and adjustment.

2025 HCPCS code L3300

Tapered heel elevation wedge, per inch, including fitting and adjustment.

2025 HCPCS code L3982

Prefabricated upper extremity fracture orthosis for radius/ulnar fractures, 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 L2530

Non-molded weight bearing lacer for thigh, used with a KAFO.

2025 HCPCS code L2375

Jointed ankle brace with solid half stirrup with torsion control, addition to lower extremity orthosis.

2025 HCPCS code L0637

Lumbar-sacral orthosis (LSO) with sagittal-coronal control, rigid frame, and intracavitary pressure.

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 L2090

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

2025 HCPCS code L2192

Addition to lower extremity fracture orthosis, hip joint, pelvic band, thigh flange, and pelvic belt.

2025 HCPCS code L0120

Cervical, flexible, non-adjustable, prefabricated, off-the-shelf (foam collar).

2025 HCPCS code L0172

Prefabricated, two-piece, semi-rigid thermoplastic foam cervical collar, off-the-shelf.

2025 HCPCS code L0636

Custom-fabricated lumbosacral orthosis (LSO) providing sagittal-coronal control and lumbar flexion. It features a rigid posterior frame, a lateral articulating design, and extends from the sacrococcygeal junction to the T9 vertebra.

2025 HCPCS code L0180

Cervical, multiple post collar, occipital/mandibular supports, adjustable.

2025 HCPCS code L0174

Prefabricated, off-the-shelf, semi-rigid, two-piece thermoplastic foam cervical collar with thoracic extension.

2025 HCPCS code L0460

Prefabricated, customized TLSO with two rigid plastic shells, restricts gross trunk motion in sagittal, coronal, and transverse planes.

2025 HCPCS code L0472

Thoracic-lumbar-sacral orthosis (TLSO) with triplanar control, hyperextension, rigid frame, and pads with straps and closures.

2025 HCPCS code L0469

Prefabricated thoracic lumbar sacral orthosis (TLSO) used to immobilize the spine, providing sagittal and coronal control.

2025 HCPCS code L0458

Thoracic-lumbar-sacral orthosis (TLSO) with triplanar control, consisting of a modular segmented spinal system. It features two rigid plastic shells, a posterior shell extending from the sacrococcygeal junction to just below the scapular spine, and an anterior shell extending from the symphysis pubis to the xiphoid. The orthosis includes a soft liner, restricts gross trunk motion in the sagittal, coronal, and transverse planes, and provides lateral strength through overlapping plastic and stabilizing closures.

2025 HCPCS code L0470

Prefabricated TLSO with triplanar control, rigid posterior frame, and flexible anterior apron, including fitting and adjustment.

2025 HCPCS code L0484

Custom fabricated TLSO, triplanar control, two-piece rigid plastic shell without interface liner, multiple straps and closures for gross trunk motion restriction.

2025 HCPCS code L2630

Addition to lower extremity, pelvic control, band and belt, unilateral.

2025 HCPCS code L3334

Heel lift, provided per inch of elevation.

2025 HCPCS code L2999

Lower extremity orthoses, not otherwise specified.

2025 HCPCS code L2640

Addition to lower extremity, pelvic control, band and belt, bilateral.

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.

2025 HCPCS code L3000

Removable foot insert, molded to patient model, UCB type, Berkeley Shell, each.

2025 HCPCS code L3161

Adjustable adductus positioning device for the foot.

2025 HCPCS code L3170

Prefabricated, off-the-shelf heel stabilizer made of plastic, silicone, or similar material. Includes fitting and adjustment.

2025 HCPCS code L3225

Orthopedic footwear, man's shoe, Oxford, used as an integral part of a brace (orthosis).

2025 HCPCS code L3207

Orthopedic shoe, hightop with supinator or pronator, junior.

2025 HCPCS code L3230

Orthopedic footwear, custom shoe, depth inlay, each.

2025 HCPCS code L3912

Hand finger orthosis (HFO), flexion glove with elastic finger control, prefabricated, off-the-shelf.

2025 HCPCS code L3480

Heel pad with a depression for a spur.

2025 HCPCS code L0980

Prefabricated, off-the-shelf peroneal straps, supplied in pairs.

2025 HCPCS code L3002

Removable foot insert, molded to patient model, Plastazote or similar material.

2025 HCPCS code L4205

Repair of orthotic device, labor component, per 15 minutes.

2025 HCPCS code L2035

Child's standard size knee-ankle-foot orthosis (KAFO), static, prefabricated.

2025 HCPCS code L1940

Custom fabricated ankle-foot orthosis (AFO) made from plastic or other material.

2025 HCPCS code L2820

Addition to lower extremity orthosis, soft interface for molded plastic, below knee section.

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 L0861

Addition to halo procedure, replacement liner/interface material.

2025 HCPCS code L2415

Addition to a knee lock with an integrated release mechanism (e.g., bail, cable), any material, each joint.