2010 HCPCS L0100 TERMINATED 12/31/2006 : Cranial orthosis (helmet), with or without soft interface, molded to patient model2010 HCPCS L0110 TERMINATED 12/31/2006 : Cranial orthosis (helmet), with or without soft-interface, non-molded2010 HCPCS L0112 Cranial cervical orthosis, congenital torticollis type, with or without soft interface material, adjustable range of motion joint, custom fabricated2010 HCPCS L0113 Cranial cervical orthosis, torticollis type, with or without joint, with or without soft interface material, prefabricated, includes fitting and adjustment2010 HCPCS L0120 Cervical, flexible, non-adjustable (foam collar)2010 HCPCS L0130 Cervical, flexible, thermoplastic collar, molded to patient2010 HCPCS L0140 Cervical, semi-rigid, adjustable (plastic collar)2010 HCPCS L0150 Cervical, semi-rigid, adjustable molded chin cup (plastic collar with mandibular/occipital piece)2010 HCPCS L0160 Cervical, semi-rigid, wire frame occipital/mandibular support2010 HCPCS L0170 Cervical, collar, molded to patient model2010 HCPCS L0172 Cervical, collar, semi-rigid thermoplastic foam, two piece2010 HCPCS L0174 Cervical, collar, semi-rigid, thermoplastic foam, two piece with thoracic extension2010 HCPCS L0180 Cervical, multiple post collar, occipital/mandibular supports, adjustable2010 HCPCS L0190 Cervical, multiple post collar, occipital/mandibular supports, adjustable cervical bars (somi, guilford, taylor types)2010 HCPCS L0200 Cervical, multiple post collar, occipital/mandibular supports, adjustable cervical bars, and thoracic extension2010 HCPCS L0210 TERMINATED 12/31/2009 : Thoracic, rib belt2010 HCPCS L0220 Thoracic, rib belt, custom fabricated2010 HCPCS L0430 Spinal orthosis, anterior-posterior-lateral control, with interface material, custom fitted (dewall posture protector only)2010 HCPCS L0450 Tlso, flexible, provides trunk support, upper thoracic region, produces intracavitary pressure to reduce load on the intevertebral disks with rigid stays or panel(s), includes shoulder straps and closures, prefabricated, includes fitting and adjustment2010 HCPCS L0452 Tlso, flexible, provides trunk support, upper thoracic region, produces intracavitary pressure to reduce load on the intervertebral disks with rigid stays or panel(s), includes shoulder straps and closures, custom fabricated2010 HCPCS L0454 Tlso flexible, provides trunk support, extends from sacrococcygeal junction to above t-9 vertebra, restricts gross trunk motion in the sagittal plane, produces intracavitary pressure to reduce load on the intervertebral disks with rigid stays or panel(s), includes shoulder straps and closures, prefabricated, includes fitting and adjustment2010 HCPCS L0456 Tlso, flexible, provides trunk support, thoracic region, rigid posterior panel and soft anterior apron, extends from the sacrococcygeal junction and terminates just inferior to the scapular spine, restricts gross trunk motion in the sagittal plane, produces intracavitary pressure to reduce load on the intervertebral disks, includes straps and closures, prefabricated, includes fitting and adjustment2010 HCPCS L0458 Tlso, triplanar control, modular segmented spinal system, two rigid plastic shells, posterior extends from the sacrococcygeal junction and terminates just inferior to the scapular spine, anterior extends from the symphysis pubis to the xiphoid, soft liner, restricts gross trunk motion in the sagittal, coronal, and tranverse planes, lateral strength is provided by overlapping plastic and stabilizing closures, includes straps and closures, prefabricated, includes fitting and adjustment2010 HCPCS L0460 Tlso, triplanar control, modular segmented spinal system, two rigid plastic shells, posterior extends from the sacrococcygeal junction and terminates just inferior to the scapular spine, anterior extends from the symphysis pubis to the sternal notch, soft liner, restricts gross trunk motion in the sagittal, coronal, and tranverse planes, lateral strength is provided by overlapping plastic and stabilizing closures, includes straps and closures, prefabricated, includes fitting and adjustment2010 HCPCS L0462 Tlso, triplanar control, modular segmented spinal system, three rigid plastic shells, posterior extends from the sacrococcygeal junction and terminates just inferior to the scapular spine, anterior extends from the symphysis pubis to the sternal notch, soft liner, restricts gross trunk motion in the sagittal, coronal, and transverse planes, lateral strength is provided by overlapping plastic and stabilizing closures, includes straps and closures, prefabricated, includes fitting and adjustment2010 HCPCS L0464 Tlso, triplanar control, modular segmented spinal system, four rigid plastic shells, posterior extends from sacrococcygeal junction and terminates just inferior to scapular spine, anterior extends from symphysis pubis to the sternal notch, soft liner, restricts gross trunk motion in sagittal, coronal, and tranverse planes, lateral strength is provided by overlapping plastic and stabilizing closures, includes straps and closures, prefabricated, includes fitting and adjustment2010 HCPCS L0466 Tlso, sagittal control, rigid posterior frame and flexible soft anterior apron with straps, closures and padding, restricts gross trunk motion in sagittal plane, produces intracavitary pressure to reduce load on intervertebral disks, includes fitting and shaping the frame, prefabricated, includes fitting and adjustment2010 HCPCS L0468 Tlso, sagittal-coronal control, rigid posterior frame and flexible soft anterior apron with straps, closures and padding, extends from sacrococcygeal junction over scapulae, lateral strength provided by pelvic, thoracic, and lateral frame pieces, restricts gross trunk motion in sagittal, and coronal planes, produces intracavitary pressure to reduce load on intervertebral disks, includes fitting and shaping the frame, prefabricated, includes fitting and adjustment2010 HCPCS L0470 Tlso, triplanar control, rigid posterior frame and flexible soft anterior apron with straps, closures and padding, extends from sacrococcygeal junction to scapula, lateral strength provided by pelvic, thoracic, and lateral frame pieces, rotational strength provided by subclavicular extensions, restricts gross trunk motion in sagittal, coronal, and tranverse planes, produces intracavitary pressure to reduce load on the intervertebral disks, includes fitting and shaping the frame, prefabricated, includes fitting and adjustment2010 HCPCS L0472 Tlso, triplanar control, hyperextension, rigid anterior and lateral frame extends from symphysis pubis to sternal notch with two anterior components (one pubic and one sternal), posterior and lateral pads with straps and closures, limits spinal flexion, restricts gross trunk motion in sagittal, coronal, and transverse planes, includes fitting and shaping the frame, prefabricated, includes fitting and adjustment2010 HCPCS 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 fabricated2010 HCPCS 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 fabricated2010 HCPCS 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 fabricated2010 HCPCS 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 fabricated2010 HCPCS L0488 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, prefabricated, includes fitting and adjustment2010 HCPCS L0490 Tlso, sagittal-coronal control, one piece rigid plastic shell, with overlapping reinforced anterior, with multiple straps and closures, posterior extends from sacrococcygeal junction and terminates at or before the t-9 vertebra, anterior extends from symphysis pubis to xiphoid, anterior opening, restricts gross trunk motion in sagittal and coronal planes, prefabricated, includes fitting and adjustment2010 HCPCS L0491 Tlso, sagittal-coronal control, modular segmented spinal system, two rigid plastic shells, posterior extends from the sacrococcygeal junction and terminates just inferior to the scapular spine, anterior extends from the symphysis pubis to the xiphoid, soft liner, restricts gross trunk motion in the sagittal and coronal planes, lateral strength is provided by overlapping plastic and stabilizing closures, includes straps and closures, prefabricated, includes fitting and adjustment2010 HCPCS L0492 Tlso, sagittal-coronal control, modular segmented spinal system, three rigid plastic shells, posterior extends from the sacrococcygeal junction and terminates just inferior to the scapular spine, anterior extends from the symphysis pubis to the xiphoid, soft liner, restricts gross trunk motion in the sagittal and coronal planes, lateral strength is provided by overlapping plastic and stabilizing closures, includes straps and closures, prefabricated, includes fitting and adjustment2010 HCPCS L0621 Sacroiliac orthosis, flexible, provides pelvic-sacral support, reduces motion about the sacroiliac joint, includes straps, closures, may include pendulous abdomen design, prefabricated, includes fitting and adjustment2010 HCPCS L0622 Sacroiliac orthosis, flexible, provides pelvic-sacral support, reduces motion about the sacroiliac joint, includes straps, closures, may include pendulous abdomen design, custom fabricated2010 HCPCS L0623 Sacroiliac orthosis, provides pelvic-sacral support, with rigid or semi-rigid panels over the sacrum and abdomen, reduces motion about the sacroiliac joint, includes straps, closures, may include pendulous abdomen design, prefabricated, includes fitting and adjustment2010 HCPCS L0624 Sacroiliac orthosis, provides pelvic-sacral support, with rigid or semi-rigid panels placed over the sacrum and abdomen, reduces motion about the sacroiliac joint, includes straps, closures, may include pendulous abdomen design, custom fabricated2010 HCPCS L0625 Lumbar orthosis, flexible, provides lumbar support, posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include pendulous abdomen design, shoulder straps, stays, prefabricated, includes fitting and adjustment2010 HCPCS L0626 Lumbar orthosis, sagittal control, with rigid posterior panel(s), posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, stays, shoulder straps, pendulous abdomen design, prefabricated, includes fitting and adjustment2010 HCPCS L0627 Lumbar orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated, includes fitting and adjustment2010 HCPCS L0628 Lumbar-sacral orthosis, flexible, provides lumbo-sacral support, posterior extends from sacrococcygeal junction to t-9 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include stays, shoulder straps, pendulous abdomen design, prefabricated, includes fitting and adjustment2010 HCPCS L0629 Lumbar-sacral orthosis, flexible, provides lumbo-sacral support, posterior extends from sacrococcygeal junction to t-9 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include stays, shoulder straps, pendulous abdomen design, custom fabricated2010 HCPCS L0630 Lumbar-sacral orthosis, sagittal control, with rigid posterior panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, stays, shoulder straps, pendulous abdomen design, prefabricated, includes fitting and adjustment2010 HCPCS L0631 Lumbar-sacral orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from sacrococcygeal junction to t-9 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated, includes fitting and adjustment2010 HCPCS L0632 Lumbar-sacral orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from sacrococcygeal junction to t-9 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, custom fabricated2010 HCPCS L0633 Lumbar-sacral orthosis, sagittal-coronal control, with rigid posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panels, produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, stays, shoulder straps, pendulous abdomen design, prefabricated, includes fitting and adjustment2010 HCPCS L0634 Lumbar-sacral orthosis, sagittal-coronal control, with rigid posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, stays, shoulder straps, pendulous abdomen design, custom fabricated2010 HCPCS L0635 Lumbar-sacral orthosis, sagittal-coronal control, lumbar flexion, rigid posterior frame/panel(s), lateral articulating design to flex the lumbar spine, posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, anterior panel, pendulous abdomen design, prefabricated, includes fitting and adjustment2010 HCPCS L0636 Lumbar sacral orthosis, sagittal-coronal control, lumbar flexion, rigid posterior frame/panels, lateral articulating design to flex the lumbar spine, posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panels, produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, anterior panel, pendulous abdomen design, custom fabricated2010 HCPCS L0637 Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panels, posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panels, produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated, includes fitting and adjustment2010 HCPCS L0638 Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panels, posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panels, produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, custom fabricated2010 HCPCS L0639 Lumbar-sacral orthosis, sagittal-coronal control, rigid shell(s)/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, anterior extends from symphysis pubis to xyphoid, produces intracavitary pressure to reduce load on the intervertebral discs, overall strength is provided by overlapping rigid material and stabilizing closures, includes straps, closures, may include soft interface, pendulous abdomen design, prefabricated, includes fitting and adjustment2010 HCPCS L0640 Lumbar-sacral orthosis, sagittal-coronal control, rigid shell(s)/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, anterior extends from symphysis pubis to xyphoid, produces intracavitary pressure to reduce load on the intervertebral discs, overall strength is provided by overlapping rigid material and stabilizing closures, includes straps, closures, may include soft interface, pendulous abdomen design, custom fabricated2010 HCPCS L0700 Cervical-thoracic-lumbar-sacral-orthoses (ctlso), anterior-posterior-lateral control, molded to patient model, (minerva type)2010 HCPCS L0710 Ctlso, anterior-posterior-lateral-control, molded to patient model, with interface material, (minerva type)2010 HCPCS L0810 Halo procedure, cervical halo incorporated into jacket vest2010 HCPCS L0820 Halo procedure, cervical halo incorporated into plaster body jacket2010 HCPCS L0830 Halo procedure, cervical halo incorporated into milwaukee type orthosis2010 HCPCS L0859 Addition to halo procedure, magnetic resonance image compatible systems, rings and pins, any material2010 HCPCS L0861 Addition to halo procedure, replacement liner/interface material2010 HCPCS L0960 TERMINATED 12/31/2007 : Torso support, post surgical support, pads for post surgical support2010 HCPCS L0970 Tlso, corset front2010 HCPCS L0972 Lso, corset front2010 HCPCS L0974 Tlso, full corset2010 HCPCS L0976 Lso, full corset2010 HCPCS L0978 Axillary crutch extension2010 HCPCS L0980 Peroneal straps, pair2010 HCPCS L0982 Stocking supporter grips, set of four (4)2010 HCPCS L0984 Protective body sock, each2010 HCPCS L0999 Addition to spinal orthosis, not otherwise specified2010 HCPCS L1000 Cervical-thoracic-lumbar-sacral orthosis (ctlso) (milwaukee), inclusive of furnishing initial orthosis, including model2010 HCPCS L1001 Cervical thoracic lumbar sacral orthosis, immobilizer, infant size, prefabricated, includes fitting and adjustment2010 HCPCS L1005 Tension based scoliosis orthosis and accessory pads, includes fitting and adjustment2010 HCPCS L1010 Addition to cervical-thoracic-lumbar-sacral orthosis (ctlso) or scoliosis orthosis, axilla sling2010 HCPCS L1020 Addition to ctlso or scoliosis orthosis, kyphosis pad2010 HCPCS L1025 Addition to ctlso or scoliosis orthosis, kyphosis pad, floating2010 HCPCS L1030 Addition to ctlso or scoliosis orthosis, lumbar bolster pad2010 HCPCS L1040 Addition to ctlso or scoliosis orthosis, lumbar or lumbar rib pad2010 HCPCS L1050 Addition to ctlso or scoliosis orthosis, sternal pad2010 HCPCS L1060 Addition to ctlso or scoliosis orthosis, thoracic pad2010 HCPCS L1070 Addition to ctlso or scoliosis orthosis, trapezius sling2010 HCPCS L1080 Addition to ctlso or scoliosis orthosis, outrigger2010 HCPCS L1085 Addition to ctlso or scoliosis orthosis, outrigger, bilateral with vertical extensions2010 HCPCS L1090 Addition to ctlso or scoliosis orthosis, lumbar sling2010 HCPCS L1100 Addition to ctlso or scoliosis orthosis, ring flange, plastic or leather2010 HCPCS L1110 Addition to ctlso or scoliosis orthosis, ring flange, plastic or leather, molded to patient model2010 HCPCS L1120 Addition to ctlso, scoliosis orthosis, cover for upright, each2010 HCPCS L1200 Thoracic-lumbar-sacral-orthosis (tlso), inclusive of furnishing initial orthosis only2010 HCPCS L1210 Addition to tlso, (low profile), lateral thoracic extension2010 HCPCS L1220 Addition to tlso, (low profile), anterior thoracic extension2010 HCPCS L1230 Addition to tlso, (low profile), milwaukee type superstructure2010 HCPCS L1240 Addition to tlso, (low profile), lumbar derotation pad2010 HCPCS L1250 Addition to tlso, (low profile), anterior asis pad2010 HCPCS L1260 Addition to tlso, (low profile), anterior thoracic derotation pad2010 HCPCS L1270 Addition to tlso, (low profile), abdominal pad2010 HCPCS L1280 Addition to tlso, (low profile), rib gusset (elastic), each2010 HCPCS L1290 Addition to tlso, (low profile), lateral trochanteric pad2010 HCPCS L1300 Other scoliosis procedure, body jacket molded to patient model2010 HCPCS L1310 Other scoliosis procedure, post-operative body jacket2010 HCPCS L1499 Spinal orthosis, not otherwise specified2010 HCPCS L1500 Thoracic-hip-knee-ankle orthosis (thkao), mobility frame (newington, parapodium types)2010 HCPCS L1510 Thkao, standing frame, with or without tray and accessories2010 HCPCS L1520 Thkao, swivel walker2010 HCPCS L1600 Hip orthosis, abduction control of hip joints, flexible, frejka type with cover, prefabricated, includes fitting and adjustment2010 HCPCS L1610 Hip orthosis, abduction control of hip joints, flexible, (frejka cover only), prefabricated, includes fitting and adjustment2010 HCPCS L1620 Hip orthosis, abduction control of hip joints, flexible, (pavlik harness), prefabricated, includes fitting and adjustment2010 HCPCS L1630 Hip orthosis, abduction control of hip joints, semi-flexible (von rosen type), custom-fabricated2010 HCPCS L1640 Hip orthosis, abduction control of hip joints, static, pelvic band or spreader bar, thigh cuffs, custom-fabricated2010 HCPCS L1650 Hip orthosis, abduction control of hip joints, static, adjustable, (ilfled type), prefabricated, includes fitting and adjustment2010 HCPCS L1652 Hip orthosis, bilateral thigh cuffs with adjustable abductor spreader bar, adult size, prefabricated, includes fitting and adjustment, any type2010 HCPCS L1660 Hip orthosis, abduction control of hip joints, static, plastic, prefabricated, includes fitting and adjustment2010 HCPCS L1680 Hip orthosis, abduction control of hip joints, dynamic, pelvic control, adjustable hip motion control, thigh cuffs (rancho hip action type), custom fabricated2010 HCPCS L1685 Hip orthosis, abduction control of hip joint, postoperative hip abduction type, custom fabricated2010 HCPCS L1686 Hip orthosis, abduction control of hip joint, postoperative hip abduction type, prefabricated, includes fitting and adjustment2010 HCPCS L1690 Combination, bilateral, lumbo-sacral, hip, femur orthosis providing adduction and internal rotation control, prefabricated, includes fitting and adjustment2010 HCPCS L1700 Legg perthes orthosis, (toronto type), custom-fabricated2010 HCPCS L1710 Legg perthes orthosis, (newington type), custom fabricated2010 HCPCS L1720 Legg perthes orthosis, trilateral, (tachdijan type), custom-fabricated2010 HCPCS L1730 Legg perthes orthosis, (scottish rite type), custom-fabricated2010 HCPCS L1755 Legg perthes orthosis, (patten bottom type), custom-fabricated2010 HCPCS L1800 TERMINATED 12/31/2009 : Knee orthosis, elastic with stays, prefabricated, includes fitting and adjustment2010 HCPCS L1810 Knee orthosis, elastic with joints, prefabricated, includes fitting and adjustment2010 HCPCS L1815 TERMINATED 12/31/2009 : Knee orthosis, elastic or other elastic type material with condylar pad(s), prefabricated, includes fitting and adjustment2010 HCPCS L1820 Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated, includes fitting and adjustment2010 HCPCS L1825 TERMINATED 12/31/2009 : Knee orthosis, elastic knee cap, prefabricated, includes fitting and adjustment2010 HCPCS L1830 Knee orthosis, immobilizer, canvas longitudinal, prefabricated, includes fitting and adjustment2010 HCPCS L1831 Knee orthosis, locking knee joint(s), positional orthosis, prefabricated, includes fitting and adjustment2010 HCPCS L1832 Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, includes fitting and adjustment2010 HCPCS L1834 Knee orthosis, without knee joint, rigid, custom-fabricated2010 HCPCS L1836 Knee orthosis, rigid, without joint(s), includes soft interface material, prefabricated, includes fitting and adjustment2010 HCPCS L1840 Knee orthosis, derotation, medial-lateral, anterior cruciate ligament, custom fabricated2010 HCPCS L1843 Knee orthosis, single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, includes fitting and adjustment2010 HCPCS L1844 Knee orthosis, single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, custom fabricated2010 HCPCS L1845 Knee orthosis, double upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, includes fitting and adjustment2010 HCPCS L1846 Knee orthosis, double upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, custom fabricated2010 HCPCS L1847 Knee orthosis, double upright with adjustable joint, with inflatable air support chamber(s), prefabricated, includes fitting and adjustment2010 HCPCS L1850 Knee orthosis, swedish type, prefabricated, includes fitting and adjustment2010 HCPCS L1855 TERMINATED 12/31/2007 : Knee orthosis, molded plastic, thigh and calf sections, with double upright knee joints, custom-fabricated2010 HCPCS L1858 TERMINATED 12/31/2007 : Knee orthosis, molded plastic, polycentric knee joints, pneumatic knee pads (cti), custom-fabricated2010 HCPCS L1860 Knee orthosis, modification of supracondylar prosthetic socket, custom-fabricated (sk)2010 HCPCS L1870 TERMINATED 12/31/2007 : Knee orthosis, double upright, thigh and calf lacers with knee joints, custom-fabricated2010 HCPCS L1880 TERMINATED 12/31/2007 : Knee orthosis, double upright, non-molded thigh and calf cuffs/lacers with knee joints, custom-fabricated2010 HCPCS L1900 Ankle foot orthosis, spring wire, dorsiflexion assist calf band, custom-fabricated2010 HCPCS L1901 TERMINATED 12/31/2009 : Ankle orthosis, elastic, prefabricated, includes fitting and adjustment (e.g. neoprene, lycra)2010 HCPCS L1902 Ankle foot orthosis, ankle gauntlet, prefabricated, includes fitting and adjustment2010 HCPCS L1904 Ankle foot orthosis, molded ankle gauntlet, custom-fabricated2010 HCPCS L1906 Ankle foot orthosis, multiligamentus ankle support, prefabricated, includes fitting and adjustment2010 HCPCS L1907 Afo, supramalleolar with straps, with or without interface/pads, custom fabricated2010 HCPCS L1910 Ankle foot orthosis, posterior, single bar, clasp attachment to shoe counter, prefabricated, includes fitting and adjustment2010 HCPCS L1920 Ankle foot orthosis, single upright with static or adjustable stop (phelps or perlstein type), custom-fabricated2010 HCPCS L1930 Ankle foot orthosis, plastic or other material, prefabricated, includes fitting and adjustment2010 HCPCS L1932 Afo, rigid anterior tibial section, total carbon fiber or equal material, prefabricated, includes fitting and adjustment2010 HCPCS L1940 Ankle foot orthosis, plastic or other material, custom-fabricated2010 HCPCS L1945 Ankle foot orthosis, plastic, rigid anterior tibial section (floor reaction), custom-fabricated2010 HCPCS L1950 Ankle foot orthosis, spiral, (institute of rehabilitative medicine type), plastic, custom-fabricated2010 HCPCS L1951 Ankle foot orthosis, spiral, (institute of rehabilitative medicine type), plastic or other material, prefabricated, includes fitting and adjustment2010 HCPCS L1960 Ankle foot orthosis, posterior solid ankle, plastic, custom-fabricated2010 HCPCS L1970 Ankle foot orthosis, plastic with ankle joint, custom-fabricated2010 HCPCS L1971 Ankle foot orthosis, plastic or other material with ankle joint, prefabricated, includes fitting and adjustment2010 HCPCS L1980 Ankle foot orthosis, single upright free plantar dorsiflexion, solid stirrup, calf band/cuff (single bar 'bk' orthosis), custom-fabricated2010 HCPCS L1990 Ankle foot orthosis, double upright free plantar dorsiflexion, solid stirrup, calf band/cuff (double bar 'bk' orthosis), custom-fabricated2010 HCPCS L2000 Knee ankle foot orthosis, single upright, free knee, free ankle, solid stirrup, thigh and calf bands/cuffs (single bar 'ak' orthosis), custom-fabricated2010 HCPCS L2005 Knee ankle foot orthosis, any material, single or double upright, stance control, automatic lock and swing phase release, mechanical activation, includes ankle joint, any type, custom fabricated2010 HCPCS L2010 Knee ankle foot orthosis, single upright, free ankle, solid stirrup, thigh and calf bands/cuffs (single bar 'ak' orthosis), without knee joint, custom-fabricated2010 HCPCS L2020 Knee ankle foot orthosis, double upright, free ankle, solid stirrup, thigh and calf bands/cuffs (double bar 'ak' orthosis), custom-fabricated2010 HCPCS L2030 Knee ankle foot orthosis, double upright, free ankle, solid stirrup, thigh and calf bands/cuffs, (double bar 'ak' orthosis), without knee joint, custom fabricated2010 HCPCS L2034 Knee ankle foot orthosis, full plastic, single upright, with or without free motion knee, medial lateral rotation control, with or without free motion ankle, custom fabricated2010 HCPCS L2035 Knee ankle foot orthosis, full plastic, static (pediatric size), without free motion ankle, prefabricated, includes fitting and adjustment2010 HCPCS L2036 Knee ankle foot orthosis, full plastic, double upright, with or without free motion knee, with or without free motion ankle, custom fabricated2010 HCPCS L2037 Knee ankle foot orthosis, full plastic, single upright, with or without free motion knee, with or without free motion ankle, custom fabricated2010 HCPCS L2038 Knee ankle foot orthosis, full plastic, with or without free motion knee, multi-axis ankle, custom fabricated2010 HCPCS L2040 Hip knee ankle foot orthosis, torsion control, bilateral rotation straps, pelvic band/belt, custom fabricated2010 HCPCS L2050 Hip knee ankle foot orthosis, torsion control, bilateral torsion cables, hip joint, pelvic band/belt, custom-fabricated2010 HCPCS L2060 Hip knee ankle foot orthosis, torsion control, bilateral torsion cables, ball bearing hip joint, pelvic band/ belt, custom-fabricated2010 HCPCS L2070 Hip knee ankle foot orthosis, torsion control, unilateral rotation straps, pelvic band/belt, custom fabricated2010 HCPCS L2080 Hip knee ankle foot orthosis, torsion control, unilateral torsion cable, hip joint, pelvic band/belt, custom-fabricated2010 HCPCS L2090 Hip knee ankle foot orthosis, torsion control, unilateral torsion cable, ball bearing hip joint, pelvic band/ belt, custom-fabricated2010 HCPCS L2106 Ankle foot orthosis, fracture orthosis, tibial fracture cast orthosis, thermoplastic type casting material, custom-fabricated2010 HCPCS L2108 Ankle foot orthosis, fracture orthosis, tibial fracture cast orthosis, custom-fabricated2010 HCPCS L2112 Ankle foot orthosis, fracture orthosis, tibial fracture orthosis, soft, prefabricated, includes fitting and adjustment2010 HCPCS L2114 Ankle foot orthosis, fracture orthosis, tibial fracture orthosis, semi-rigid, prefabricated, includes fitting and adjustment2010 HCPCS L2116 Ankle foot orthosis, fracture orthosis, tibial fracture orthosis, rigid, prefabricated, includes fitting and adjustment2010 HCPCS L2126 Knee ankle foot orthosis, fracture orthosis, femoral fracture cast orthosis, thermoplastic type casting material, custom-fabricated2010 HCPCS L2128 Knee ankle foot orthosis, fracture orthosis, femoral fracture cast orthosis, custom-fabricated2010 HCPCS L2132 Kafo, fracture orthosis, femoral fracture cast orthosis, soft, prefabricated, includes fitting and adjustment2010 HCPCS L2134 Kafo, fracture orthosis, femoral fracture cast orthosis, semi-rigid, prefabricated, includes fitting and adjustment2010 HCPCS L2136 Kafo, fracture orthosis, femoral fracture cast orthosis, rigid, prefabricated, includes fitting and adjustment2010 HCPCS L2180 Addition to lower extremity fracture orthosis, plastic shoe insert with ankle joints2010 HCPCS L2182 Addition to lower extremity fracture orthosis, drop lock knee joint2010 HCPCS L2184 Addition to lower extremity fracture orthosis, limited motion knee joint2010 HCPCS L2186 Addition to lower extremity fracture orthosis, adjustable motion knee joint, lerman type2010 HCPCS L2188 Addition to lower extremity fracture orthosis, quadrilateral brim2010 HCPCS L2190 Addition to lower extremity fracture orthosis, waist belt2010 HCPCS L2192 Addition to lower extremity fracture orthosis, hip joint, pelvic band, thigh flange, and pelvic belt2010 HCPCS L2200 Addition to lower extremity, limited ankle motion, each joint2010 HCPCS L2210 Addition to lower extremity, dorsiflexion assist (plantar flexion resist), each joint2010 HCPCS L2220 Addition to lower extremity, dorsiflexion and plantar flexion assist/resist, each joint2010 HCPCS L2230 Addition to lower extremity, split flat caliper stirrups and plate attachment2010 HCPCS L2232 Addition to lower extremity orthosis, rocker bottom for total contact ankle foot orthosis, for custom fabricated orthosis only2010 HCPCS L2240 Addition to lower extremity, round caliper and plate attachment2010 HCPCS L2250 Addition to lower extremity, foot plate, molded to patient model, stirrup attachment2010 HCPCS L2260 Addition to lower extremity, reinforced solid stirrup (scott-craig type)2010 HCPCS L2265 Addition to lower extremity, long tongue stirrup2010 HCPCS L2270 Addition to lower extremity, varus/valgus correction ('t') strap, padded/lined or malleolus pad2010 HCPCS L2275 Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined2010 HCPCS L2280 Addition to lower extremity, molded inner boot2010 HCPCS L2300 Addition to lower extremity, abduction bar (bilateral hip involvement), jointed, adjustable2010 HCPCS L2310 Addition to lower extremity, abduction bar-straight2010 HCPCS L2320 Addition to lower extremity, non-molded lacer, for custom fabricated orthosis only2010 HCPCS L2330 Addition to lower extremity, lacer molded to patient model, for custom fabricated orthosis only2010 HCPCS L2335 Addition to lower extremity, anterior swing band2010 HCPCS L2340 Addition to lower extremity, pre-tibial shell, molded to patient model2010 HCPCS L2350 Addition to lower extremity, prosthetic type, (bk) socket, molded to patient model, (used for 'ptb' 'afo' orthoses)2010 HCPCS L2360 Addition to lower extremity, extended steel shank2010 HCPCS L2370 Addition to lower extremity, patten bottom2010 HCPCS L2375 Addition to lower extremity, torsion control, ankle joint and half solid stirrup2010 HCPCS L2380 Addition to lower extremity, torsion control, straight knee joint, each joint2010 HCPCS L2385 Addition to lower extremity, straight knee joint, heavy duty, each joint2010 HCPCS L2387 Addition to lower extremity, polycentric knee joint, for custom fabricated knee ankle foot orthosis, each joint2010 HCPCS L2390 Addition to lower extremity, offset knee joint, each joint2010 HCPCS L2395 Addition to lower extremity, offset knee joint, heavy duty, each joint2010 HCPCS L2397 Addition to lower extremity orthosis, suspension sleeve2010 HCPCS L2405 Addition to knee joint, drop lock, each2010 HCPCS L2415 Addition to knee lock with integrated release mechanism ( bail, cable, or equal), any material, each joint2010 HCPCS L2425 Addition to knee joint, disc or dial lock for adjustable knee flexion, each joint2010 HCPCS L2430 Addition to knee joint, ratchet lock for active and progressive knee extension, each joint2010 HCPCS L2492 Addition to knee joint, lift loop for drop lock ring2010 HCPCS L2500 Addition to lower extremity, thigh/weight bearing, gluteal/ ischial weight bearing, ring2010 HCPCS L2510 Addition to lower extremity, thigh/weight bearing, quadri- lateral brim, molded to patient model2010 HCPCS L2520 Addition to lower extremity, thigh/weight bearing, quadri- lateral brim, custom fitted2010 HCPCS L2525 Addition to lower extremity, thigh/weight bearing, ischial containment/narrow m-l brim molded to patient model2010 HCPCS L2526 Addition to lower extremity, thigh/weight bearing, ischial containment/narrow m-l brim, custom fitted2010 HCPCS L2530 Addition to lower extremity, thigh-weight bearing, lacer, non-molded2010 HCPCS L2540 Addition to lower extremity, thigh/weight bearing, lacer, molded to patient model2010 HCPCS L2550 Addition to lower extremity, thigh/weight bearing, high roll cuff2010 HCPCS L2570 Addition to lower extremity, pelvic control, hip joint, clevis type two position joint, each2010 HCPCS L2580 Addition to lower extremity, pelvic control, pelvic sling2010 HCPCS L2600 Addition to lower extremity, pelvic control, hip joint, clevis type, or thrust bearing, free, each2010 HCPCS L2610 Addition to lower extremity, pelvic control, hip joint, clevis or thrust bearing, lock, each2010 HCPCS L2620 Addition to lower extremity, pelvic control, hip joint, heavy duty, each2010 HCPCS L2622 Addition to lower extremity, pelvic control, hip joint, adjustable flexion, each2010 HCPCS L2624 Addition to lower extremity, pelvic control, hip joint, adjustable flexion, extension, abduction control, each2010 HCPCS L2627 Addition to lower extremity, pelvic control, plastic, molded to patient model, reciprocating hip joint and cables2010 HCPCS L2628 Addition to lower extremity, pelvic control, metal frame, reciprocating hip joint and cables2010 HCPCS L2630 Addition to lower extremity, pelvic control, band and belt, unilateral2010 HCPCS L2640 Addition to lower extremity, pelvic control, band and belt, bilateral2010 HCPCS L2650 Addition to lower extremity, pelvic and thoracic control, gluteal pad, each2010 HCPCS L2660 Addition to lower extremity, thoracic control, thoracic band2010 HCPCS L2670 Addition to lower extremity, thoracic control, paraspinal uprights2010 HCPCS L2680 Addition to lower extremity, thoracic control, lateral support uprights2010 HCPCS L2750 Addition to lower extremity orthosis, plating chrome or nickel, per bar2010 HCPCS L2755 Addition to lower extremity orthosis, high strength, lightweight material, all hybrid lamination/prepreg composite, per segment, for custom fabricated orthosis only2010 HCPCS L2760 Addition to lower extremity orthosis, extension, per extension, per bar (for lineal adjustment for growth)2010 HCPCS L2768 Orthotic side bar disconnect device, per bar2010 HCPCS L2770 TERMINATED 12/31/2009 : Addition to lower extremity orthosis, any material - per bar or joint2010 HCPCS L2780 Addition to lower extremity orthosis, non-corrosive finish, per bar2010 HCPCS L2785 Addition to lower extremity orthosis, drop lock retainer, each2010 HCPCS L2795 Addition to lower extremity orthosis, knee control, full kneecap2010 HCPCS L2800 Addition to lower extremity orthosis, knee control, knee cap, medial or lateral pull, for use with custom fabricated orthosis only2010 HCPCS L2810 Addition to lower extremity orthosis, knee control, condylar pad2010 HCPCS L2820 Addition to lower extremity orthosis, soft interface for molded plastic, below knee section2010 HCPCS L2830 Addition to lower extremity orthosis, soft interface for molded plastic, above knee section2010 HCPCS L2840 Addition to lower extremity orthosis, tibial length sock, fracture or equal, each2010 HCPCS L2850 Addition to lower extremity orthosis, femoral length sock, fracture or equal, each2010 HCPCS L2860 TERMINATED 12/31/2008 : Addition to lower extremity joint, knee or ankle, concentric adjustable torsion style mechanism, each2010 HCPCS L2861 Addition to lower extremity joint, knee or ankle, concentric adjustable torsion style mechanism for custom fabricated orthotics only, each2010 HCPCS L2999 Lower extremity orthoses, not otherwise specified2010 HCPCS L3000 Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each2010 HCPCS L3001 Foot, insert, removable, molded to patient model, spenco, each2010 HCPCS L3002 Foot, insert, removable, molded to patient model, plastazote or equal, each2010 HCPCS L3003 Foot, insert, removable, molded to patient model, silicone gel, each2010 HCPCS L3010 Foot, insert, removable, molded to patient model, longitudinal arch support, each2010 HCPCS L3020 Foot, insert, removable, molded to patient model, longitudinal/ metatarsal support, each2010 HCPCS L3030 Foot, insert, removable, formed to patient foot, each2010 HCPCS L3031 Foot, insert/plate, removable, addition to lower extremity orthosis, high strength, lightweight material, all hybrid lamination/prepreg composite, each2010 HCPCS L3040 Foot, arch support, removable, premolded, longitudinal, each2010 HCPCS L3050 Foot, arch support, removable, premolded, metatarsal, each2010 HCPCS L3060 Foot, arch support, removable, premolded, longitudinal/ metatarsal, each2010 HCPCS L3070 Foot, arch support, non-removable attached to shoe, longitudinal, each2010 HCPCS L3080 Foot, arch support, non-removable attached to shoe, metatarsal, each2010 HCPCS L3090 Foot, arch support, non-removable attached to shoe, longitudinal/metatarsal, each2010 HCPCS L3100 Hallus-valgus night dynamic splint2010 HCPCS L3140 Foot, abduction rotation bar, including shoes2010 HCPCS L3150 Foot, abduction rotatation bar, without shoes2010 HCPCS L3160 Foot, adjustable shoe-styled positioning device2010 HCPCS L3170 Foot, plastic, silicone or equal, heel stabilizer, each2010 HCPCS L3201 Orthopedic shoe, oxford with supinator or pronator, infant2010 HCPCS L3202 Orthopedic shoe, oxford with supinator or pronator, child2010 HCPCS L3203 Orthopedic shoe, oxford with supinator or pronator, junior2010 HCPCS L3204 Orthopedic shoe, hightop with supinator or pronator, infant2010 HCPCS L3206 Orthopedic shoe, hightop with supinator or pronator, child2010 HCPCS L3207 Orthopedic shoe, hightop with supinator or pronator, junior2010 HCPCS L3208 Surgical boot, each, infant2010 HCPCS L3209 Surgical boot, each, child2010 HCPCS L3211 Surgical boot, each, junior2010 HCPCS L3212 Benesch boot, pair, infant2010 HCPCS L3213 Benesch boot, pair, child2010 HCPCS L3214 Benesch boot, pair, junior2010 HCPCS L3215 Orthopedic footwear, ladies shoe, oxford, each2010 HCPCS L3216 Orthopedic footwear, ladies shoe, depth inlay, each2010 HCPCS L3217 Orthopedic footwear, ladies shoe, hightop, depth inlay, each2010 HCPCS L3219 Orthopedic footwear, mens shoe, oxford, each2010 HCPCS L3221 Orthopedic footwear, mens shoe, depth inlay, each2010 HCPCS L3222 Orthopedic footwear, mens shoe, hightop, depth inlay, each2010 HCPCS L3224 Orthopedic footwear, woman's shoe, oxford, used as an integral part of a brace (orthosis)2010 HCPCS L3225 Orthopedic footwear, man's shoe, oxford, used as an integral part of a brace (orthosis)2010 HCPCS L3230 Orthopedic footwear, custom shoe, depth inlay, each2010 HCPCS L3250 Orthopedic footwear, custom molded shoe, removable inner mold, prosthetic shoe, each2010 HCPCS L3251 Foot, shoe molded to patient model, silicone shoe, each2010 HCPCS L3252 Foot, shoe molded to patient model, plastazote (or similar), custom fabricated, each2010 HCPCS L3253 Foot, molded shoe plastazote (or similar) custom fitted, each2010 HCPCS L3254 Non-standard size or width2010 HCPCS L3255 Non-standard size or length2010 HCPCS L3257 Orthopedic footwear, additional charge for split size2010 HCPCS L3260 Surgical boot/shoe, each2010 HCPCS L3265 Plastazote sandal, each2010 HCPCS L3300 Lift, elevation, heel, tapered to metatarsals, per inch2010 HCPCS L3310 Lift, elevation, heel and sole, neoprene, per inch2010 HCPCS L3320 Lift, elevation, heel and sole, cork, per inch2010 HCPCS L3330 Lift, elevation, metal extension (skate)2010 HCPCS L3332 Lift, elevation, inside shoe, tapered, up to one-half inch2010 HCPCS L3334 Lift, elevation, heel, per inch2010 HCPCS L3340 Heel wedge, sach2010 HCPCS L3350 Heel wedge2010 HCPCS L3360 Sole wedge, outside sole2010 HCPCS L3370 Sole wedge, between sole2010 HCPCS L3380 Clubfoot wedge2010 HCPCS L3390 Outflare wedge2010 HCPCS L3400 Metatarsal bar wedge, rocker2010 HCPCS L3410 Metatarsal bar wedge, between sole2010 HCPCS L3420 Full sole and heel wedge, between sole2010 HCPCS L3430 Heel, counter, plastic reinforced2010 HCPCS L3440 Heel, counter, leather reinforced2010 HCPCS L3450 Heel, sach cushion type2010 HCPCS L3455 Heel, new leather, standard2010 HCPCS L3460 Heel, new rubber, standard2010 HCPCS L3465 Heel, thomas with wedge2010 HCPCS L3470 Heel, thomas extended to ball2010 HCPCS L3480 Heel, pad and depression for spur2010 HCPCS L3485 Heel, pad, removable for spur2010 HCPCS L3500 Orthopedic shoe addition, insole, leather2010 HCPCS L3510 Orthopedic shoe addition, insole, rubber2010 HCPCS L3520 Orthopedic shoe addition, insole, felt covered with leather2010 HCPCS L3530 Orthopedic shoe addition, sole, half2010 HCPCS L3540 Orthopedic shoe addition, sole, full2010 HCPCS L3550 Orthopedic shoe addition, toe tap standard2010 HCPCS L3560 Orthopedic shoe addition, toe tap, horseshoe2010 HCPCS L3570 Orthopedic shoe addition, special extension to instep (leather with eyelets)2010 HCPCS L3580 Orthopedic shoe addition, convert instep to velcro closure2010 HCPCS L3590 Orthopedic shoe addition, convert firm shoe counter to soft counter2010 HCPCS L3595 Orthopedic shoe addition, march bar2010 HCPCS L3600 Transfer of an orthosis from one shoe to another, caliper plate, existing2010 HCPCS L3610 Transfer of an orthosis from one shoe to another, caliper plate, new2010 HCPCS L3620 Transfer of an orthosis from one shoe to another, solid stirrup, existing2010 HCPCS L3630 Transfer of an orthosis from one shoe to another, solid stirrup, new2010 HCPCS L3640 Transfer of an orthosis from one shoe to another, dennis browne splint (riveton), both shoes2010 HCPCS L3649 Orthopedic shoe, modification, addition or transfer, not otherwise specified2010 HCPCS L3650 Shoulder orthosis, figure of eight design abduction restrainer, prefabricated, includes fitting and adjustment2010 HCPCS L3651 TERMINATED 12/31/2009 : Shoulder orthosis, single shoulder, elastic, prefabricated, includes fitting and adjustment (e.g. neoprene, lycra)2010 HCPCS L3652 TERMINATED 12/31/2009 : Shoulder orthosis, double shoulder, elastic, prefabricated, includes fitting and adjustment (e.g. neoprene, lycra)2010 HCPCS L3660 Shoulder orthosis, figure of eight design abduction restrainer, canvas and webbing, prefabricated, includes fitting and adjustment2010 HCPCS L3670 Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, includes fitting and adjustment2010 HCPCS L3671 Shoulder orthosis, shoulder cap design, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment2010 HCPCS L3672 Shoulder orthosis, abduction positioning (airplane design), thoracic component and support bar, without joints, may inlcude soft interface, straps, custom fabricated, includes fitting and adjustment2010 HCPCS L3673 Shoulder orthosis, abduction positioning (airplane design), thoracic component and support bar, includes nontorsion joint/turnbuckle, may include soft interface, straps, custom fabricated, includes fitting and adjustment2010 HCPCS L3675 Shoulder orthosis, vest type abduction restrainer, canvas webbing type or equal, prefabricated, includes fitting and adjustment2010 HCPCS L3677 Shoulder orthosis, hard plastic, shoulder stabilizer, pre-fabricated, includes fitting and adjustment2010 HCPCS L3700 TERMINATED 12/31/2009 : Elbow orthosis, elastic with stays, prefabricated, includes fitting and adjustment2010 HCPCS L3701 TERMINATED 12/31/2009 : Elbow orthosis, elastic, prefabricated, includes fitting and adjustment (e.g. neoprene, lycra)2010 HCPCS L3702 Elbow orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment2010 HCPCS L3710 Elbow orthosis, elastic with metal joints, prefabricated, includes fitting and adjustment2010 HCPCS L3720 Elbow orthosis, double upright with forearm/arm cuffs, free motion, custom-fabricated2010 HCPCS L3730 Elbow orthosis, double upright with forearm/arm cuffs, extension/ flexion assist, custom-fabricated2010 HCPCS L3740 Elbow orthosis, double upright with forearm/arm cuffs, adjustable position lock with active control, custom-fabricated2010 HCPCS L3760 Elbow orthosis, with adjustable position locking joint(s), prefabricated, includes fitting and adjustments, any type2010 HCPCS L3762 Elbow orthosis, rigid, without joints, includes soft interface material, prefabricated, includes fitting and adjustment2010 HCPCS L3763 Elbow wrist hand orthosis, rigid, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment2010 HCPCS L3764 Elbow wrist hand orthosis, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment2010 HCPCS L3765 Elbow wrist hand finger orthosis, rigid, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment2010 HCPCS L3766 Elbow wrist hand finger orthosis, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment2010 HCPCS L3800 TERMINATED 12/31/2007 : Wrist hand finger orthosis, short opponens, no attachments, custom-fabricated2010 HCPCS L3805 TERMINATED 12/31/2007 : Wrist hand finger orthosis, long opponens, no attachment, custom-fabricated2010 HCPCS L3806 Wrist hand finger orthosis, includes one or more nontorsion joint(s), turnbuckles, elastic bands/springs, may include soft interface material, straps, custom fabricated, includes fitting and adjustment2010 HCPCS L3807 Wrist hand finger orthosis, without joint(s), prefabricated, includes fitting and adjustments, any type2010 HCPCS L3808 Wrist hand finger orthosis, rigid without joints, may include soft interface material; straps, custom fabricated, includes fitting and adjustment2010 HCPCS L3810 TERMINATED 12/31/2007 : Whfo, addition to short and long opponens, thumb abduction ('c') bar2010 HCPCS L3815 TERMINATED 12/31/2007 : Whfo, addition to short and long opponens, second m.p. abduction assist2010 HCPCS L3820 TERMINATED 12/31/2007 : Whfo, addition to short and long opponens, i.p. extension assist, with m.p. extension stop2010 HCPCS L3825 TERMINATED 12/31/2007 : Whfo, addition to short and long opponens, m.p. extension stop2010 HCPCS L3830 TERMINATED 12/31/2007 : Whfo, addition to short and long opponens, m.p. extension assist2010 HCPCS L3835 TERMINATED 12/31/2007 : Whfo, addition to short and long opponens, m.p. spring extension assist2010 HCPCS L3840 TERMINATED 12/31/2007 : Whfo, addition to short and long opponens, spring swivel thumb2010 HCPCS L3845 TERMINATED 12/31/2007 : Whfo, addition to short and long opponens, thumb i.p. extension assist, with m.p. stop2010 HCPCS L3850 TERMINATED 12/31/2007 : Who, addition to short and long opponens, action wrist, with dorsiflexion assist2010 HCPCS L3855 TERMINATED 12/31/2007 : Whfo, addition to short and long opponens, adjustable m.p. flexion control2010 HCPCS L3860 TERMINATED 12/31/2007 : Whfo, addition to short and long opponens, adjustable m.p. flexion control and i.p.2010 HCPCS L3890 TERMINATED 12/31/2008 : Addition to upper extremity joint, wrist or elbow, concentric adjustable torsion style mechanism, each2010 HCPCS L3891 Addition to upper extremity joint, wrist or elbow, concentric adjustable torsion style mechanism for custom fabricated orthotics only, each2010 HCPCS L3900 Wrist hand finger orthosis, dynamic flexor hinge, reciprocal wrist extension/ flexion, finger flexion/extension, wrist or finger driven, custom-fabricated2010 HCPCS L3901 Wrist hand finger orthosis, dynamic flexor hinge, reciprocal wrist extension/ flexion, finger flexion/extension, cable driven, custom-fabricated2010 HCPCS L3902 TERMINATED 12/31/2006 : Wrist hand finger orthosis, external powered, compressed gas, custom-fabricated2010 HCPCS L3904 Wrist hand finger orthosis, external powered, electric, custom-fabricated2010 HCPCS L3905 Wrist hand orthosis, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment2010 HCPCS L3906 Wrist hand orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment2010 HCPCS L3907 TERMINATED 12/31/2007 : Wrist hand finger orthosis, wrist gauntlet with thumb spica, custom-fabricated2010 HCPCS L3908 Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, includes fitting and adjustment2010 HCPCS L3909 TERMINATED 12/31/2009 : Wrist orthosis, elastic, prefabricated, includes fitting and adjustment (e.g. neoprene, lycra)2010 HCPCS L3910 TERMINATED 12/31/2007 : Wrist hand finger orthosis, swanson design, prefabricated, includes fitting and adjustment2010 HCPCS L3911 TERMINATED 12/31/2009 : Wrist hand finger orthosis, elastic, prefabricated, includes fitting and adjustment (e.g. neoprene, lycra)2010 HCPCS L3912 Hand finger orthosis, flexion glove with elastic finger control, prefabricated, includes fitting and adjustment2010 HCPCS L3913 Hand finger orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment2010 HCPCS L3914 TERMINATED 12/31/2006 : Wrist hand orthosis, wrist extension cock-up, prefabricated, includes fitting/adjustment2010 HCPCS L3915 Wrist hand orthosis, includes one or more nontorsion joint(s), elastic bands, turnbuckles, may include soft interface, straps, prefabricated, includes fitting and adjustment2010 HCPCS L3916 TERMINATED 12/31/2007 : Wrist hand finger orthosis, wrist extension cock-up with outrigger, prefabricated, includes fitting and adjustment2010 HCPCS L3917 Hand orthosis, metacarpal fracture orthosis, prefabricated, includes fitting and adjustment2010 HCPCS L3918 TERMINATED 12/31/2007 : Hand finger orthosis, knuckle bender, prefabricated, includes fitting and adjustment2010 HCPCS L3919 Hand orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment2010 HCPCS L3920 TERMINATED 12/31/2007 : Hand finger orthosis, knuckle bender with outrigger, prefabricated, includes fitting and adjustment2010 HCPCS L3921 Hand finger orthosis, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment2010 HCPCS L3922 TERMINATED 12/31/2007 : Hand finger orthosis, knuckle bender, two segment to flex joints, prefabricated, includes fitting and adjustment2010 HCPCS L3923 Hand finger orthosis, without joints, may include soft interface, straps, prefabricated, includes fitting and adjustment2010 HCPCS L3924 TERMINATED 12/31/2007 : Wrist hand finger orthosis, oppenheimer, prefabricated, includes fitting and adjustment2010 HCPCS L3925 Finger orthosis, proximal interphalangeal (pip)/distal interphalangeal (dip), non torsion joint/spring, extension/flexion, may include soft interface material, prefabricated, includes fitting and adjustment2010 HCPCS L3926 TERMINATED 12/31/2007 : Wrist hand finger orthosis, thomas suspension, prefabricated, includes fitting and adjustment2010 HCPCS L3927 Finger orthosis, proximal interphalangeal (pip)/distal interphalangeal (dip), without joint/spring, extension/flexion (e.g. static or ring type), may include soft interface material, prefabricated, includes fitting and adjustment2010 HCPCS L3928 TERMINATED 12/31/2007 : Hand finger orthosis, finger extension, with clock spring, prefabricated, includes fitting and adjustment2010 HCPCS L3929 Hand finger orthosis, includes one or more nontorsion joint(s), turnbuckles, elastic bands/springs, may include soft interface material, straps, prefabricated, includes fitting and adjustment2010 HCPCS L3930 TERMINATED 12/31/2007 : Wrist hand finger orthosis, finger extension, with wrist support, prefabricated, includes fitting and adjustment2010 HCPCS L3931 Wrist hand finger orthosis, includes one or more nontorsion joint(s), turnbuckles, elastic bands/springs, may include soft interface material, straps, prefabricated, includes fitting and adjustment2010 HCPCS L3932 TERMINATED 12/31/2007 : Finger orthosis, safety pin, spring wire, prefabricated, includes fitting and adjustment2010 HCPCS L3933 Finger orthosis, without joints, may include soft interface, custom fabricated, includes fitting and adjustment2010 HCPCS L3934 TERMINATED 12/31/2007 : Finger orthosis, safety pin, modified, prefabricated, includes fitting and adjustment2010 HCPCS L3935 Finger orthosis, nontorsion joint, may include soft interface, custom fabricated, includes fitting and adjustment2010 HCPCS L3936 TERMINATED 12/31/2007 : Wrist hand finger orthosis, palmer, prefabricated, includes fitting and adjustment2010 HCPCS L3938 TERMINATED 12/31/2007 : Wrist hand finger orthosis, dorsal wrist, prefabricated, includes fitting and adjustment2010 HCPCS L3940 TERMINATED 12/31/2007 : Wrist hand finger orthosis, dorsal wrist, with outrigger attachment, prefabricated, includes fitting and adjustment2010 HCPCS L3942 TERMINATED 12/31/2007 : Hand finger orthosis, reverse knuckle bender, prefabricated, includes fitting and adjustment2010 HCPCS L3944 TERMINATED 12/31/2007 : Hand finger orthosis, reverse knuckle bender, with outrigger, prefabricated, includes fitting and adjustment2010 HCPCS L3946 TERMINATED 12/31/2007 : Hand finger orthosis, composite elastic, prefabricated, includes fitting and adjustment2010 HCPCS L3948 TERMINATED 12/31/2007 : Finger orthosis, finger knuckle bender, prefabricated, includes fitting and adjustment2010 HCPCS L3950 TERMINATED 12/31/2007 : Wrist hand finger orthosis, combination oppenheimer, with knuckle bender and two attachments, prefabricated, includes fitting and adjustment2010 HCPCS L3952 TERMINATED 12/31/2007 : Wrist hand finger orthosis, combination oppenheimer, with reverse knuckle and two attachments, prefabricated, includes fitting and adjustment2010 HCPCS L3954 TERMINATED 12/31/2007 : Hand finger orthosis, spreading hand, prefabricated, includes fitting and adjustment2010 HCPCS L3956 Addition of joint to upper extremity orthosis, any material; per joint2010 HCPCS L3960 Shoulder elbow wrist hand orthosis, abduction positioning, airplane design, prefabricated, includes fitting and adjustment2010 HCPCS L3961 Shoulder elbow wrist hand orthosis, shoulder cap design, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment2010 HCPCS L3962 Shoulder elbow wrist hand orthosis, abduction positioning, erbs palsey design, prefabricated, includes fitting and adjustment2010 HCPCS L3964 Shoulder elbow orthosis, mobile arm support attached to wheelchair, balanced, adjustable, prefabricated, includes fitting and adjustment2010 HCPCS L3965 Shoulder elbow orthosis, mobile arm support attached to wheelchair, balanced, adjustable rancho type, prefabricated, includes fitting and adjustment2010 HCPCS L3966 Shoulder elbow orthosis, mobile arm support attached to wheelchair, balanced, reclining, prefabricated, includes fitting and adjustment2010 HCPCS L3967 Shoulder elbow wrist hand orthosis, abduction positioning (airplane design), thoracic component and support bar, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment2010 HCPCS L3968 Shoulder elbow orthosis, mobile arm support attached to wheelchair, balanced, friction arm support (friction dampening to proximal and distal joints), prefabricated, includes fitting and adjustment2010 HCPCS L3969 Shoulder elbow orthosis, mobile arm support, monosuspension arm and hand support, overhead elbow forearm hand sling support, yoke type suspension support, prefabricated, includes fitting and adjustment2010 HCPCS L3970 Seo, addition to mobile arm support, elevating proximal arm2010 HCPCS L3971 Shoulder elbow wrist hand orthosis, shoulder cap design, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment2010 HCPCS L3972 Seo, addition to mobile arm support, offset or lateral rocker arm with elastic balance control2010 HCPCS L3973 Shoulder elbow wrist hand orthosis, abduction positioning (airplane design), thoracic component and support bar, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment2010 HCPCS L3974 Seo, addition to mobile arm support, supinator2010 HCPCS L3975 Shoulder elbow wrist hand finger orthosis, shoulder cap design, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment2010 HCPCS L3976 Shoulder elbow wrist hand finger orthosis, abduction positioning (airplane design), thoracic component and support bar, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment2010 HCPCS L3977 Shoulder elbow wrist hand finger orthosis, shoulder cap design, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment2010 HCPCS L3978 Shoulder elbow wrist hand finger orthosis, abduction positioning (airplane design), thoracic component and support bar, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment2010 HCPCS L3980 Upper extremity fracture orthosis, humeral, prefabricated, includes fitting and adjustment2010 HCPCS L3982 Upper extremity fracture orthosis, radius/ulnar, prefabricated, includes fitting and adjustment2010 HCPCS L3984 Upper extremity fracture orthosis, wrist, prefabricated, includes fitting and adjustment2010 HCPCS L3985 TERMINATED 12/31/2007 : Upper extremity fracture orthosis, forearm, hand with wrist hinge, custom-fabricated2010 HCPCS L3986 TERMINATED 12/31/2007 : Upper extremity fracture orthosis, combination of humeral, radius/ulnar, wrist, (example--colles' fracture), custom fabricated2010 HCPCS L3995 Addition to upper extremity orthosis, sock, fracture or equal, each2010 HCPCS L3999 Upper limb orthosis, not otherwise specified2010 HCPCS L4000 Replace girdle for spinal orthosis (ctlso or so)2010 HCPCS L4002 Replacement strap, any orthosis, includes all components, any length, any type2010 HCPCS L4010 Replace trilateral socket brim2010 HCPCS L4020 Replace quadrilateral socket brim, molded to patient model2010 HCPCS L4030 Replace quadrilateral socket brim, custom fitted2010 HCPCS L4040 Replace molded thigh lacer, for custom fabricated orthosis only2010 HCPCS L4045 Replace non-molded thigh lacer, for custom fabricated orthosis only2010 HCPCS L4050 Replace molded calf lacer, for custom fabricated orthosis only2010 HCPCS L4055 Replace non-molded calf lacer, for custom fabricated orthosis only2010 HCPCS L4060 Replace high roll cuff2010 HCPCS L4070 Replace proximal and distal upright for kafo2010 HCPCS L4080 Replace metal bands kafo, proximal thigh2010 HCPCS L4090 Replace metal bands kafo-afo, calf or distal thigh2010 HCPCS L4100 Replace leather cuff kafo, proximal thigh2010 HCPCS L4110 Replace leather cuff kafo-afo, calf or distal thigh2010 HCPCS L4130 Replace pretibial shell2010 HCPCS L4205 Repair of orthotic device, labor component, per 15 minutes2010 HCPCS L4210 Repair of orthotic device, repair or replace minor parts2010 HCPCS L4350 Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, includes fitting and adjustment2010 HCPCS L4360 Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, includes fitting and adjustment2010 HCPCS L4370 Pneumatic full leg splint, prefabricated, includes fitting and adjustment2010 HCPCS L4380 Pneumatic knee splint, prefabricated, includes fitting and adjustment2010 HCPCS L4386 Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated, includes fitting and adjustment2010 HCPCS L4392 Replacement, soft interface material, static afo2010 HCPCS L4394 Replace soft interface material, foot drop splint2010 HCPCS L4396 Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated, includes fitting and adjustment2010 HCPCS L4398 Foot drop splint, recumbent positioning device, prefabricated, includes fitting and adjustment2010 HCPCS L5000 Partial foot, shoe insert with longitudinal arch, toe filler2010 HCPCS L5010 Partial foot, molded socket, ankle height, with toe filler2010 HCPCS L5020 Partial foot, molded socket, tibial tubercle height, with toe filler2010 HCPCS L5050 Ankle, symes, molded socket, sach foot2010 HCPCS L5060 Ankle, symes, metal frame, molded leather socket, articulated ankle/foot2010 HCPCS L5100 Below knee, molded socket, shin, sach foot2010 HCPCS L5105 Below knee, plastic socket, joints and thigh lacer, sach foot2010 HCPCS L5150 Knee disarticulation (or through knee), molded socket, external knee joints, shin, sach foot2010 HCPCS L5160 Knee disarticulation (or through knee), molded socket, bent knee configuration, external knee joints, shin, sach foot2010 HCPCS L5200 Above knee, molded socket, single axis constant friction knee, shin, sach foot2010 HCPCS L5210 Above knee, short prosthesis, no knee joint ('stubbies'), with foot blocks, no ankle joints, each2010 HCPCS L5220 Above knee, short prosthesis, no knee joint ('stubbies'), with articulated ankle/foot, dynamically aligned, each2010 HCPCS L5230 Above knee, for proximal femoral focal deficiency, constant friction knee, shin, sach foot2010 HCPCS L5250 Hip disarticulation, canadian type; molded socket, hip joint, single axis constant friction knee, shin, sach foot2010 HCPCS L5270 Hip disarticulation, tilt table type; molded socket, locking hip joint, single axis constant friction knee, shin, sach foot2010 HCPCS L5280 Hemipelvectomy, canadian type; molded socket, hip joint, single axis constant friction knee, shin, sach foot2010 HCPCS L5301 Below knee, molded socket, shin, sach foot, endoskeletal system2010 HCPCS L5311 Knee disarticulation (or through knee), molded socket, external knee joints, shin, sach foot, endoskeletal system2010 HCPCS L5321 Above knee, molded socket, open end, sach foot, endoskeletal system, single axis knee2010 HCPCS L5331 Hip disarticulation, canadian type, molded socket, endoskeletal system, hip joint, single axis knee, sach foot2010 HCPCS L5341 Hemipelvectomy, canadian type, molded socket, endoskeletal system, hip joint, single axis knee, sach foot2010 HCPCS L5400 Immediate post surgical or early fitting, application of initial rigid dressing, including fitting, alignment, suspension, and one cast change, below knee2010 HCPCS L5410 Immediate post surgical or early fitting, application of initial rigid dressing, including fitting, alignment and suspension, below knee, each additional cast change and realignment2010 HCPCS L5420 Immediate post surgical or early fitting, application of initial rigid dressing, including fitting, alignment and suspension and one cast change 'ak' or knee disarticulation2010 HCPCS L5430 Immediate post surgical or early fitting, application of initial rigid dressing, incl. fitting, alignment and supension, 'ak' or knee disarticulation, each additional cast change and realignment2010 HCPCS L5450 Immediate post surgical or early fitting, application of non-weight bearing rigid dressing, below knee2010 HCPCS L5460 Immediate post surgical or early fitting, application of non-weight bearing rigid dressing, above knee2010 HCPCS L5500 Initial, below knee 'ptb' type socket, non-alignable system, pylon, no cover, sach foot, plaster socket, direct formed2010 HCPCS L5505 Initial, above knee - knee disarticulation, ischial level socket, non-alignable system, pylon, no cover, sach foot, plaster socket, direct formed2010 HCPCS L5510 Preparatory, below knee 'ptb' type socket, non-alignable system, pylon, no cover, sach foot, plaster socket, molded to model2010 HCPCS L5520 Preparatory, below knee 'ptb' type socket, non-alignable system, pylon, no cover, sach foot, thermoplastic or equal, direct formed2010 HCPCS L5530 Preparatory, below knee 'ptb' type socket, non-alignable system, pylon, no cover, sach foot, thermoplastic or equal, molded to model2010 HCPCS L5535 Preparatory, below knee 'ptb' type socket, non-alignable system, no cover, sach foot, prefabricated, adjustable open end socket2010 HCPCS L5540 Preparatory, below knee 'ptb' type socket, non-alignable system, pylon, no cover, sach foot, laminated socket, molded to model2010 HCPCS L5560 Preparatory, above knee- knee disarticulation, ischial level socket, non-alignable system, pylon, no cover, sach foot, plaster socket, molded to model2010 HCPCS L5570 Preparatory, above knee - knee disarticulation, ischial level socket, non-alignable system, pylon, no cover, sach foot, thermoplastic or equal, direct formed2010 HCPCS L5580 Preparatory, above knee - knee disarticulation ischial level socket, non-alignable system, pylon, no cover, sach foot, thermoplastic or equal, molded to model2010 HCPCS L5585 Preparatory, above knee - knee disarticulation, ischial level socket, non-alignable system, pylon, no cover, sach foot, prefabricated adjustable open end socket2010 HCPCS L5590 Preparatory, above knee - knee disarticulation ischial level socket, non-alignable system, pylon no cover, sach foot, laminated socket, molded to model2010 HCPCS L5595 Preparatory, hip disarticulation-hemipelvectomy, pylon, no cover, sach foot, thermoplastic or equal, molded to patient model2010 HCPCS L5600 Preparatory, hip disarticulation-hemipelvectomy, pylon, no cover, sach foot, laminated socket, molded to patient model2010 HCPCS L5610 Addition to lower extremity, endoskeletal system, above knee, hydracadence system2010 HCPCS L5611 Addition to lower extremity, endoskeletal system, above knee - knee disarticulation, 4 bar linkage, with friction swing phase control2010 HCPCS L5613 Addition to lower extremity, endoskeletal system, above knee-knee disarticulation, 4 bar linkage, with hydraulic swing phase control2010 HCPCS L5614 Addition to lower extremity, exoskeletal system, above knee-knee disarticulation, 4 bar linkage, with pneumatic swing phase control2010 HCPCS L5616 Addition to lower extremity, endoskeletal system, above knee, universal multiplex system, friction swing phase control2010 HCPCS L5617 Addition to lower extremity, quick change self-aligning unit, above knee or below knee, each2010 HCPCS L5618 Addition to lower extremity, test socket, symes2010 HCPCS L5620 Addition to lower extremity, test socket, below knee2010 HCPCS L5622 Addition to lower extremity, test socket, knee disarticulation2010 HCPCS L5624 Addition to lower extremity, test socket, above knee2010 HCPCS L5626 Addition to lower extremity, test socket, hip disarticulation2010 HCPCS L5628 Addition to lower extremity, test socket, hemipelvectomy2010 HCPCS L5629 Addition to lower extremity, below knee, acrylic socket2010 HCPCS L5630 Addition to lower extremity, symes type, expandable wall socket2010 HCPCS L5631 Addition to lower extremity, above knee or knee disarticulation, acrylic socket2010 HCPCS L5632 Addition to lower extremity, symes type, 'ptb' brim design socket2010 HCPCS L5634 Addition to lower extremity, symes type, posterior opening (canadian) socket2010 HCPCS L5636 Addition to lower extremity, symes type, medial opening socket2010 HCPCS L5637 Addition to lower extremity, below knee, total contact2010 HCPCS L5638 Addition to lower extremity, below knee, leather socket2010 HCPCS L5639 Addition to lower extremity, below knee, wood socket2010 HCPCS L5640 Addition to lower extremity, knee disarticulation, leather socket2010 HCPCS L5642 Addition to lower extremity, above knee, leather socket2010 HCPCS L5643 Addition to lower extremity, hip disarticulation, flexible inner socket, external frame2010 HCPCS L5644 Addition to lower extremity, above knee, wood socket2010 HCPCS L5645 Addition to lower extremity, below knee, flexible inner socket, external frame2010 HCPCS L5646 Addition to lower extremity, below knee, air, fluid, gel or equal, cushion socket2010 HCPCS L5647 Addition to lower extremity, below knee suction socket2010 HCPCS L5648 Addition to lower extremity, above knee, air, fluid, gel or equal, cushion socket2010 HCPCS L5649 Addition to lower extremity, ischial containment/narrow m-l socket2010 HCPCS L5650 Additions to lower extremity, total contact, above knee or knee disarticulation socket2010 HCPCS L5651 Addition to lower extremity, above knee, flexible inner socket, external frame2010 HCPCS L5652 Addition to lower extremity, suction suspension, above knee or knee disarticulation socket2010 HCPCS L5653 Addition to lower extremity, knee disarticulation, expandable wall socket2010 HCPCS L5654 Addition to lower extremity, socket insert, symes, (kemblo, pelite, aliplast, plastazote or equal)2010 HCPCS L5655 Addition to lower extremity, socket insert, below knee (kemblo, pelite, aliplast, plastazote or equal)2010 HCPCS L5656 Addition to lower extremity, socket insert, knee disarticulation (kemblo, pelite, aliplast, plastazote or equal)2010 HCPCS L5658 Addition to lower extremity, socket insert, above knee (kemblo, pelite, aliplast, plastazote or equal)2010 HCPCS L5661 Addition to lower extremity, socket insert, multi-durometer symes2010 HCPCS L5665 Addition to lower extremity, socket insert, multi-durometer, below knee2010 HCPCS L5666 Addition to lower extremity, below knee, cuff suspension2010 HCPCS L5668 Addition to lower extremity, below knee, molded distal cushion2010 HCPCS L5670 Addition to lower extremity, below knee, molded supracondylar suspension ('pts' or similar)2010 HCPCS L5671 Addition to lower extremity, below knee / above knee suspension locking mechanism (shuttle, lanyard or equal), excludes socket insert2010 HCPCS L5672 Addition to lower extremity, below knee, removable medial brim suspension2010 HCPCS L5673 Addition to lower extremity, below knee/above knee, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric or equal, for use with locking mechanism2010 HCPCS L5676 Additions to lower extremity, below knee, knee joints, single axis, pair2010 HCPCS L5677 Additions to lower extremity, below knee, knee joints, polycentric, pair2010 HCPCS L5678 Additions to lower extremity, below knee, joint covers, pair2010 HCPCS L5679 Addition to lower extremity, below knee/above knee, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric or equal, not for use with locking mechanism2010 HCPCS L5680 Addition to lower extremity, below knee, thigh lacer, nonmolded2010 HCPCS L5681 Addition to lower extremity, below knee/above knee, custom fabricated socket insert for congenital or atypical traumatic amputee, silicone gel, elastomeric or equal, for use with or without locking mechanism, initial only (for other than initial, use code l5673 or l5679)2010 HCPCS L5682 Addition to lower extremity, below knee, thigh lacer, gluteal/ischial, molded2010 HCPCS L5683 Addition to lower extremity, below knee/above knee, custom fabricated socket insert for other than congenital or atypical traumatic amputee, silicone gel, elastomeric or equal, for use with or without locking mechanism, initial only (for other than initial, use code l5673 or l5679)2010 HCPCS L5684 Addition to lower extremity, below knee, fork strap2010 HCPCS L5685 Addition to lower extremity prosthesis, below knee, suspension/sealing sleeve, with or without valve, any material, each2010 HCPCS L5686 Addition to lower extremity, below knee, back check (extension control)2010 HCPCS L5688 Addition to lower extremity, below knee, waist belt, webbing2010 HCPCS L5690 Addition to lower extremity, below knee, waist belt, padded and lined2010 HCPCS L5692 Addition to lower extremity, above knee, pelvic control belt, light2010 HCPCS L5694 Addition to lower extremity, above knee, pelvic control belt, padded and lined2010 HCPCS L5695 Addition to lower extremity, above knee, pelvic control, sleeve suspension, neoprene or equal, each2010 HCPCS L5696 Addition to lower extremity, above knee or knee disarticulation, pelvic joint2010 HCPCS L5697 Addition to lower extremity, above knee or knee disarticulation, pelvic band2010 HCPCS L5698 Addition to lower extremity, above knee or knee disarticulation, silesian bandage2010 HCPCS L5699 All lower extremity prostheses, shoulder harness2010 HCPCS L5700 Replacement, socket, below knee, molded to patient model2010 HCPCS L5701 Replacement, socket, above knee/knee disarticulation, including attachment plate, molded to patient model2010 HCPCS L5702 Replacement, socket, hip disarticulation, including hip joint, molded to patient model2010 HCPCS L5703 Ankle, symes, molded to patient model, socket without solid ankle cushion heel (sach) foot, replacement only2010 HCPCS L5704 Custom shaped protective cover, below knee2010 HCPCS L5705 Custom shaped protective cover, above knee2010 HCPCS L5706 Custom shaped protective cover, knee disarticulation2010 HCPCS L5707 Custom shaped protective cover, hip disarticulation2010 HCPCS L5710 Addition, exoskeletal knee-shin system, single axis, manual lock2010 HCPCS L5711 Additions exoskeletal knee-shin system, single axis, manual lock, ultra-light material2010 HCPCS L5712 Addition, exoskeletal knee-shin system, single axis, friction swing and stance phase control (safety knee)2010 HCPCS L5714 Addition, exoskeletal knee-shin system, single axis, variable friction swing phase control2010 HCPCS L5716 Addition, exoskeletal knee-shin system, polycentric, mechanical stance phase lock2010 HCPCS L5718 Addition, exoskeletal knee-shin system, polycentric, friction swing and stance phase control2010 HCPCS L5722 Addition, exoskeletal knee-shin system, single axis, pneumatic swing, friction stance phase control2010 HCPCS L5724 Addition, exoskeletal knee-shin system, single axis, fluid swing phase control2010 HCPCS L5726 Addition, exoskeletal knee-shin system, single axis, external joints fluid swing phase control2010 HCPCS L5728 Addition, exoskeletal knee-shin system, single axis, fluid swing and stance phase control2010 HCPCS L5780 Addition, exoskeletal knee-shin system, single axis, pneumatic/hydra pneumatic swing phase control2010 HCPCS L5781 Addition to lower limb prosthesis, vacuum pump, residual limb volume management and moisture evacuation system2010 HCPCS L5782 Addition to lower limb prosthesis, vacuum pump, residual limb volume management and moisture evacuation system, heavy duty2010 HCPCS L5785 Addition, exoskeletal system, below knee, ultra-light material (titanium, carbon fiber or equal)2010 HCPCS L5790 Addition, exoskeletal system, above knee, ultra-light material (titanium, carbon fiber or equal)2010 HCPCS L5795 Addition, exoskeletal system, hip disarticulation, ultra-light material (titanium, carbon fiber or equal)2010 HCPCS L5810 Addition, endoskeletal knee-shin system, single axis, manual lock2010 HCPCS L5811 Addition, endoskeletal knee-shin system, single axis, manual lock, ultra-light material2010 HCPCS L5812 Addition, endoskeletal knee-shin system, single axis, friction swing and stance phase control (safety knee)2010 HCPCS L5814 Addition, endoskeletal knee-shin system, polycentric, hydraulic swing phase control, mechanical stance phase lock2010 HCPCS L5816 Addition, endoskeletal knee-shin system, polycentric, mechanical stance phase lock2010 HCPCS L5818 Addition, endoskeletal knee-shin system, polycentric, friction swing, and stance phase control2010 HCPCS L5822 Addition, endoskeletal knee-shin system, single axis, pneumatic swing, friction stance phase control2010 HCPCS L5824 Addition, endoskeletal knee-shin system, single axis, fluid swing phase control2010 HCPCS L5826 Addition, endoskeletal knee-shin system, single axis, hydraulic swing phase control, with miniature high activity frame2010 HCPCS L5828 Addition, endoskeletal knee-shin system, single axis, fluid swing and stance phase control2010 HCPCS L5830 Addition, endoskeletal knee-shin system, single axis, pneumatic/ swing phase control2010 HCPCS L5840 Addition, endoskeletal knee/shin system, 4-bar linkage or multiaxial, pneumatic swing phase control2010 HCPCS L5845 Addition, endoskeletal, knee-shin system, stance flexion feature, adjustable2010 HCPCS L5848 Addition to endoskeletal knee-shin system, fluid stance extension, dampening feature, with or without adjustability2010 HCPCS L5850 Addition, endoskeletal system, above knee or hip disarticulation, knee extension assist2010 HCPCS L5855 Addition, endoskeletal system, hip disarticulation, mechanical hip extension assist2010 HCPCS L5856 Addition to lower extremity prosthesis, endoskeletal knee-shin system, microprocessor control feature, swing and stance phase, includes electronic sensor(s), any type2010 HCPCS L5857 Addition to lower extremity prosthesis, endoskeletal knee-shin system, microprocessor control feature, swing phase only, includes electronic sensor(s), any type2010 HCPCS L5858 Addition to lower extremity prosthesis, endoskeletal knee shin system, microprocessor control feature, stance phase only, includes electronic sensor(s), any type2010 HCPCS L5910 Addition, endoskeletal system, below knee, alignable system2010 HCPCS L5920 Addition, endoskeletal system, above knee or hip disarticulation, alignable system2010 HCPCS L5925 Addition, endoskeletal system, above knee, knee disarticulation or hip disarticulation, manual lock2010 HCPCS L5930 Addition, endoskeletal system, high activity knee control frame2010 HCPCS L5940 Addition, endoskeletal system, below knee, ultra-light material (titanium, carbon fiber or equal)2010 HCPCS L5950 Addition, endoskeletal system, above knee, ultra-light material (titanium, carbon fiber or equal)2010 HCPCS L5960 Addition, endoskeletal system, hip disarticulation, ultra-light material (titanium, carbon fiber or equal)2010 HCPCS L5962 Addition, endoskeletal system, below knee, flexible protective outer surface covering system2010 HCPCS L5964 Addition, endoskeletal system, above knee, flexible protective outer surface covering system2010 HCPCS L5966 Addition, endoskeletal system, hip disarticulation, flexible protective outer surface covering system2010 HCPCS L5968 Addition to lower limb prosthesis, multiaxial ankle with swing phase active dorsiflexion feature2010 HCPCS L5970 All lower extremity prostheses, foot, external keel, sach foot2010 HCPCS L5971 All lower extremity prosthesis, solid ankle cushion heel (sach) foot, replacement only2010 HCPCS L5972 All lower extremity prostheses, flexible keel foot (safe, sten, bock dynamic or equal)2010 HCPCS L5973 Endoskeletal ankle foot system, microprocessor controlled feature, dorsiflexion and/or plantar flexion control, includes power source2010 HCPCS L5974 All lower extremity prostheses, foot, single axis ankle/foot2010 HCPCS L5975 All lower extremity prosthesis, combination single axis ankle and flexible keel foot2010 HCPCS L5976 All lower extremity prostheses, energy storing foot (seattle carbon copy ii or equal)2010 HCPCS L5978 All lower extremity prostheses, foot, multiaxial ankle/foot2010 HCPCS L5979 All lower extremity prosthesis, multi-axial ankle, dynamic response foot, one piece system2010 HCPCS L5980 All lower extremity prostheses, flex foot system2010 HCPCS L5981 All lower extremity prostheses, flex-walk system or equal2010 HCPCS L5982 All exoskeletal lower extremity prostheses, axial rotation unit2010 HCPCS L5984 All endoskeletal lower extremity prosthesis, axial rotation unit, with or without adjustability2010 HCPCS L5985 All endoskeletal lower extremity prostheses, dynamic prosthetic pylon2010 HCPCS L5986 All lower extremity prostheses, multi-axial rotation unit ('mcp' or equal)2010 HCPCS L5987 All lower extremity prosthesis, shank foot system with vertical loading pylon2010 HCPCS L5988 Addition to lower limb prosthesis, vertical shock reducing pylon feature2010 HCPCS L5990 Addition to lower extremity prosthesis, user adjustable heel height2010 HCPCS L5993 TERMINATED 12/31/2008 : Addition to lower extremity prosthesis, heavy duty feature, foot only, (for patient weight greater than 300 lbs)2010 HCPCS L5994 TERMINATED 12/31/2008 : Addition to lower extremity prosthesis, heavy duty feature, knee only, (for patient weight greater than 300 lbs)2010 HCPCS L5995 TERMINATED 12/31/2008 : Addition to lower extremity prosthesis, heavy duty feature, other than foot or knee, (for patient weight greater than 300 lbs)2010 HCPCS L5999 Lower extremity prosthesis, not otherwise specified2010 HCPCS L6000 Partial hand, robin-aids, thumb remaining (or equal)2010 HCPCS L6010 Partial hand, robin-aids, little and/or ring finger remaining (or equal)2010 HCPCS L6020 Partial hand, robin-aids, no finger remaining (or equal)2010 HCPCS L6025 Transcarpal/metacarpal or partial hand disarticulation prosthesis, external power, self-suspended, inner socket with removable forearm section, electrodes and cables, two batteries, charger, myoelectric control of terminal device2010 HCPCS L6050 Wrist disarticulation, molded socket, flexible elbow hinges, triceps pad2010 HCPCS L6055 Wrist disarticulation, molded socket with expandable interface, flexible elbow hinges, triceps pad2010 HCPCS L6100 Below elbow, molded socket, flexible elbow hinge, triceps pad2010 HCPCS L6110 Below elbow, molded socket, (muenster or northwestern suspension types)2010 HCPCS L6120 Below elbow, molded double wall split socket, step-up hinges, half cuff2010 HCPCS L6130 Below elbow, molded double wall split socket, stump activated locking hinge, half cuff2010 HCPCS L6200 Elbow disarticulation, molded socket, outside locking hinge, forearm2010 HCPCS L6205 Elbow disarticulation, molded socket with expandable interface, outside locking hinges, forearm2010 HCPCS L6250 Above elbow, molded double wall socket, internal locking elbow, forearm2010 HCPCS L6300 Shoulder disarticulation, molded socket, shoulder bulkhead, humeral section, internal locking elbow, forearm2010 HCPCS L6310 Shoulder disarticulation, passive restoration (complete prosthesis)2010 HCPCS L6320 Shoulder disarticulation, passive restoration (shoulder cap only)2010 HCPCS L6350 Interscapular thoracic, molded socket, shoulder bulkhead, humeral section, internal locking elbow, forearm2010 HCPCS L6360 Interscapular thoracic, passive restoration (complete prosthesis)2010 HCPCS L6370 Interscapular thoracic, passive restoration (shoulder cap only)2010 HCPCS L6380 Immediate post surgical or early fitting, application of initial rigid dressing, including fitting alignment and suspension of components, and one cast change, wrist disarticulation or below elbow2010 HCPCS L6382 Immediate post surgical or early fitting, application of initial rigid dressing including fitting alignment and suspension of components, and one cast change, elbow disarticulation or above elbow2010 HCPCS L6384 Immediate post surgical or early fitting, application of initial rigid dressing including fitting alignment and suspension of components, and one cast change, shoulder disarticulation or interscapular thoracic2010 HCPCS L6386 Immediate post surgical or early fitting, each additional cast change and realignment2010 HCPCS L6388 Immediate post surgical or early fitting, application of rigid dressing only2010 HCPCS L6400 Below elbow, molded socket, endoskeletal system, including soft prosthetic tissue shaping2010 HCPCS L6450 Elbow disarticulation, molded socket, endoskeletal system, including soft prosthetic tissue shaping2010 HCPCS L6500 Above elbow, molded socket, endoskeletal system, including soft prosthetic tissue shaping2010 HCPCS L6550 Shoulder disarticulation, molded socket, endoskeletal system, including soft prosthetic tissue shaping2010 HCPCS L6570 Interscapular thoracic, molded socket, endoskeletal system, including soft prosthetic tissue shaping2010 HCPCS L6580 Preparatory, wrist disarticulation or below elbow, single wall plastic socket, friction wrist, flexible elbow hinges, figure of eight harness, humeral cuff, bowden cable control, usmc or equal pylon, no cover, molded to patient model2010 HCPCS L6582 Preparatory, wrist disarticulation or below elbow, single wall socket, friction wrist, flexible elbow hinges, figure of eight harness, humeral cuff, bowden cable control, usmc or equal pylon, no cover, direct formed2010 HCPCS L6584 Preparatory, elbow disarticulation or above elbow, single wall plastic socket, friction wrist, locking elbow, figure of eight harness, fair lead cable control, usmc or equal pylon, no cover, molded to patient model2010 HCPCS L6586 Preparatory, elbow disarticulation or above elbow, single wall socket, friction wrist, locking elbow, figure of eight harness, fair lead cable control, usmc or equal pylon, no cover, direct formed2010 HCPCS L6588 Preparatory, shoulder disarticulation or interscapular thoracic, single wall plastic socket, shoulder joint, locking elbow, friction wrist, chest strap, fair lead cable control, usmc or equal pylon, no cover, molded to patient model2010 HCPCS L6590 Preparatory, shoulder disarticulation or interscapular thoracic, single wall socket, shoulder joint, locking elbow, friction wrist, chest strap, fair lead cable control, usmc or equal pylon, no cover, direct formed2010 HCPCS L6600 Upper extremity additions, polycentric hinge, pair2010 HCPCS L6605 Upper extremity additions, single pivot hinge, pair2010 HCPCS L6610 Upper extremity additions, flexible metal hinge, pair2010 HCPCS L6611 Addition to upper extremity prosthesis, external powered, additional switch, any type2010 HCPCS L6615 Upper extremity addition, disconnect locking wrist unit2010 HCPCS L6616 Upper extremity addition, additional disconnect insert for locking wrist unit, each2010 HCPCS L6620 Upper extremity addition, flexion/extension wrist unit, with or without friction2010 HCPCS L6621 Upper extremity prosthesis addition, flexion/extension wrist with or without friction, for use with external powered terminal device2010 HCPCS L6623 Upper extremity addition, spring assisted rotational wrist unit with latch release2010 HCPCS L6624 Upper extremity addition, flexion/extension and rotation wrist unit2010 HCPCS L6625 Upper extremity addition, rotation wrist unit with cable lock2010 HCPCS L6628 Upper extremity addition, quick disconnect hook adapter, otto bock or equal2010 HCPCS L6629 Upper extremity addition, quick disconnect lamination collar with coupling piece, otto bock or equal2010 HCPCS L6630 Upper extremity addition, stainless steel, any wrist2010 HCPCS L6632 Upper extremity addition, latex suspension sleeve, each2010 HCPCS L6635 Upper extremity addition, lift assist for elbow2010 HCPCS L6637 Upper extremity addition, nudge control elbow lock2010 HCPCS L6638 Upper extremity addition to prosthesis, electric locking feature, only for use with manually powered elbow2010 HCPCS L6639 TERMINATED 12/31/2009 : Upper extremity addition, heavy duty feature, any elbow2010 HCPCS L6640 Upper extremity additions, shoulder abduction joint, pair2010 HCPCS L6641 Upper extremity addition, excursion amplifier, pulley type2010 HCPCS L6642 Upper extremity addition, excursion amplifier, lever type2010 HCPCS L6645 Upper extremity addition, shoulder flexion-abduction joint, each2010 HCPCS L6646 Upper extremity addition, shoulder joint, multipositional locking, flexion, adjustable abduction friction control, for use with body powered or external powered system2010 HCPCS L6647 Upper extremity addition, shoulder lock mechanism, body powered actuator2010 HCPCS L6648 Upper extremity addition, shoulder lock mechanism, external powered actuator2010 HCPCS L6650 Upper extremity addition, shoulder universal joint, each2010 HCPCS L6655 Upper extremity addition, standard control cable, extra2010 HCPCS L6660 Upper extremity addition, heavy duty control cable2010 HCPCS L6665 Upper extremity addition, teflon, or equal, cable lining2010 HCPCS L6670 Upper extremity addition, hook to hand, cable adapter2010 HCPCS L6672 Upper extremity addition, harness, chest or shoulder, saddle type2010 HCPCS L6675 Upper extremity addition, harness, (e.g. figure of eight type), single cable design2010 HCPCS L6676 Upper extremity addition, harness, (e.g. figure of eight type), dual cable design2010 HCPCS L6677 Upper extremity addition, harness, triple control, simultaneous operation of terminal device and elbow2010 HCPCS L6680 Upper extremity addition, test socket, wrist disarticulation or below elbow2010 HCPCS L6682 Upper extremity addition, test socket, elbow disarticulation or above elbow2010 HCPCS L6684 Upper extremity addition, test socket, shoulder disarticulation or interscapular thoracic2010 HCPCS L6686 Upper extremity addition, suction socket2010 HCPCS L6687 Upper extremity addition, frame type socket, below elbow or wrist disarticulation2010 HCPCS L6688 Upper extremity addition, frame type socket, above elbow or elbow disarticulation2010 HCPCS L6689 Upper extremity addition, frame type socket, shoulder disarticulation2010 HCPCS L6690 Upper extremity addition, frame type socket, interscapular-thoracic2010 HCPCS L6691 Upper extremity addition, removable insert, each2010 HCPCS L6692 Upper extremity addition, silicone gel insert or equal, each2010 HCPCS L6693 Upper extremity addition, locking elbow, forearm counterbalance2010 HCPCS L6694 Addition to upper extremity prosthesis, below elbow/above elbow, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric or equal, for use with locking mechanism2010 HCPCS L6695 Addition to upper extremity prosthesis, below elbow/above elbow, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric or equal, not for use with locking mechanism2010 HCPCS L6696 Addition to upper extremity prosthesis, below elbow/above elbow, custom fabricated socket insert for congenital or atypical traumatic amputee, silicone gel, elastomeric or equal, for use with or without locking mechanism, initial only (for other than initial, use code l6694 or l6695)2010 HCPCS L6697 Addition to upper extremity prosthesis, below elbow/above elbow, custom fabricated socket insert for other than congenital or atypical traumatic amputee, silicone gel, elastomeric or equal, for use with or without locking mechanism, initial only (for other than initial, use code l6694 or l6695)2010 HCPCS L6698 Addition to upper extremity prosthesis, below elbow/above elbow, lock mechanism, excludes socket insert2010 HCPCS L6700 TERMINATED 12/31/2006 : Terminal device, hook, dorrance, or equal, model #32010 HCPCS L6703 Terminal device, passive hand/mitt, any material, any size2010 HCPCS L6704 Terminal device, sport/recreational/work attachment, any material, any size2010 HCPCS L6705 TERMINATED 12/31/2006 : Terminal device, hook, dorrance, or equal, model #52010 HCPCS L6706 Terminal device, hook, mechanical, voluntary opening, any material, any size, lined or unlined2010 HCPCS L6707 Terminal device, hook, mechanical, voluntary closing, any material, any size, lined or unlined2010 HCPCS L6708 Terminal device, hand, mechanical, voluntary opening, any material, any size2010 HCPCS L6709 Terminal device, hand, mechanical, voluntary closing, any material, any size2010 HCPCS L6710 TERMINATED 12/31/2006 : Terminal device, hook, dorrance, or equal, model #5x2010 HCPCS L6711 Terminal device, hook, mechanical, voluntary opening, any material, any size, lined or unlined, pediatric2010 HCPCS L6712 Terminal device, hook, mechanical, voluntary closing, any material, any size, lined or unlined, pediatric2010 HCPCS L6713 Terminal device, hand, mechanical, voluntary opening, any material, any size, pediatric2010 HCPCS L6714 Terminal device, hand, mechanical, voluntary closing, any material, any size, pediatric2010 HCPCS L6715 TERMINATED 12/31/2006 : Terminal device, hook, dorrance, or equal, model #5xa2010 HCPCS L6720 TERMINATED 12/31/2006 : Terminal device, hook, dorrance, or equal, model #62010 HCPCS L6721 Terminal device, hook or hand, heavy duty, mechanical, voluntary opening, any material, any size, lined or unlined2010 HCPCS L6722 Terminal device, hook or hand, heavy duty, mechanical, voluntary closing, any material, any size, lined or unlined2010 HCPCS L6725 TERMINATED 12/31/2006 : Terminal device, hook, dorrance, or equal, model #72010 HCPCS L6730 TERMINATED 12/31/2006 : Terminal device, hook, dorrance, or equal, model #7lo2010 HCPCS L6735 TERMINATED 12/31/2006 : Terminal device, hook, dorrance, or equal, model #82010 HCPCS L6740 TERMINATED 12/31/2006 : Terminal device, hook, dorrance, or equal, model #8x2010 HCPCS L6745 TERMINATED 12/31/2006 : Terminal device, hook, dorrance, or equal, model #88x2010 HCPCS L6750 TERMINATED 12/31/2006 : Terminal device, hook, dorrance, or equal, model #10p2010 HCPCS L6755 TERMINATED 12/31/2006 : Terminal device, hook, dorrance, or equal, model #10x2010 HCPCS L6765 TERMINATED 12/31/2006 : Terminal device, hook, dorrance, or equal, model #12p2010 HCPCS L6770 TERMINATED 12/31/2006 : Terminal device, hook, dorrance, or equal, model #99x2010 HCPCS L6775 TERMINATED 12/31/2006 : Terminal device, hook, dorrance, or equal, model #5552010 HCPCS L6780 TERMINATED 12/31/2006 : Terminal device, hook, dorrance, or equal, model #ss5552010 HCPCS L6790 TERMINATED 12/31/2006 : Terminal device, hook-accu hook, or equal2010 HCPCS L6795 TERMINATED 12/31/2006 : Terminal device, hook-2 load, or equal2010 HCPCS L6800 TERMINATED 12/31/2006 : Terminal device, hook-aprl vc, or equal2010 HCPCS L6805 Addition to terminal device, modifier wrist unit2010 HCPCS L6806 TERMINATED 12/31/2006 : Terminal device, hook, trs grip, grip iii, vc, or equal2010 HCPCS L6807 TERMINATED 12/31/2006 : Terminal device, hook, grip i, grip ii, vc, or equal2010 HCPCS L6808 TERMINATED 12/31/2006 : Terminal device, hook, trs adept, infant or child, vc, or equal2010 HCPCS L6809 TERMINATED 12/31/2006 : Terminal device, hook, trs super sport, passive2010 HCPCS L6810 Addition to terminal device, precision pinch device2010 HCPCS L6825 TERMINATED 12/31/2006 : Terminal device, hand, dorrance, vo2010 HCPCS L6830 TERMINATED 12/31/2006 : Terminal device, hand, aprl, vc2010 HCPCS L6835 TERMINATED 12/31/2006 : Terminal device, hand, sierra, vo2010 HCPCS L6840 TERMINATED 12/31/2006 : Terminal device, hand, becker imperial2010 HCPCS L6845 TERMINATED 12/31/2006 : Terminal device, hand, becker lock grip2010 HCPCS L6850 TERMINATED 12/31/2006 : Terminal device, hand, becker plylite2010 HCPCS L6855 TERMINATED 12/31/2006 : Terminal device, hand, robin-aids, vo2010 HCPCS L6860 TERMINATED 12/31/2006 : Terminal device, hand, robin-aids, vo soft2010 HCPCS L6865 TERMINATED 12/31/2006 : Terminal device, hand, passive hand2010 HCPCS L6867 TERMINATED 12/31/2006 : Terminal device, hand, detroit infant hand (mechanical)2010 HCPCS L6868 TERMINATED 12/31/2006 : Terminal device, hand, passive infant hand, (steeper, hosmer or equal)2010 HCPCS L6870 TERMINATED 12/31/2006 : Terminal device, hand, child mitt2010 HCPCS L6872 TERMINATED 12/31/2006 : Terminal device, hand, nyu child hand2010 HCPCS L6873 TERMINATED 12/31/2006 : Terminal device, hand, mechanical infant hand, steeper or equal2010 HCPCS L6875 TERMINATED 12/31/2006 : Terminal device, hand, bock, vc2010 HCPCS L6880 TERMINATED 12/31/2006 : Terminal device, hand, bock, vo2010 HCPCS L6881 Automatic grasp feature, addition to upper limb electric prosthetic terminal device2010 HCPCS L6882 Microprocessor control feature, addition to upper limb prosthetic terminal device2010 HCPCS L6883 Replacement socket, below elbow/wrist disarticulation, molded to patient model, for use with or without external power2010 HCPCS L6884 Replacement socket, above elbow/elbow disarticulation, molded to patient model, for use with or without external power2010 HCPCS L6885 Replacement socket, shoulder disarticulation/interscapular thoracic, molded to patient model, for use with or without external power2010 HCPCS L6890 Addition to upper extremity prosthesis, glove for terminal device, any material, prefabricated, includes fitting and adjustment2010 HCPCS L6895 Addition to upper extremity prosthesis, glove for terminal device, any material, custom fabricated2010 HCPCS L6900 Hand restoration (casts, shading and measurements included), partial hand, with glove, thumb or one finger remaining2010 HCPCS L6905 Hand restoration (casts, shading and measurements included), partial hand, with glove, multiple fingers remaining2010 HCPCS L6910 Hand restoration (casts, shading and measurements included), partial hand, with glove, no fingers remaining2010 HCPCS L6915 Hand restoration (shading, and measurements included), replacement glove for above2010 HCPCS L6920 Wrist disarticulation, external power, self-suspended inner socket, removable forearm shell, otto bock or equal, switch, cables, two batteries and one charger, switch control of terminal device2010 HCPCS L6925 Wrist disarticulation, external power, self-suspended inner socket, removable forearm shell, otto bock or equal electrodes, cables, two batteries and one charger, myoelectronic control of terminal device2010 HCPCS L6930 Below elbow, external power, self-suspended inner socket, removable forearm shell, otto bock or equal switch, cables, two batteries and one charger, switch control of terminal device2010 HCPCS L6935 Below elbow, external power, self-suspended inner socket, removable forearm shell, otto bock or equal electrodes, cables, two batteries and one charger, myoelectronic control of terminal device2010 HCPCS L6940 Elbow disarticulation, external power, molded inner socket, removable humeral shell, outside locking hinges, forearm, otto bock or equal switch, cables, two batteries and one charger, switch control of terminal device2010 HCPCS L6945 Elbow disarticulation, external power, molded inner socket, removable humeral shell, outside locking hinges, forearm, otto bock or equal electrodes, cables, two batteries and one charger, myoelectronic control of terminal device2010 HCPCS L6950 Above elbow, external power, molded inner socket, removable humeral shell, internal locking elbow, forearm, otto bock or equal switch, cables, two batteries and one charger, switch control of terminal device2010 HCPCS L6955 Above elbow, external power, molded inner socket, removable humeral shell, internal locking elbow, forearm, otto bock or equal electrodes, cables, two batteries and one charger, myoelectronic control of terminal device2010 HCPCS L6960 Shoulder disarticulation, external power, molded inner socket, removable shoulder shell, shoulder bulkhead, humeral section, mechanical elbow, forearm, otto bock or equal switch, cables, two batteries and one charger, switch control of terminal device2010 HCPCS L6965 Shoulder disarticulation, external power, molded inner socket, removable shoulder shell, shoulder bulkhead, humeral section, mechanical elbow, forearm, otto bock or equal electrodes, cables, two batteries and one charger, myoelectronic control of terminal device2010 HCPCS L6970 Interscapular-thoracic, external power, molded inner socket, removable shoulder shell, shoulder bulkhead, humeral section, mechanical elbow, forearm, otto bock or equal switch, cables, two batteries and one charger, switch control of terminal device2010 HCPCS L6975 Interscapular-thoracic, external power, molded inner socket, removable shoulder shell, shoulder bulkhead, humeral section, mechanical elbow, forearm, otto bock or equal electrodes, cables, two batteries and one charger, myoelectronic control of terminal device2010 HCPCS L7007 Electric hand, switch or myoelectric controlled, adult2010 HCPCS L7008 Electric hand, switch or myoelectric, controlled, pediatric2010 HCPCS L7009 Electric hook, switch or myoelectric controlled, adult2010 HCPCS L7010 TERMINATED 12/31/2006 : Electronic hand, otto bock, steeper or equal, switch controlled2010 HCPCS L7015 TERMINATED 12/31/2006 : Electronic hand, system teknik, variety village or equal, switch controlled2010 HCPCS L7020 TERMINATED 12/31/2006 : Electronic greifer, otto bock or equal, switch controlled2010 HCPCS L7025 TERMINATED 12/31/2006 : Electronic hand, otto bock or equal, myoelectronically controlled2010 HCPCS L7030 TERMINATED 12/31/2006 : Electronic hand, system teknik, variety village or equal, myoelectronically controlled2010 HCPCS L7035 TERMINATED 12/31/2006 : Electronic greifer, otto bock or equal, myoelectronically controlled2010 HCPCS L7040 Prehensile actuator, switch controlled2010 HCPCS L7045 Electric hook, switch or myoelectric controlled, pediatric2010 HCPCS L7170 Electronic elbow, hosmer or equal, switch controlled2010 HCPCS L7180 Electronic elbow, microprocessor sequential control of elbow and terminal device2010 HCPCS L7181 Electronic elbow, microprocessor simultaneous control of elbow and terminal device2010 HCPCS L7185 Electronic elbow, adolescent, variety village or equal, switch controlled2010 HCPCS L7186 Electronic elbow, child, variety village or equal, switch controlled2010 HCPCS L7190 Electronic elbow, adolescent, variety village or equal, myoelectronically controlled2010 HCPCS L7191 Electronic elbow, child, variety village or equal, myoelectronically controlled2010 HCPCS L7260 Electronic wrist rotator, otto bock or equal2010 HCPCS L7261 Electronic wrist rotator, for utah arm2010 HCPCS L7266 Servo control, steeper or equal2010 HCPCS L7272 Analogue control, unb or equal2010 HCPCS L7274 Proportional control, 6-12 volt, liberty, utah or equal2010 HCPCS L7360 Six volt battery, each2010 HCPCS L7362 Battery charger, six volt, each2010 HCPCS L7364 Twelve volt battery, each2010 HCPCS L7366 Battery charger, twelve volt, each2010 HCPCS L7367 Lithium ion battery, replacement2010 HCPCS L7368 Lithium ion battery charger2010 HCPCS L7400 Addition to upper extremity prosthesis, below elbow/wrist disarticulation, ultralight material (titanium, carbon fiber or equal)2010 HCPCS L7401 Addition to upper extremity prosthesis, above elbow disarticulation, ultralight material (titanium, carbon fiber or equal)2010 HCPCS L7402 Addition to upper extremity prosthesis, shoulder disarticulation/interscapular thoracic, ultralight material (titanium, carbon fiber or equal)2010 HCPCS L7403 Addition to upper extremity prosthesis, below elbow/wrist disarticulation, acrylic material2010 HCPCS L7404 Addition to upper extremity prosthesis, above elbow disarticulation, acrylic material2010 HCPCS L7405 Addition to upper extremity prosthesis, shoulder disarticulation/interscapular thoracic, acrylic material2010 HCPCS L7499 Upper extremity prosthesis, not otherwise specified2010 HCPCS L7500 Repair of prosthetic device, hourly rate (excludes v5335 repair of oral or laryngeal prosthesis or artificial larynx)2010 HCPCS L7510 Repair of prosthetic device, repair or replace minor parts2010 HCPCS L7520 Repair prosthetic device, labor component, per 15 minutes2010 HCPCS L7600 Prosthetic donning sleeve, any material, each2010 HCPCS L7611 TERMINATED 12/31/2008 : Terminal device, hook, mechanical, voluntary opening, any material, any size, lined or unlined, pediatric2010 HCPCS L7612 TERMINATED 12/31/2008 : Terminal device, hook, mechanical, voluntary closing, any material, any size, lined or unlined, pediatric2010 HCPCS L7613 TERMINATED 12/31/2008 : Terminal device, hand, mechanical, voluntary opening, any material, any size, pediatric2010 HCPCS L7614 TERMINATED 12/31/2008 : Terminal device, hand, mechanical, voluntary closing, any material, any size, pediatric2010 HCPCS L7621 TERMINATED 12/31/2008 : Terminal device, hook or hand, heavy duty, mechanical, voluntary opening, any material, any size, lined or unlined2010 HCPCS L7622 TERMINATED 12/31/2008 : Terminal device, hook or hand, heavy duty, mechanical, voluntary closing, any material, any size, lined or unlined2010 HCPCS L7900 Male vacuum erection system2010 HCPCS L8000 Breast prosthesis, mastectomy bra2010 HCPCS L8001 Breast prosthesis, mastectomy bra, with integrated breast prosthesis form, unilateral2010 HCPCS L8002 Breast prosthesis, mastectomy bra, with integrated breast prosthesis form, bilateral2010 HCPCS L8010 Breast prosthesis, mastectomy sleeve2010 HCPCS L8015 External breast prosthesis garment, with mastectomy form, post mastectomy2010 HCPCS L8020 Breast prosthesis, mastectomy form2010 HCPCS L8030 Breast prosthesis, silicone or equal, without integral adhesive2010 HCPCS L8031 Breast prosthesis, silicone or equal, with integral adhesive2010 HCPCS L8032 Nipple prosthesis, reusable, any type, each2010 HCPCS L8035 Custom breast prosthesis, post mastectomy, molded to patient model2010 HCPCS L8039 Breast prosthesis, not otherwise specified2010 HCPCS L8040 Nasal prosthesis, provided by a non-physician2010 HCPCS L8041 Midfacial prosthesis, provided by a non-physician2010 HCPCS L8042 Orbital prosthesis, provided by a non-physician2010 HCPCS L8043 Upper facial prosthesis, provided by a non-physician2010 HCPCS L8044 Hemi-facial prosthesis, provided by a non-physician2010 HCPCS L8045 Auricular prosthesis, provided by a non-physician2010 HCPCS L8046 Partial facial prosthesis, provided by a non-physician2010 HCPCS L8047 Nasal septal prosthesis, provided by a non-physician2010 HCPCS L8048 Unspecified maxillofacial prosthesis, by report, provided by a non-physician2010 HCPCS L8049 Repair or modification of maxillofacial prosthesis, labor component, 15 minute increments, provided by a non-physician2010 HCPCS L8300 Truss, single with standard pad2010 HCPCS L8310 Truss, double with standard pads2010 HCPCS L8320 Truss, addition to standard pad, water pad2010 HCPCS L8330 Truss, addition to standard pad, scrotal pad2010 HCPCS L8400 Prosthetic sheath, below knee, each2010 HCPCS L8410 Prosthetic sheath, above knee, each2010 HCPCS L8415 Prosthetic sheath, upper limb, each2010 HCPCS L8417 Prosthetic sheath/sock, including a gel cushion layer, below knee or above knee, each2010 HCPCS L8420 Prosthetic sock, multiple ply, below knee, each2010 HCPCS L8430 Prosthetic sock, multiple ply, above knee, each2010 HCPCS L8435 Prosthetic sock, multiple ply, upper limb, each2010 HCPCS L8440 Prosthetic shrinker, below knee, each2010 HCPCS L8460 Prosthetic shrinker, above knee, each2010 HCPCS L8465 Prosthetic shrinker, upper limb, each2010 HCPCS L8470 Prosthetic sock, single ply, fitting, below knee, each2010 HCPCS L8480 Prosthetic sock, single ply, fitting, above knee, each2010 HCPCS L8485 Prosthetic sock, single ply, fitting, upper limb, each2010 HCPCS L8499 Unlisted procedure for miscellaneous prosthetic services2010 HCPCS L8500 Artificial larynx, any type2010 HCPCS L8501 Tracheostomy speaking valve2010 HCPCS L8505 Artificial larynx replacement battery / accessory, any type2010 HCPCS L8507 Tracheo-esophageal voice prosthesis, patient inserted, any type, each2010 HCPCS L8509 Tracheo-esophageal voice prosthesis, inserted by a licensed health care provider, any type2010 HCPCS L8510 Voice amplifier2010 HCPCS L8511 Insert for indwelling tracheoesophageal prosthesis, with or without valve, replacement only, each2010 HCPCS L8512 Gelatin capsules or equivalent, for use with tracheoesophageal voice prosthesis, replacement only, per 102010 HCPCS L8513 Cleaning device used with tracheoesophageal voice prosthesis, pipet, brush, or equal, replacement only, each2010 HCPCS L8514 Tracheoesophageal puncture dilator, replacement only, each2010 HCPCS L8515 Gelatin capsule, application device for use with tracheoesophageal voice prosthesis, each2010 HCPCS L8600 Implantable breast prosthesis, silicone or equal2010 HCPCS L8603 Injectable bulking agent, collagen implant, urinary tract, 2.5 ml syringe, includes shipping and necessary supplies2010 HCPCS L8604 Injectable bulking agent, dextranomer/hyaluronic acid copolymer implant, urinary tract, 1 ml, includes shipping and necessary supplies2010 HCPCS L8606 Injectable bulking agent, synthetic implant, urinary tract, 1 ml syringe, includes shipping and necessary supplies2010 HCPCS L8609 Artificial cornea2010 HCPCS L8610 Ocular implant2010 HCPCS L8612 Aqueous shunt2010 HCPCS L8613 Ossicula implant2010 HCPCS L8614 Cochlear device, includes all internal and external components2010 HCPCS L8615 Headset/headpiece for use with cochlear implant device, replacement2010 HCPCS L8616 Microphone for use with cochlear implant device, replacement2010 HCPCS L8617 Transmitting coil for use with cochlear implant device, replacement2010 HCPCS L8618 Transmitter cable for use with cochlear implant device, replacement2010 HCPCS L8619 Cochlear implant, external speech processor and controller, integrated system, replacement2010 HCPCS L8621 Zinc air battery for use with cochlear implant device, replacement, each2010 HCPCS L8622 Alkaline battery for use with cochlear implant device, any size, replacement, each2010 HCPCS L8623 Lithium ion battery for use with cochlear implant device speech processor, other than ear level, replacement, each2010 HCPCS L8624 Lithium ion battery for use with cochlear implant device speech processor, ear level, replacement, each2010 HCPCS L8627 Cochlear implant, external speech processor, component, replacement2010 HCPCS L8628 Cochlear implant, external controller component, replacement2010 HCPCS L8629 Transmitting coil and cable, integrated, for use with cochlear implant device, replacement2010 HCPCS L8630 Metacarpophalangeal joint implant2010 HCPCS L8631 Metacarpal phalangeal joint replacement, two or more pieces, metal (e.g., stainless steel or cobalt chrome), ceramic-like material (e.g., pyrocarbon), for surgical implantation (all sizes, includes entire system)2010 HCPCS L8641 Metatarsal joint implant2010 HCPCS L8642 Hallux implant2010 HCPCS L8658 Interphalangeal joint spacer, silicone or equal, each2010 HCPCS L8659 Interphalangeal finger joint replacement, 2 or more pieces, metal (e.g., stainless steel or cobalt chrome), ceramic-like material (e.g., pyrocarbon) for surgical implantation, any size2010 HCPCS L8670 Vascular graft material, synthetic, implant2010 HCPCS L8680 IMPLANTABLE NEUROSTIMULATOR ELECTRODE, EACH2010 HCPCS L8681 Patient programmer (external) for use with implantable programmable neurostimulator pulse generator, replacement only2010 HCPCS L8682 Implantable neurostimulator radiofrequency receiver2010 HCPCS L8683 Radiofrequency transmitter (external) for use with implantable neurostimulator radiofrequency receiver2010 HCPCS L8684 Radiofrequency transmitter (external) for use with implantable sacral root neurostimulator receiver for bowel and bladder management, replacement2010 HCPCS L8685 Implantable neurostimulator pulse generator, single array, rechargeable, includes extension2010 HCPCS L8686 Implantable neurostimulator pulse generator, single array, non-rechargeable, includes extension2010 HCPCS L8687 Implantable neurostimulator pulse generator, dual array, rechargeable, includes extension2010 HCPCS L8688 Implantable neurostimulator pulse generator, dual array, non-rechargeable, includes extension2010 HCPCS L8689 External recharging system for battery (internal) for use with implantable neurostimulator, replacement only2010 HCPCS L8690 Auditory osseointegrated device, includes all internal and external components2010 HCPCS L8691 Auditory osseointegrated device, external sound processor, replacement2010 HCPCS L8692 Auditory osseointegrated device, external sound processor, used without osseointegration, body worn, includes headband or other means of external attachment2010 HCPCS L8695 External recharging system for battery (external) for use with implantable neurostimulator, replacement only2010 HCPCS L8699 Prosthetic implant, not otherwise specified2010 HCPCS L9900 Orthotic and prosthetic supply, accessory, and/or service component of another hcpcs "l" code
