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L1210 Addition to tlso, (low profile), lateral thoracic extension
BackL1000Cervical-thoracic-lumbar-sacral orthosis (ctlso) (milwaukee), inclusive of furnishing initial orthosis, including model→L1001Cervical thoracic lumbar sacral orthosis, immobilizer, infant size, prefabricated, includes fitting and adjustment→L1005Tension based scoliosis orthosis and accessory pads, includes fitting and adjustment→L1006Scoliosis orthosis, sagittal-coronal control provided by a rigid lateral frame, extends from axilla to trochanter, includes all accessory pads, straps and interface, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise→L1007Scoliosis orthosis, sagittal-coronal control provided by a rigid lateral frame, extends from axilla, to trochanter, includes all accessory pads, straps, and interface, custom fabricated→L1010Addition to cervical-thoracic-lumbar-sacral orthosis (ctlso) or scoliosis orthosis, axilla sling→L1020Addition to ctlso or scoliosis orthosis, kyphosis pad→L1025Addition to ctlso or scoliosis orthosis, kyphosis pad, floating→L1030Addition to ctlso or scoliosis orthosis, lumbar bolster pad→L1040Addition to ctlso or scoliosis orthosis, lumbar or lumbar rib pad→L1050Addition to ctlso or scoliosis orthosis, sternal pad→L1060Addition to ctlso or scoliosis orthosis, thoracic pad→L1070Addition to ctlso or scoliosis orthosis, trapezius sling→L1080Addition to ctlso or scoliosis orthosis, outrigger→L1085Addition to ctlso or scoliosis orthosis, outrigger, bilateral with vertical extensions→L1090Addition to ctlso or scoliosis orthosis, lumbar sling→L1100Addition to ctlso or scoliosis orthosis, ring flange, plastic or leather→L1110Addition to ctlso or scoliosis orthosis, ring flange, plastic or leather, molded to patient model→L1120Addition to ctlso, scoliosis orthosis, cover for upright, each→L1200Thoracic-lumbar-sacral-orthosis (tlso), inclusive of furnishing initial orthosis only→L1210Addition to tlso, (low profile), lateral thoracic extension→L1220Addition to tlso, (low profile), anterior thoracic extension→L1230Addition to tlso, (low profile), milwaukee type superstructure→L1240Addition to tlso, (low profile), lumbar derotation pad→L1250Addition to tlso, (low profile), anterior asis pad→L1260Addition to tlso, (low profile), anterior thoracic derotation pad→L1270Addition to tlso, (low profile), abdominal pad→L1280Addition to tlso, (low profile), rib gusset (elastic), each→L1290Addition to tlso, (low profile), lateral trochanteric pad→L1300Other scoliosis procedure, body jacket molded to patient model→L1310Other scoliosis procedure, post-operative body jacket→L1320Thoracic, pectus carinatum orthosis, sternal compression, rigid circumferential frame with anterior and posterior rigid pads, custom fabricated→L1330Thoracic orthosis, sternal and/or sternocostal compression, may include anterior and/or posterior pads, panels, with or without frame, prefabricated, includes fitting and adjustment→L1499Spinal orthosis, not otherwise specified→L1600Hip orthosis, abduction control of hip joints, flexible, frejka type with cover, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an inidividual with expertise→L1610Hip orthosis, abduction control of hip joints, flexible, (frejka cover only), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise→L1620Hip orthosis, abduction control of hip joints, flexible, (pavlik harness), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise→L1630Hip orthosis, abduction control of hip joints, semi-flexible (von rosen type), custom fabricated→L1640Hip orthosis, abduction control of hip joints, static, pelvic band or spreader bar, thigh cuffs, custom fabricated→L1650Hip orthosis, abduction control of hip joints, static, adjustable, (ilfled type), prefabricated, includes fitting and adjustment→L1652Hip orthosis, bilateral thigh cuffs with adjustable abductor spreader bar, adult size, prefabricated, includes fitting and adjustment, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise→L1653Hip orthosis, bilateral thigh cuffs with adjustable abductor spreader bar, adult size, prefabricated, off the shelf→L1660Hip orthosis, abduction control of hip joints, static, plastic, prefabricated, includes fitting and adjustment→L1680Hip orthosis, abduction control of hip joints, dynamic, pelvic control, adjustable hip motion control, thigh cuffs (rancho hip action type), custom fabricated→L1681Hip orthosis, bilateral hip joints and thigh cuffs, adjustable flexion, extension, abduction control of hip joint, postoperative hip abduction type, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise→L1685Hip orthosis, abduction control of hip joint, postoperative hip abduction type, custom fabricated→L1686Hip orthosis, abduction control of hip joint, postoperative hip abduction type, prefabricated, includes fitting and adjustment→L1690Combination, bilateral, lumbo-sacral, hip, femur orthosis providing adduction and internal rotation control, prefabricated, includes fitting and adjustment→L1700Legg perthes orthosis, (toronto type), custom fabricated→L1710Legg perthes orthosis, (newington type), custom fabricated→L1720Legg perthes orthosis, trilateral, (tachdijan type), custom fabricated→L1730Legg perthes orthosis, (scottish rite type), custom fabricated→L1755Legg perthes orthosis, (patten bottom type), custom fabricated→L1810Knee orthosis, elastic with joints, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise→L1812Knee orthosis, elastic with joints, prefabricated, off-the-shelf→L1820Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise→L1821Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated, off the shelf→L1830Knee orthosis, immobilizer, canvas longitudinal, prefabricated, off-the-shelf→L1831Knee orthosis, locking knee joint(s), positional orthosis, prefabricated, includes fitting and adjustment→L1832Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise→L1833Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf→L1834Knee orthosis, without knee joint, rigid, custom fabricated→L1836Knee orthosis, rigid, without joint(s), includes soft interface material, prefabricated, off-the-shelf→L1840Knee orthosis, derotation, medial-lateral, anterior cruciate ligament, custom fabricated→L1843Knee 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 item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise→L1844Knee 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 fabricated→L1845Knee 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 item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise→L1846Knee 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 fabricated→L1847Knee orthosis, double upright with adjustable joint, with inflatable air support chamber(s), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise→L1848Knee orthosis, double upright with adjustable joint, with inflatable air support chamber(s), prefabricated, off-the-shelf→L1850Knee orthosis, swedish type, prefabricated, off-the-shelf→L1851Knee orthosis (ko), 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, off-the-shelf→L1852Knee orthosis (ko), 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, off-the-shelf→L1860Knee orthosis, modification of supracondylar prosthetic socket, custom fabricated (sk)→L1900Ankle foot orthosis, spring wire, dorsiflexion assist calf band, custom fabricated→L1902Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf→L1904Ankle orthosis, ankle gauntlet or similar, with or without joints, custom fabricated→L1906Ankle foot orthosis, multiligamentous ankle support, prefabricated, off-the-shelf→L1907Ankle orthosis, supramalleolar with straps, with or without interface/pads, custom fabricated→L1910Ankle foot orthosis, posterior, single bar, clasp attachment to shoe counter, prefabricated, includes fitting and adjustment→L1920Ankle foot orthosis, single upright with static or adjustable stop (phelps or perlstein type), custom fabricated→L1930Ankle foot orthosis, plastic or other material, prefabricated, includes fitting and adjustment→L1932Ankle foot orthosis, rigid anterior tibial section, total carbon fiber or equal material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise→L1933Ankle foot orthosis, rigid anterior tibial section, total carbon fiber or equal material, prefabricated, off-the-shelf→L1940Ankle foot orthosis, plastic or other material, custom fabricated→L1945Ankle foot orthosis, plastic, rigid anterior tibial section (floor reaction), custom fabricated→L1950Ankle foot orthosis, spiral, (institute of rehabilitative medicine type), plastic, custom fabricated→L1951Ankle foot orthosis, spiral, (institute of rehabilitative medicine type), plastic or other material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise→L1952Ankle foot orthosis, spiral, (institute of rehabilitative medicine type), plastic or other material, prefabricated, off-the-shelf→L1960Ankle foot orthosis, posterior solid ankle, plastic, custom fabricated→L1970Ankle foot orthosis, plastic with ankle joint, custom fabricated→L1971Ankle foot orthosis, plastic or other material with ankle joint, with or without dorsiflexion assist, prefabricated, item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise→L1972Ankle foot orthosis, plastic or other material with ankle joint, with or without dorsiflexion assist, prefabricated, off-the shelf→L1980Ankle foot orthosis, single upright free plantar dorsiflexion, solid stirrup, calf band/cuff (single bar 'bk' orthosis), custom fabricated→L1990Ankle foot orthosis, double upright free plantar dorsiflexion, solid stirrup, calf band/cuff (double bar 'bk' orthosis), custom fabricated→
Procedure codeCODABLE
L1210
Addition to tlso, (low profile), lateral thoracic extension
- Part
- HCPCS Level II
- L
- Orthotic and Prosthetic Procedures and Devices
- L1
- L1000–L1990
Source
CMS — ICD-10-PCS FY2026, HCPCS Level II october 2026, Procedure Codes 2026.