Browse HCPCS Level II 2020 Edition

L1000 - L1010  Scoliosis - Cervical-Thoracic-Lumbar-Sacral Orthotic (CTLSO) (Milwaukee)

L1000 Cervical-thoracic-lumbar-sacral orthosis (ctlso) (milwaukee), inclusive of furnishing initial orthosis, including model short Ctlso milwauke initial model MUE Location Value Ajudication Indicator Rationale PRA 0.0 3 Date of Service Edit: Clinical CMS Policy OPH 1.0 2 Date of Service Edit: Policy Anatomic Consideration DME 1.0 2 Date of Service Edit: Policy Anatomic Consideration

L1001 Cervical thoracic lumbar sacral orthosis, immobilizer, infant size, prefabricated, includes fitting and adjustment short Ctlso infant immobilizer MUE Location Value Ajudication Indicator Rationale PRA 0.0 3 Date of Service Edit: Clinical CMS Policy OPH 1.0 2 Date of Service Edit: Policy Anatomic Consideration DME 1.0 2 Date of Service Edit: Policy Anatomic Consideration

L1005 Tension based scoliosis orthosis and accessory pads, includes fitting and adjustment short Tension based scoliosis orth MUE Location Value Ajudication Indicator Rationale PRA 0.0 3 Date of Service Edit: Clinical CMS Policy OPH 1.0 2 Date of Service Edit: Policy Anatomic Consideration DME 1.0 2 Date of Service Edit: Policy Anatomic Consideration

L1010 Addition to cervical-thoracic-lumbar-sacral orthosis (ctlso) or scoliosis orthosis, axilla sling short Ctlso axilla sling MUE Location Value Ajudication Indicator Rationale PRA 0.0 3 Date of Service Edit: Clinical CMS Policy OPH 2.0 2 Date of Service Edit: Policy Anatomic Consideration DME 2.0 2 Date of Service Edit: Policy Anatomic Consideration