2024 HCPCS Code 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 item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise
TAGS: customized motion expertise disks patient stays prefabricated intervertebral shoulder straps sagittal provides sacrococcygeal junction pressure gross individual extends restricts above specific reduce intracavitary rigid produces trunk
| Short Description | Tlso trnk sj-t9 pre cst |
| HCPCS Coverage Code | C - Carrier judgment |
| HCPCS Action Code | N - No maintenance for this code |
| HCPCS Action Effective Date | January 01, 2014 |
| HCPCS Code Added Date | January 01, 2003 |
| HCPCS Pricing Indicator Code | 38 - Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings) |
| HCPCS Multiple Pricing Indicator Code | A - Not applicable as HCPCS priced under one methodology |
| HCPCS Coverage Issues Manual Reference Section Number | |
| HCPCS Type Of Service Code | P - Lump sum purchase of DME, prosthetics, orthotics |
| HCPCS Anesthesia Base Unit Quantity | 0 |
Check Similar HCPCS Codes
- L1720 - Legg perthes orthosis trilat
- L1730 - Legg perthes orth scottish r
- L1755 - Legg perthes patten bottom t
- L1810 - Ko elastic with joints
- L1812 - Ko elastic w/joints pre ots
- L1820 - Ko elas w/ condyle pads & jo
- L1830 - Ko immob canvas long pre ots
- L1831 - Knee orth pos locking joint
- L1832 - Ko adj jnt pos r sup pre cst
- L1833 - Ko adj jnt pos r sup pre ots
- L1834 - Ko w/0 joint rigid molded to
- L1836 - Ko rigid w/o joints pre ots
- L1840 - Ko derot ant cruciate custom
- L1843 - Ko single upright pre cst
- L1844 - Ko w/adj jt rot cntrl molded
- L1845 - Ko double upright pre cst
- L1846 - Ko w adj flex/ext rotat mold
- L1847 - Ko dbl upright w/air pre cst
- L1848 - Ko dbl upright w/air pre ots
- L1850 - Ko swedish type pre ots