|
Laboratory |
|
|
chemistry, P2028 - P2038 |
|
|
Cephalin floculation, blood P2028
| |
|
Congo red, blood P2029
| |
|
Hair analysis (excluding arsenic) P2031
| |
|
Thymol turbidity, blood P2033
| |
|
Mucoprotein, blood (seromucoid) (medical necessity procedure) P2038
| |
|
microbiology, P7001
| |
|
miscellaneous P9010 - P9615 , Q0111 - Q0115 |
|
|
Wet mounts, including preparations of vaginal, cervical or skin specimens Q0111
| |
|
All potassium hydroxide (koh) preparations Q0112
| |
|
Pinworm examinations Q0113
| |
|
Fern test Q0114
| |
|
Post-coital direct, qualitative examinations of vaginal or cervical mucous Q0115
| |
|
Blood (whole), for transfusion, per unit P9010
| |
|
Blood, split unit P9011
| |
|
Cryoprecipitate, each unit P9012
| |
|
Red blood cells, leukocytes reduced, each unit P9016
| |
|
Fresh frozen plasma (single donor), frozen within 8 hours of collection, each unit P9017
| |
|
Platelets, each unit P9019
| |
|
Platelets, leukocytes reduced, irradiated, each unit P9033
| |
|
Platelet rich plasma, each unit P9020
| |
|
Red blood cells, each unit P9021
| |
|
Red blood cells, washed, each unit P9022
| |
|
Plasma, pooled multiple donor, solventdetergent treated, frozen, each unit P9023
| |
|
Platelets, leukocytes reduced, each unit P9031
| |
|
Platelets, irradiated, each unit P9032
| |
|
Platelets, pheresis, each unit P9034
| |
|
Platelets, pheresis, leukocytes reduced, each unit P9035
| |
|
Platelets, pheresis, irradiated, each unit P9036
| |
|
Platelets, pheresis, leukocytes reduced, irradiated, each unit P9037
| |
|
Red blood cells, irradiated, each unit P9038
| |
|
Red blood cells, deglycerolized, each unit P9039
| |
|
Red blood cells, leukocytes reduced, irradiated, each unit P9040
| |
|
Infusion, albumin (human), 5, 50 ml P9041
| |
|
Infusion, plasma protein fraction (human), 5, 50 ml P9043
| |
|
Plasma, cryoprecipitate reduced, each unit P9044
| |
|
Infusion, albumin (human), 5, 250 ml P9045
| |
|
Infusion, albumin (human), 25, 20 ml P9046
| |
|
Infusion, albumin (human), 25, 50 ml P9047
| |
|
Infusion, plasma protein fraction (human), 5, 250 ml P9048
| |
|
Granulocytes, pheresis, each unit P9050
| |
|
Whole blood or red blood cells, leukocytes reduced, cmv-negative, each unit P9051
| |
|
Platelets, hla-matched leukocytes reduced, apheresispheresis, each unit P9052
| |
|
Platelets, pheresis, leukocytes reduced, cmv-negative, irradiated, each unit P9053
| |
|
Whole blood or red blood cells, leukocytes reduced, frozen, deglycerol, washed, each unit P9054
| |
|
Platelets, leukocytes reduced, cmv-negative, apheresispheresis, each unit P9055
| |
|
Whole blood, leukocytes reduced, irradiated, each unit P9056
| |
|
Red blood cells, frozendeglycerolizedwashed, leukocytes reduced, irradiated, each unit P9057
| |
|
Red blood cells, leukocytes reduced, cmv-negative, irradiated, each unit P9058
| |
|
Fresh frozen plasma between 8-24 hours of collection, each unit P9059
| |
|
Fresh frozen plasma, donor retested, each unit P9060
| |
|
Plasma, pooled multiple donor, pathogen reduced, frozen, each unit P9070
| |
|
Plasma (single donor), pathogen reduced, frozen, each unit P9071
| |
|
Platelets, pheresis, pathogen reduced or rapid bacterial tested, each unit P9072
| |
|
Platelets, pheresis, pathogen-reduced, each unit P9073
| |
|
Pathogen(s) test for platelets P9100
| |
|
Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient prorated miles actually travelled P9603
| |
|
Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient prorated trip charge P9604
| |
|
Catheterization for collection of specimen, single patient, all places of service P9612
| |
|
Catheterization for collection of specimen(s) (multiple patients) P9615
| |
|
Wet mounts, including preparations of vaginal, cervical or skin specimens Q0111
| |
|
All potassium hydroxide (koh) preparations Q0112
| |
|
Pinworm examinations Q0113
| |
|
Fern test Q0114
| |
|
Post-coital direct, qualitative examinations of vaginal or cervical mucous Q0115
| |
|
toxicology P3000 - P3001 , Q0091 |
|
|
Screening papanicolaou smear, cervical or vaginal, up to three smears, by technician under physician supervision P3000
| |
|
Screening papanicolaou smear, cervical or vaginal, up to three smears, requiring interpretation by physician P3001
| |
|
Lacrimal,duct |
|
|
permanent, A4263
| |
|
temporary, A4262
| |
|
Lactated,Ringers,infusion J7120
| |
|
Laetrile, J3570
| |
|
Lancet A4258, A4259 |
|
|
Lanreotide, J1930
| |
|
Laronidase, J1931
| |
|
Larynx,artificial L8500
| |
|
Laser,blood,collection,device,and,accessory E0620, A4257 |
|
|
Lead,investigation T1029
| |
|
Lead,wires,per,pair A4557
| |
|
bag A4358, A5105, A5112 |
|
|
extensions,for,walker E0158
| |
|
rest,elevating K0195
| |
|
rest,wheelchair E0990
| |
|
strap,replacement A5113 - A5114 |
|
|
aniseikonic V2118, V2318 |
|
|
contact, V2500 - V2599 |
|
|
eye V2100 - V2615 , V2700 - V2799 |
|
|
Sphere, trifocal, plano to plus or minus 400d, per lens V2300
| |
|
Sphere, bifocal, plano to plus or minus 400d, per lens V2200
| |
|
Hand held low vision aids and other nonspectacle mounted aids V2600
| |
|
Sphere, single vision, plano to plus or minus 400, per lens V2100
| |
|
Variable asphericity lens, single vision, full field, glass or plastic, per lens V2410
| |
|
Contact lens, pmma, spherical, per lens V2500
| |
|
Sphere, single vision, plus or minus 412 to plus or minus 700d, per lens V2101
| |
|
Contact lens, pmma, toric or prism ballast, per lens V2501
| |
|
Sphere, trifocal, plus or minus 412 to plus or minus 700d, per lens V2301
| |
|
Variable asphericity lens, bifocal, full field, glass or plastic, per lens V2430
| |
|
Single lens spectacle mounted low vision aids V2610
| |
|
Sphere, bifocal, plus or minus 412 to plus or minus 700d, per lens V2201
| |
|
Sphere, single vision, plus or minus 712 to plus or minus 2000d, per lens V2102
| |
|
Sphere, trifocal, plus or minus 712 to plus or minus 2000, per lens V2302
| |
|
Contact lens, pmma, bifocal, per lens V2502
| |
|
Sphere, bifocal, plus or minus 712 to plus or minus 2000d, per lens V2202
| |
|
Variable sphericity lens, other type V2499
| |
|
Telescopic and other compound lens system, including distance vision telescopic, near vision telescopes and compound microscopic lens system V2615
| |
|
Spherocylinder, single vision, plano to plus or minus 400d sphere, 12 to 200d cylinder, per lens V2103
| |
|
Contact lens, pmma, color vision deficiency, per lens V2503
| |
|
Spherocylinder, bifocal, plano to plus or minus 400d sphere, 12 to 200d cylinder, per lens V2203
| |
|
Spherocylinder, trifocal, plano to plus or minus 400d sphere, 12-200d cylinder, per lens V2303
| |
|
Spherocylinder, bifocal, plano to plus or minus 400d sphere, 212 to 400d cylinder, per lens V2204
| |
|
Contact lens, gas permeable, spherical, per lens V2510
| |
|
Spherocylinder, single vision, plano to plus or minus 400d sphere, 212 to 400d cylinder, per lens V2104
| |
|
Spherocylinder, trifocal, plano to plus or minus 400d sphere, 225-400d cylinder, per lens V2304
| |
|
Spherocylinder, single vision, plano to plus or minus 400d sphere, 425 to 600d cylinder, per lens V2105
| |
|
Spherocylinder, bifocal, plano to plus or minus 400d sphere, 425 to 600d cylinder, per lens V2205
| |
|
Spherocylinder, trifocal, plano to plus or minus 400d sphere, 425 to 600 cylinder, per lens V2305
| |
|
Contact lens, gas permeable, toric, prism ballast, per lens V2511
| |
|
Spherocylinder, bifocal, plano to plus or minus 400d sphere, over 600d cylinder, per lens V2206
| |
|
Spherocylinder, single vision, plano to plus or minus 400d sphere, over 600d cylinder, per lens V2106
| |
|
Contact lens, gas permeable, bifocal, per lens V2512
| |
|
Spherocylinder, trifocal, plano to plus or minus 400d sphere, over 600d cylinder, per lens V2306
| |
|
Spherocylinder, single vision, plus or minus 425 to plus or minus 700 sphere, 12 to 200d cylinder, per lens V2107
| |
|
Spherocylinder, trifocal, plus or minus 425 to plus or minus 700d sphere, 12 to 200d cylinder, per lens V2307
| |
|
Contact lens, gas permeable, extended wear, per lens V2513
| |
|
Spherocylinder, bifocal, plus or minus 425 to plus or minus 700d sphere,12 to 200d cylinder, per lens V2207
| |
|
Spherocylinder, single vision, plus or minus 425d to plus or minus 700d sphere, 212 to 400d cylinder, per lens V2108
| |
|
Spherocylinder, trifocal, plus or minus 425 to plus or minus 700d sphere, 212 to 400d cylinder, per lens V2308
| |
|
Contact lens, hydrophilic, spherical, per lens V2520
| |
|
Spherocylinder, bifocal, plus or minus 425 to plus or minus 700d sphere, 212 to 400d cylinder, per lens V2208
| |
|
Contact lens, hydrophilic, toric, or prism ballast, per lens V2521
| |
|
Spherocylinder, bifocal, plus or minus 425 to plus or minus 700d sphere, 425 to 600d cylinder, per lens V2209
| |
|
Spherocylinder, trifocal, plus or minus 425 to plus or minus 700d sphere, 425 to 600d cylinder, per lens V2309
| |
|
Spherocylinder, single vision, plus or minus 425 to plus or minus 700d sphere, 425 to 600d cylinder, per lens V2109
| |
|
Spherocylinder, single vision, plus or minus 425 to 700d sphere, over 600d cylinder, per lens V2110
| |
|
Spherocylinder, bifocal, plus or minus 425 to plus or minus 700d sphere, over 600d cylinder, per lens V2210
| |
|
Spherocylinder, trifocal, plus or minus 425 to plus or minus 700d sphere, over 600d cylinder, per lens V2310
| |
|
Contact lens, hydrophilic, bifocal, per lens V2522
| |
|
Spherocylinder, trifocal, plus or minus 725 to plus or minus 1200d sphere, 25 to 225d cylinder, per lens V2311
| |
|
Spherocylinder, single vision, plus or minus 725 to plus or minus 1200d sphere, 25 to 225d cylinder, per lens V2111
| |
|
Spherocylinder, bifocal, plus or minus 725 to plus or minus 1200d sphere, 25 to 225d cylinder, per lens V2211
| |
|
Contact lens, hydrophilic, extended wear, per lens V2523
| |
|
Spherocylinder, bifocal, plus or minus 725 to plus or minus 1200d sphere, 225 to 400d cylinder, per lens V2212
| |
|
Spherocylinder, single vision, plus or minus 725 to plus or minus 1200d sphere, 225d to 400d cylinder, per lens V2112
| |
|
Contact lens, scleral, gas impermeable, per lens (for contact lens modification, see 92325) V2530
| |
|
Spherocylinder, trifocal, plus or minus 725 to plus or minus 1200d sphere, 225 to 400d cylinder, per lens V2312
| |
|
Spherocylinder, bifocal, plus or minus 725 to plus or minus 1200d sphere, 425 to 600d cylinder, per lens V2213
| |
|
Spherocylinder, trifocal, plus or minus 725 to plus or minus 1200d sphere, 425 to 600d cylinder, per lens V2313
| |
|
Contact lens, scleral, gas permeable, per lens (for contact lens modification, see 92325) V2531
| |
|
Spherocylinder, single vision, plus or minus 725 to plus or minus 1200d sphere, 425 to 600d cylinder, per lens V2113
| |
|
Spherocylinder, trifocal, sphere over plus or minus 1200d, per lens V2314
| |
|
Contact lens, other type V2599
| |
|
Spherocylinder, bifocal, sphere over plus or minus 1200d, per lens V2214
| |
|
Spherocylinder, single vision, sphere over plus or minus 1200d, per lens V2114
| |
|
Lenticular, (myodisc), per lens, single vision V2115
| |
|
Lenticular, (myodisc), per lens, trifocal V2315
| |
|
Lenticular (myodisc), per lens, bifocal V2215
| |
|
Aniseikonic, per lens, bifocal V2218
| |
|
Aniseikonic lens, single vision V2118
| |
|
Aniseikonic lens, trifocal V2318
| |
|
Trifocal seg width over 28 mm V2319
| |
|
Bifocal seg width over 28 mm V2219
| |
|
Lenticular lens, per lens, single V2121
| |
|
Trifocal add over 325d V2320
| |
|
Not otherwise classified, single vision lens V2199
| |
|
Bifocal add over 325d V2220
| |
|
Lenticular lens, per lens, bifocal V2221
| |
|
Lenticular lens, per lens, trifocal V2321
| |
|
Specialty bifocal (by report) V2299
| |
|
Specialty trifocal (by report) V2399
| |
|
Balance lens, per lens V2700
| |
|
Deluxe lens feature V2702
| |
|
Slab off prism, glass or plastic, per lens V2710
| |
|
Prism, per lens V2715
| |
|
Press-on lens, fresnell prism, per lens V2718
| |
|
Special base curve, glass or plastic, per lens V2730
| |
|
Tint, photochromatic, per lens V2744
| |
|
Addition to lens tint, any color, solid, gradient or equal, excludes photochromatic, any lens material, per lens V2745
| |
|
Anti-reflective coating, per lens V2750
| |
|
U-v lens, per lens V2755
| |
|
Eye glass case V2756
| |
|
Scratch resistant coating, per lens V2760
| |
|
Mirror coating, any type, solid, gradient or equal, any lens material, per lens V2761
| |
|
Polarization, any lens material, per lens V2762
| |
|
Occluder lens, per lens V2770
| |
|
Oversize lens, per lens V2780
| |
|
Progressive lens, per lens V2781
| |
|
Lens, index 154 to 165 plastic or 160 to 179 glass, excludes polycarbonate, per lens V2782
| |
|
Lens, index greater than or equal to 166 plastic or greater than or equal to 180 glass, excludes polycarbonate, per lens V2783
| |
|
Lens, polycarbonate or equal, any index, per lens V2784
| |
|
Processing, preserving and transporting corneal tissue V2785
| |
|
Specialty occupational multifocal lens, per lens V2786
| |
|
Astigmatism correcting function of intraocular lens V2787
| |
|
Presbyopia correcting function of intraocular lens V2788
| |
|
Amniotic membrane for surgical reconstruction, per procedure V2790
| |
|
Vision supply, accessory andor service component of another hcpcs vision code V2797
| |
|
Vision item or service, miscellaneous V2799
| |
|
intraocular, V2630 - V2632 |
|
|
low,vision V2600 - V2615 |
|
|
progressive, V2781
| |
|
patient,(includes,seat,lift) E0621 - E0635 |
|
|
shoe, L3300 - L3334 |
|
|
Legg,Perthes,orthosis L1700 - L1755 |
|
|
Legg perthes orthosis, (toronto type), custom fabricated L1700
| |
|
Legg perthes orthosis, (newington type), custom fabricated L1710
| |
|
Legg perthes orthosis, trilateral, (tachdijan type), custom fabricated L1720
| |
|
Legg perthes orthosis, (scottish rite type), custom fabricated L1730
| |
|
Legg perthes orthosis, (patten bottom type), custom fabricated L1755
| |
|
Lepirudin, J1945
| |
|
Leucovorin,calcium J0640
| |
|
Leukocyte,poor,blood,each,unit P9016
| |
|
Leuprolide,acetate J9217, J9218, J9219, J1950 |
|
|
Levalbuterol,all,formulations,inhalation,solution,concentrated J7607, J7612 |
|
|
Levalbuterol,all,formulations,inhalation,solution,unit,dose J7614, J7615 |
|
|
Levetiracetam, J1953
| |
|
Levocarnitine, J1955
| |
|
Levofloxacin, J1956
| |
|
Levoleucovorin, J0641
| |
|
Levonorgestrel,(contraceptive),implants,and,supplies J7306
| |
|
Levorphanol,tartrate J1960
| |
|
Lexidronam, A9604
| |
|
Lidocaine,HCl J2001
| |
|
Lincomycin,HCl J2010
| |
|
Linezolid, J2020
| |
|
Liquid,barrier,ostomy A4363
| |
|
Lodging,recipient,escort,nonemergency,transport A0180, A0200 |
|
|
Lorazepam, J2060
| |
|
Low,osmolar,contrast,material Q9965 - Q9967 |
|
|
Low osmolar contrast material, 100-199 mgml iodine concentration, per ml Q9965
| |
|
Low osmolar contrast material, 200-299 mgml iodine concentration, per ml Q9966
| |
|
Low osmolar contrast material, 300-399 mgml iodine concentration, per ml Q9967
| |
|
Loxapine,for,inhalation J2062
| |
|
LSO, L0621 - L0640 |
|
|
Sacroiliac orthosis, flexible, provides pelvic-sacral support, reduces motion about the sacroiliac joint, includes straps, closures, may include pendulous abdomen design, prefabricated, off-the-shelf L0621
| |
|
Sacroiliac orthosis, flexible, provides pelvic-sacral support, reduces motion about the sacroiliac joint, includes straps, closures, may include pendulous abdomen design, custom fabricated L0622
| |
|
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, off-the-shelf L0623
| |
|
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 fabricated L0624
| |
|
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, off-the-shelf L0625
| |
|
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 item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise L0626
| |
|
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 item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise L0627
| |
|
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, off-the-shelf 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, custom fabricated L0629
| |
|
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 item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise L0630
| |
|
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 item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise 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, custom fabricated L0632
| |
|
Lumbar-sacral orthosis, sagittal-coronal control, with rigid posterior framepanel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral framepanels, produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, stays, shoulder straps, pendulous abdomen design, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise L0633
| |
|
Lumbar-sacral orthosis, sagittal-coronal control, with rigid posterior framepanel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral framepanel(s), produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, stays, shoulder straps, pendulous abdomen design, custom fabricated L0634
| |
|
Lumbar-sacral orthosis, sagittal-coronal control, lumbar flexion, rigid posterior framepanel(s), lateral articulating design to flex the lumbar spine, posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral framepanel(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 adjustment L0635
| |
|
Lumbar sacral orthosis, sagittal-coronal control, lumbar flexion, rigid posterior framepanels, lateral articulating design to flex the lumbar spine, posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral framepanels, produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, anterior panel, pendulous abdomen design, custom fabricated L0636
| |
|
Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior framepanels, posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral framepanels, produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise L0637
| |
|
Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior framepanels, posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral framepanels, produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, custom fabricated L0638
| |
|
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 item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise 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, custom fabricated L0640
| |
|
Lubricant A4402, A4332 |
|
|
Lumbar,flexion L054 |
|
|
Lumbar-sacral,orthosis,(LSO) L0621 - L0640 |
|
|
Sacroiliac orthosis, flexible, provides pelvic-sacral support, reduces motion about the sacroiliac joint, includes straps, closures, may include pendulous abdomen design, prefabricated, off-the-shelf L0621
| |
|
Sacroiliac orthosis, flexible, provides pelvic-sacral support, reduces motion about the sacroiliac joint, includes straps, closures, may include pendulous abdomen design, custom fabricated L0622
| |
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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, off-the-shelf L0623
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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 fabricated L0624
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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, off-the-shelf L0625
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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 item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise L0626
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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 item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise L0627
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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, off-the-shelf L0628
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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 fabricated L0629
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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 item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise L0630
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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 item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise L0631
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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 fabricated L0632
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Lumbar-sacral orthosis, sagittal-coronal control, with rigid posterior framepanel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral framepanels, produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, stays, shoulder straps, pendulous abdomen design, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise L0633
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Lumbar-sacral orthosis, sagittal-coronal control, with rigid posterior framepanel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral framepanel(s), produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, stays, shoulder straps, pendulous abdomen design, custom fabricated L0634
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Lumbar-sacral orthosis, sagittal-coronal control, lumbar flexion, rigid posterior framepanel(s), lateral articulating design to flex the lumbar spine, posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral framepanel(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 adjustment L0635
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Lumbar sacral orthosis, sagittal-coronal control, lumbar flexion, rigid posterior framepanels, lateral articulating design to flex the lumbar spine, posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral framepanels, produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, anterior panel, pendulous abdomen design, custom fabricated L0636
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Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior framepanels, posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral framepanels, produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise L0637
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Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior framepanels, posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral framepanels, produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, custom fabricated L0638
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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 item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise L0639
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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 fabricated L0640
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Lymphocyte,immune,globulin J7504, J7511 |
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