HCPCS Level IIprostheticsActive
L0455
Tlso flex trnk sj-t9 pre ots
BETOS: D1F
Effective: 2014-01-01
Referenced in 3 policies
Description
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, off-the-shelf
Coverage Policies
This code is referenced in 3 Medicare coverage policies
Sample Policies
AMBETTER-CP.MP.107PayerPolicy