HCPCS L0454 Code. Tlso trnk sj-t9 pre cst


Table of content for "Tlso trnk sj-t9 pre cst" (HCPCS L0454)

General information on the “L0454” code

HCPCS Code: L0454
Long 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 item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise
Short Description: Tlso trnk sj-t9 pre cst

Original information is taken from L0454 page

Pricing indicators

Pricing Indicator Code 1: 38 – Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings) . Durable Medical Equipment, Prosthetics, Orthotics, Supplies And Surgical Dressings
Multiple Pricing Indicator Code A : Not applicable as HCPCS priced under one methodology

Certification and additional reference information

Coverage

Coverage: C – Carrier judgment

Type of service


Berenson-Eggers Type of Service (BETOS): D1F – Prosthetic/Orthotic devices
Type Of Service 1: P – Lump sum purchase of DME, prosthetics, orthotics

Misc information

Anesthesia Base Unit Quantity: 0
Code Added Date: 20030101
Code Effective Date: 20140101
Action Code: N – No maintenance for this code