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HCPCS Range Scoliosis Orthotic Devices

• 1 Cervical-thoracic-lumbar-sacral orthosis (CTLSO) (Milwaukee), inclusive of furnishing initial orthosis, including model ( L1000 )

• 2 Cervical-thoracic-lumbar-sacral orthosis (CTLSO), immobilizer, infant size, prefabricated, includes fitting and adjustment ( L1001 )

• 3 Tension based scoliosis orthosis and accessory pads, includes fitting and adjustment ( L1005 )

• 4 Addition to Cervical-thoracic-lumbar-sacral orthosis (CTLSO) or scoliosis orthosis, axilla sling ( L1010 )

• 5 Addition to Cervical-thoracic-lumbar-sacral orthosis (CTLSO) or scoliosis orthosis, kyphosis pad ( L1020 )

• 6 Addition to Cervical-thoracic-lumbar-sacral orthosis (CTLSO) or scoliosis orthosis, kyphosis pad, floating ( L1025 )

• 7 Addition to Cervical-thoracic-lumbar-sacral orthosis (CTLSO) or scoliosis orthosis, lumbar bolster pad ( L1030 )

• 8 Addition to Cervical-thoracic-lumbar-sacral orthosis (CTLSO) or scoliosis orthosis, lumbar or lumbar rib pad ( L1040 )

• 9 Addition to Cervical-thoracic-lumbar-sacral orthosis (CTLSO) or scoliosis orthosis, sternal pad ( L1050 )

• 10 Addition to Cervical-thoracic-lumbar-sacral orthosis (CTLSO) or scoliosis orthosis, thoracic pad ( L1060 )

• 11 Addition to Cervical-thoracic-lumbar-sacral orthosis (CTLSO) or scoliosis orthosis, trapezius sling ( L1070 )

• 12 Addition to Cervical-thoracic-lumbar-sacral orthosis (CTLSO) or scoliosis orthosis, outrigger ( L1080 )

• 13 Addition to Cervical-thoracic-lumbar-sacral orthosis (CTLSO) or scoliosis orthosis, outrigger, bilateral with vertical extensions ( L1085 )

• 14 Addition to Cervical-thoracic-lumbar-sacral orthosis (CTLSO) or scoliosis orthosis, lumbar sling ( L1090 )

• 15 Addition to Cervical-thoracic-lumbar-sacral orthosis (CTLSO) or scoliosis orthosis, ring flange, plastic or leather ( L1100 )

• 16 Addition to Cervical-thoracic-lumbar-sacral orthosis (CTLSO) or scoliosis orthosis, ring flange, plastic or leather, molded to patient model ( L1110 )

• 17 Addition to Cervical-thoracic-lumbar-sacral orthosis (CTLSO), scoliosis orthosis, cover for upright, each ( L1120 )