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HCPCS codes / L / L0490

L0490

Tlso, sagittal-coronal control, one piece rigid plastic shell, with overlapping reinforced anterior, with multiple straps and closures, posterior extends from sacrococcygeal junction and terminates at or before the t-9 vertebra, anterior extends from symphysis pubis to xiphoid, anterior opening, restricts gross trunk motion in sagittal and coronal planes, prefabricated, includes fitting and adjustment

Code type
HCPCS Level II
Coverage
Carrier judgment
BETOS category
D1F
Pricing indicator
38
Effective date
20030101
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