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Sacroiliac orthosis, flexible, provides pelvic-sacral support, reduces motion about the sacroiliac joint, includes straps, closures, may include pendulous abdomen design, custom fabricated

HCPCS code

Similar Codes


ICD10CM codes

S33.2XXS - Dislocation of sacroiliac and sacrococcygeal joint, sequela
S33.2 - Dislocation of sacroiliac and sacrococcygeal joint
S33.6 - Sprain of sacroiliac joint
S33.2XXA - Dislocation of sacroiliac and sacrococcygeal joint, initial encounter
S33.6XXS - Sprain of sacroiliac joint, sequela
M45.8 - Ankylosing spondylitis sacral and sacrococcygeal region
S32.9XXA - Fracture of unspecified parts of lumbosacral spine and pelvis, initial encounter for closed fracture
M41.117 - Juvenile idiopathic scoliosis, lumbosacral region
S32.446A - Nondisplaced fracture of posterior column [ilioischial] of unspecified acetabulum, initial encounter
M45.A8 - Non-radiographic axial spondyloarthritis of sacral and sacrococcygeal region

HCPCS codes

L0622 - Sacroiliac orthosis, flexible, provides pelvic-sacral support, reduces motion about the sacroiliac j
L0621 - Sacroiliac orthosis, flexible, provides pelvic-sacral support, reduces motion about the sacroiliac j
L0623 - Sacroiliac orthosis, provides pelvic-sacral support, with rigid or semi-rigid panels over the sacrum
L0624 - Sacroiliac orthosis, provides pelvic-sacral support, with rigid or semi-rigid panels placed over the
L0628 - Lumbar-sacral orthosis, flexible, provides lumbo-sacral support, posterior extends from sacrococcyge
L0625 - Lumbar orthosis, flexible, provides lumbar support, posterior extends from l-1 to below l-5 vertebra
L0643 - Lumbar-sacral orthosis, sagittal control, with rigid posterior panel(s), posterior extends from sacr
L0630 - Lumbar-sacral orthosis, sagittal control, with rigid posterior panel(s), posterior extends from sacr
L0631 - Lumbar-sacral orthosis, sagittal control, with rigid anterior and posterior panels, posterior extend
L0648 - Lumbar-sacral orthosis, sagittal control, with rigid anterior and posterior panels, posterior extend

CPT4 codes

27216 - Percutaneous skeletal fixation of posterior pelvic bone fracture and/or dislocation, for fracture pa
27279 - Arthrodesis, sacroiliac joint, percutaneous or minimally invasive (indirect visualization), with ima
27280 - Arthrodesis, open, sacroiliac joint, including obtaining bone graft, including instrumentation, when
01160 - Anesthesia for closed procedures involving symphysis pubis or sacroiliac joint
72202 - Radiologic examination, sacroiliac joints; 3 or more views
01170 - Anesthesia for open procedures involving symphysis pubis or sacroiliac joint
27218 - Open treatment of posterior pelvic bone fracture and/or dislocation, for fracture patterns that disr
64625 - Radiofrequency ablation, nerves innervating the sacroiliac joint, with image guidance (ie, fluorosco
72200 - Radiologic examination, sacroiliac joints; less than 3 views
64451 - Injection(s), anesthetic agent(s) and/or steroid; nerves innervating the sacroiliac joint, with imag