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L1210
Addition to tlso, (low profile), lateral thoracic extension
HCPCS code
Medical Policies and Guidelines for Addition to tlso, (low profile), lateral thoracic extension
Related policies from health plans
HUMANA
Orthotics
HUMANA
Orthotics
Similar Codes
ICD10CM codes
S23.171A
- Dislocation of T12/L1 thoracic vertebra, initial encounter
S23.170A
- Subluxation of T12/L1 thoracic vertebra, initial encounter
S23.171
- Dislocation of T12/L1 thoracic vertebra
S23.163A
- Dislocation of T11/T12 thoracic vertebra, initial encounter
S23.162A
- Subluxation of T11/T12 thoracic vertebra, initial encounter
S23.171D
- Dislocation of T12/L1 thoracic vertebra, subsequent encounter
S23.170
- Subluxation of T12/L1 thoracic vertebra
S23.17
- Subluxation and dislocation of T12/L1 thoracic vertebra
S23.170D
- Subluxation of T12/L1 thoracic vertebra, subsequent encounter
S23.131A
- Dislocation of T4/T5 thoracic vertebra, initial encounter
HCPCS codes
L1210
- Addition to tlso, (low profile), lateral thoracic extension
L1220
- Addition to tlso, (low profile), anterior thoracic extension
L1260
- Addition to tlso, (low profile), anterior thoracic derotation pad
L1290
- Addition to tlso, (low profile), lateral trochanteric pad
L2680
- Addition to lower extremity, thoracic control, lateral support uprights
L1270
- Addition to tlso, (low profile), abdominal pad
L1240
- Addition to tlso, (low profile), lumbar derotation pad
L1060
- Addition to ctlso or scoliosis orthosis, thoracic pad
L1070
- Addition to ctlso or scoliosis orthosis, trapezius sling
L1280
- Addition to tlso, (low profile), rib gusset (elastic), each
CPT4 codes
22534
- Arthrodesis, lateral extracavitary technique, including minimal discectomy to prepare interspace (ot
72129
- Computed tomography, thoracic spine; with contrast material
71021
- Radiologic examination, chest, 2 views, frontal and lateral; with apical lordotic procedure
63200
- Laminectomy, with release of tethered spinal cord, lumbar
38381
- Suture and/or ligation of thoracic duct; thoracic approach
32674
- Thoracoscopy, surgical; with mediastinal and regional lymphadenectomy (List separately in addition t
72072
- Radiologic examination, spine; thoracic, 3 views
22532
- Arthrodesis, lateral extracavitary technique, including minimal discectomy to prepare interspace (ot
22610
- Arthrodesis, posterior or posterolateral technique, single level; thoracic (with lateral transverse
72080
- Radiologic examination, spine; thoracolumbar junction, minimum of 2 views