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L1300
Other scoliosis procedure, body jacket molded to patient model
HCPCS code
Medical Policies and Guidelines for Other scoliosis procedure, body jacket molded to patient model
Related policies from health plans
OSCAR
Spinal Orthoses (Back Braces) (CG051)
HUMANA
Orthotics
HUMANA
Orthotics
HUMANA
Orthotics
HUMANA
Orthotics
Similar Codes
ICD10CM codes
M41.115
- Juvenile idiopathic scoliosis, thoracolumbar region
M41.85
- Other forms of scoliosis, thoracolumbar region
M41.116
- Juvenile idiopathic scoliosis, lumbar region
M41.83
- Other forms of scoliosis, cervicothoracic region
M41.114
- Juvenile idiopathic scoliosis, thoracic region
M41.87
- Other forms of scoliosis, lumbosacral region
M41.82
- Other forms of scoliosis, cervical region
M41.112
- Juvenile idiopathic scoliosis, cervical region
M41.80
- Other forms of scoliosis, site unspecified
M41.84
- Other forms of scoliosis, thoracic region
HCPCS codes
L1300
- Other scoliosis procedure, body jacket molded to patient model
L0170
- Cervical, collar, molded to patient model
L1070
- Addition to ctlso or scoliosis orthosis, trapezius sling
L0130
- Cervical, flexible, thermoplastic collar, molded to patient
L1005
- Tension based scoliosis orthosis and accessory pads, includes fitting and adjustment
L1060
- Addition to ctlso or scoliosis orthosis, thoracic pad
L1050
- Addition to ctlso or scoliosis orthosis, sternal pad
L0810
- Halo procedure, cervical halo incorporated into jacket vest
L0999
- Addition to spinal orthosis, not otherwise specified
L2330
- Addition to lower extremity, lacer molded to patient model, for custom fabricated orthosis only
CPT4 codes
72069
- Radiologic examination, spine, thoracolumbar, standing (scoliosis)
72090
- Radiologic examination, spine; scoliosis study, including supine and erect studies
29720
- Repair of spica, body cast or jacket
29710
- Removal or bivalving; shoulder or hip spica, Minerva, or Risser jacket, etc.
29035
- Application of body cast, shoulder to hips
73010
- Radiologic examination; scapula, complete
29015
- Application of Risser jacket, localizer, body; including head
21899
- Unlisted procedure, neck or thorax
72081
- Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spin
01130
- Anesthesia for body cast application or revision