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Hip orthosis, abduction control of hip joints, flexible, (pavlik harness), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise

HCPCS code

Medical Policies and Guidelines for Hip orthosis, abduction control of hip joints, flexible, (pavlik harness), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise

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Similar Codes


ICD10CM codes

Q65.30 - Congenital partial dislocation of unspecified hip, unilateral
Q65.5 - Congenital partial dislocation of hip, unspecified
M16.30 - Unilateral osteoarthritis resulting from hip dysplasia, unspecified hip
Z96.649 - Presence of unspecified artificial hip joint
Q65.9 - Congenital deformity of hip, unspecified
Q65.00 - Congenital dislocation of unspecified hip, unilateral
Q65.3 - Congenital partial dislocation of hip, unilateral
M91.80 - Other juvenile osteochondrosis of hip and pelvis, unspecified leg
Q65.2 - Congenital dislocation of hip, unspecified
M12.859 - Other specific arthropathies, not elsewhere classified, unspecified hip

HCPCS codes

L1620 - Hip orthosis, abduction control of hip joints, flexible, (pavlik harness), prefabricated item that h
L1600 - Hip orthosis, abduction control of hip joints, flexible, frejka type with cover, prefabricated item
L1650 - Hip orthosis, abduction control of hip joints, static, adjustable, (ilfled type), prefabricated, inc
L1660 - Hip orthosis, abduction control of hip joints, static, plastic, prefabricated, includes fitting and
L1686 - Hip orthosis, abduction control of hip joint, postoperative hip abduction type, prefabricated, inclu
L1685 - Hip orthosis, abduction control of hip joint, postoperative hip abduction type, custom fabricated
L1690 - Combination, bilateral, lumbo-sacral, hip, femur orthosis providing adduction and internal rotation
L1652 - Hip orthosis, bilateral thigh cuffs with adjustable abductor spreader bar, adult size, prefabricated
L1810 - Knee orthosis, elastic with joints, prefabricated item that has been trimmed, bent, molded, assemble
L2624 - Addition to lower extremity, pelvic control, hip joint, adjustable flexion, extension, abduction con

CPT4 codes

27257 - Treatment of spontaneous hip dislocation (developmental, including congenital or pathological), by a
27256 - Treatment of spontaneous hip dislocation (developmental, including congenital or pathological), by a
29520 - Strapping; hip
27259 - Open treatment of spontaneous hip dislocation (developmental, including congenital or pathological),
27258 - Open treatment of spontaneous hip dislocation (developmental, including congenital or pathological),
76885 - Ultrasound, infant hips, real time with imaging documentation; dynamic (requiring physician or other
27137 - Revision of total hip arthroplasty; acetabular component only, with or without autograft or allograf
76886 - Ultrasound, infant hips, real time with imaging documentation; limited, static (not requiring physic
27125 - Hemiarthroplasty, hip, partial (eg, femoral stem prosthesis, bipolar arthroplasty)
27006 - Tenotomy, abductors and/or extensor(s) of hip, open (separate procedure)