Name of the Procedure:

Addition to Lower Extremity, Non-Molded Lacer, for Custom Fabricated Orthosis Only
Technical Term: HCPCS Code L2320

Summary

This procedure involves adding a non-molded lacer component to a custom-made orthosis for the lower extremity. Orthoses are devices that support or correct musculoskeletal deformities and improve function.

Purpose

This procedure aims to provide additional stability and support to the lower extremity by integrating a non-molded lacer into a custom orthosis. It addresses structural or functional impairments in the leg, foot, or ankle.

Indications

• Structural deformities of the lower extremity
• Muscular or neurological deficiencies affecting gait or mobility
• Post-injury or post-surgical rehabilitation requiring additional support
• Chronic conditions like arthritis or spasticity that impair leg function

Preparation

• Patients may need to undergo a thorough physical evaluation of their lower extremity.
• No specific pre-procedure fasting or medication adjustments are usually required.
• Measurement and fitting sessions to ensure proper orthosis customization.

Procedure Description

1. Assessment and measurement of the lower extremity to determine the exact specifications for the orthosis.
2. Fabrication of the orthosis based on the measurements.
3. Integration of the non-molded lacer, which involves attaching it to the orthosis to ensure a custom fit.
4. Final fitting session, where adjustments are made as necessary.
5. Instructions on how to wear and adjust the orthosis provided to the patient.

Duration

The entire process, from initial assessment to final fitting, can take several weeks. Each fitting session typically lasts 1-2 hours.

Setting

This procedure is usually performed in an orthopedic or rehabilitation clinic.

Personnel

• Orthotist (a specialist in designing and fitting orthoses)
• Physical therapist (optional, for functional assessment)
• Orthopedic technician (for fabrication and fitting)

Risks and Complications

• Discomfort or pressure sores if the orthosis is not fitted correctly
• Allergic reactions to materials used
• Skin irritation or chafing
• Potential need for adjustments

Benefits

• Improved lower extremity function and mobility
• Enhanced stability and support
• Alleviation of pain or discomfort associated with deformities or injuries
• Faster and more effective rehabilitation

Recovery

• Patients can usually resume normal activities immediately, with instructions on orthosis use.
• Follow-up appointments may be necessary for adjustments and to monitor progress.
• Patients may need to wear the orthosis for an extended period, depending on their condition.

Alternatives

• Pre-fabricated orthoses: Less expensive and quicker to obtain but may not offer the same level of customization and comfort.
• Surgical corrections: More invasive but could provide a permanent solution.
• Physical therapy or other rehabilitative approaches: Non-invasive but may not provide adequate support on their own.

Patient Experience

• Patients may experience some initial discomfort as they adjust to wearing the orthosis.
• Proper pain management and regular instructions on fitting and wearing can enhance comfort.
• Continuous follow-up ensures that any issues with the orthosis are addressed promptly.