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Shoulder orthosis, abduction positioning (airplane design), thoracic component and support bar, with or without nontorsion joint/turnbuckle, may include soft interface, straps, custom fabricated, includes fitting and adjustment

HCPCS code

Medical Policies and Guidelines for Shoulder orthosis, abduction positioning (airplane design), thoracic component and support bar, with or without nontorsion joint/turnbuckle, may include soft interface, straps, custom fabricated, includes fitting and adjustment

Related policies from health plans

Orthotics
Orthotics

Similar Codes


ICD10CM codes

M24.61 - Ankylosis, shoulder
S42.126 - Nondisplaced fracture of acromial process, unspecified shoulder
S43.396A - Dislocation of other parts of unspecified shoulder girdle, initial encounter
S43.306S - Dislocation of unspecified parts of unspecified shoulder girdle, sequela
S43.306 - Dislocation of unspecified parts of unspecified shoulder girdle
S42.126S - Nondisplaced fracture of acromial process, unspecified shoulder, sequela
S43.306A - Dislocation of unspecified parts of unspecified shoulder girdle, initial encounter
S43.80XA - Sprain of other specified parts of unspecified shoulder girdle, initial encounter
S43.80XS - Sprain of other specified parts of unspecified shoulder girdle, sequela
M24.619 - Ankylosis, unspecified shoulder

HCPCS codes

L3674 - Shoulder orthosis, abduction positioning (airplane design), thoracic component and support bar, with
L3973 - Shoulder elbow wrist hand orthosis, abduction positioning (airplane design), thoracic component and
L3671 - Shoulder orthosis, shoulder joint design, without joints, may include soft interface, straps, custom
L3678 - Shoulder orthosis, shoulder joint design, without joints, may include soft interface, straps, prefab
L3960 - Shoulder elbow wrist hand orthosis, abduction positioning, airplane design, prefabricated, includes
L3675 - Shoulder orthosis, vest type abduction restrainer, canvas webbing type or equal, prefabricated, off-
A4566 - Shoulder sling or vest design, abduction restrainer, with or without swathe control, prefabricated,
L3660 - Shoulder orthosis, figure of eight design abduction restrainer, canvas and webbing, prefabricated, o
L3650 - Shoulder orthosis, figure of eight design abduction restrainer, prefabricated, off-the-shelf
L3670 - Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf

CPT4 codes

23700 - Manipulation under anesthesia, shoulder joint, including application of fixation apparatus (dislocat
29035 - Application of body cast, shoulder to hips
23473 - Revision of total shoulder arthroplasty, including allograft when performed; humeral or glenoid comp
23474 - Revision of total shoulder arthroplasty, including allograft when performed; humeral and glenoid com
29200 - Strapping; thorax
29827 - Arthroscopy, shoulder, surgical; with rotator cuff repair
29044 - Application of body cast, shoulder to hips; including 1 thigh
23675 - Closed treatment of shoulder dislocation, with surgical or anatomical neck fracture, with manipulati
23680 - Open treatment of shoulder dislocation, with surgical or anatomical neck fracture, includes internal
23472 - Arthroplasty, glenohumeral joint; total shoulder (glenoid and proximal humeral replacement (eg, tota