HCPCS Index 2017

chemistry,   P2028 - P2038
Cephalin floculation, blood   P2028
Congo red, blood   P2029
Hair analysis (excluding arsenic)   P2031
Thymol turbidity, blood   P2033
Mucoprotein, blood (seromucoid) (medical necessity procedure)   P2038
microbiology,   P7001
miscellaneous,   P9010 - P9615 , Q0111 - Q0115
Blood (whole), for transfusion, per unit   P9010
Blood, split unit   P9011
Cryoprecipitate, each unit   P9012
Red blood cells, leukocytes reduced, each unit   P9016
Fresh frozen plasma (single donor), frozen within 8 hours of collection, each unit   P9017
Platelets, each unit   P9019
Platelets, leukocytes reduced, irradiated, each unit   P9033
Platelet rich plasma, each unit   P9020
Red blood cells, each unit   P9021
Red blood cells, washed, each unit   P9022
Plasma, pooled multiple donor, solventdetergent treated, frozen, each unit   P9023
Platelets, leukocytes reduced, each unit   P9031
Platelets, irradiated, each unit   P9032
Platelets, pheresis, each unit   P9034
Platelets, pheresis, leukocytes reduced, each unit   P9035
Platelets, pheresis, irradiated, each unit   P9036
Platelets, pheresis, leukocytes reduced, irradiated, each unit   P9037
Red blood cells, irradiated, each unit   P9038
Red blood cells, deglycerolized, each unit   P9039
Red blood cells, leukocytes reduced, irradiated, each unit   P9040
Infusion, albumin (human), 5, 50 ml   P9041
Infusion, plasma protein fraction (human), 5, 50 ml   P9043
Plasma, cryoprecipitate reduced, each unit   P9044
Infusion, albumin (human), 5, 250 ml   P9045
Infusion, albumin (human), 25, 20 ml   P9046
Infusion, albumin (human), 25, 50 ml   P9047
Infusion, plasma protein fraction (human), 5, 250ml   P9048
Granulocytes, pheresis, each unit   P9050
Whole blood or red blood cells, leukocytes reduced, cmv-negative, each unit   P9051
Platelets, hla-matched leukocytes reduced, apheresispheresis, each unit   P9052
Platelets, pheresis, leukocytes reduced, cmv-negative, irradiated, each unit   P9053
Whole blood or red blood cells, leukocytes reduced, frozen, deglycerol, washed, each unit   P9054
Platelets, leukocytes reduced, cmv-negative, apheresispheresis, each unit   P9055
Whole blood, leukocytes reduced, irradiated, each unit   P9056
Red blood cells, frozendeglycerolizedwashed, leukocytes reduced, irradiated, each unit   P9057
Red blood cells, leukocytes reduced, cmv-negative, irradiated, each unit   P9058
Fresh frozen plasma between 8-24 hours of collection, each unit   P9059
Fresh frozen plasma, donor retested, each unit   P9060
Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient prorated miles actually travelled   P9603
Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient prorated trip charge   P9604
Catheterization for collection of specimen, single patient, all places of service   P9612
Catheterization for collection of specimen (s) (multiple patients)   P9615
Wet mounts, including preparations of vaginal, cervical or skin specimens   Q0111
All potassium hydroxide (koh) preparations   Q0112
Pinworm examinations   Q0113
Fern test   Q0114
Post-coital direct, qualitative examinations of vaginal or cervical mucous   Q0115
toxicology,   P3000 - P3001 , Q0091
Screening papanicolaou smear, cervical or vaginal, up to three smears, by technician under physician supervision   P3000
Screening papanicolaou smear, cervical or vaginal, up to three smears, requiring interpretation by physician   P3001
permanent,   A4263
temporary,   A4262
Lactated Ringers infusion,   J7120
Laetrile,   J3570
Lancet,   A4258, A4259
Lanreotide,   J1930
Laronidase,   J1931
Larynx, artificial,   L8500
Laser blood collection device and accessory,   E0620, A4257
Lead investigation,   T1029
Lead wires, per pair,   A4557
bag,   A4358, A5105, A5112
extensions for walker,   E0158
rest, elevating,   K0195
rest, wheelchair,   E0990
strap, replacement,   A5113 - A5114
Leg strap latex, replacement only, per set   A5113
Leg strap foam or fabric, replacement only, per set   A5114
Legg Perthes orthosis,   L1700 - L1755
Legg perthes orthosis, (toronto type), custom-fabricated   L1700
Legg perthes orthosis, (newington type), custom fabricated   L1710
Legg perthes orthosis, trilateral, (tachdijan type), custom-fabricated   L1720
Legg perthes orthosis, (scottish rite type), custom-fabricated   L1730
Legg perthes orthosis, (patten bottom type), custom-fabricated   L1755
aniseikonic,   V2118, V2318
contact,   V2500 - V2599
Contact lens, pmma, spherical, per lens   V2500
Contact lens, pmma, toric or prism ballast, per lens   V2501
Contact lens pmma, bifocal, per lens   V2502
Contact lens, pmma, color vision deficiency, per lens   V2503
Contact lens, gas permeable, spherical, per lens   V2510
Contact lens, gas permeable, toric, prism ballast, per lens   V2511
Contact lens, gas permeable, bifocal, per lens   V2512
Contact lens, gas permeable, extended wear, per lens   V2513
Contact lens, hydrophilic, spherical, per lens   V2520
Contact lens, hydrophilic, toric, or prism ballast, per lens   V2521
Contact lens, hydrophillic, bifocal, per lens   V2522
Contact lens, hydrophilic, extended wear, per lens   V2523
Contact lens, scleral, gas impermeable, per lens (for contact lens modification, see 92325)   V2530
Contact lens, scleral, gas permeable, per lens (for contact lens modification, see 92325)   V2531
Contact lens, other type   V2599
eye,   V2100 - V2615 , V2700 - V2799
Hand held low vision aids and other nonspectacle mounted aids   V2600
Sphere, single vision, plano to plus or minus 400, per lens   V2100
Variable asphericity lens, single vision, full field, glass or plastic, per lens   V2410
Sphere, trifocal, plano to plus or minus 400d, per lens   V2300
Sphere, bifocal, plano to plus or minus 400d, per lens   V2200
Contact lens, pmma, spherical, per lens   V2500
Variable asphericity lens, bifocal, full field, glass or plastic, per lens   V2430
Sphere, single vision, plus or minus 412 to plus or minus 700d, per lens   V2101
Sphere, bifocal, plus or minus 412 to plus or minus 700d, per lens   V2201
Single lens spectacle mounted low vision aids   V2610
Contact lens, pmma, toric or prism ballast, per lens   V2501
Sphere, trifocal, plus or minus 412 to plus or minus 700d, per lens   V2301
Variable sphericity lens, other type   V2499
Sphere, trifocal, plus or minus 712 to plus or minus 2000, per lens   V2302
Contact lens pmma, bifocal, per lens   V2502
Sphere, single vision, plus or minus 712 to plus or minus 2000d, per lens   V2102
Sphere, bifocal, plus or minus 712 to plus or minus 2000d, per lens   V2202
Telescopic and other compound lens system, including distance vision telescopic, near vision telescopes and compound microscopic lens system   V2615
Contact lens, pmma, color vision deficiency, per lens   V2503
Spherocylinder, trifocal, plano to plus or minus 400d sphere, 12-200d cylinder, per lens   V2303
Spherocylinder, bifocal, plano to plus or minus 400d sphere, 12 to 200d cylinder, per lens   V2203
Spherocylinder, single vision, plano to plus or minus 400d sphere, 12 to 2 00d cylinder, per lens   V2103
Spherocylinder, single vision, plano to plus or minus 400d sphere, 212 to 400d cylinder, per lens   V2104
Spherocylinder, trifocal, plano to plus or minus 400d sphere, 225-400d cylinder, per lens   V2304
Spherocylinder, bifocal, plano to plus or minus 400d sphere, 212 to 400d cylinder, per lens   V2204
Contact lens, gas permeable, spherical, per lens   V2510
Spherocylinder, trifocal, plano to plus or minus 400d sphere, 425 to 600 cylinder, per lens   V2305
Contact lens, gas permeable, toric, prism ballast, per lens   V2511
Spherocylinder, single vision, plano to plus or minus 400d sphere, 425 to 600d cylinder, per lens   V2105
Spherocylinder, bifocal, plano to plus or minus 400d sphere, 425 to 600d cylinder, per lens   V2205
Spherocylinder, bifocal, plano to plus or minus 400d sphere, over 600d cylinder, per lens   V2206
Spherocylinder, single vision, plano to plus or minus 400d sphere, over 6 00d cylinder, per lens   V2106
Spherocylinder, trifocal, plano to plus or minus 400d sphere, over 600d cylinder, per lens   V2306
Contact lens, gas permeable, bifocal, per lens   V2512
Spherocylinder, bifocal, plus or minus 425 to plus or minus 700d sphere, 12 to 200d cylinder, per lens   V2207
Spherocylinder, single vision, plus or minus 425 to plus or minus 700 sphere, 12 to 200d cylinder, per lens   V2107
Contact lens, gas permeable, extended wear, per lens   V2513
Spherocylinder, trifocal, plus or minus 425 to plus or minus 700d sphere, 12 to 200d cylinder, per lens   V2307
Spherocylinder, bifocal, plus or minus 425 to plus or minus 700d sphere, 2 12 to 400d cylinder, per lens   V2208
Contact lens, hydrophilic, spherical, per lens   V2520
Spherocylinder, single vision, plus or minus 425d to plus or minus 700d sphere, 212 to 400d cylinder, per lens   V2108
Spherocylinder, trifocal, plus or minus 425 to plus or minus 700d sphere, 212 to 400d cylinder, per lens   V2308
Contact lens, hydrophilic, toric, or prism ballast, per lens   V2521
Spherocylinder, trifocal, plus or minus 425 to plus or minus 700d sphere, 425 to 600d cylinder, per lens   V2309
Spherocylinder, single vision, plus or minus 425 to plus or minus 700d sphere, 425 to 600d cylinder, per lens   V2109
Spherocylinder, bifocal, plus or minus 425 to plus or minus 700d sphere, 4 25 to 600d cylinder, per lens   V2209
Spherocylinder, single vision, plus or minus 425 to 700d sphere, over 6 00d cylinder, per lens   V2110
Spherocylinder, bifocal, plus or minus 425 to plus or minus 700d sphere, over 600d cylinder,per lens   V2210
Spherocylinder, trifocal, plus or minus 425 to plus or minus 700d sphere, over 600d cylinder, per lens   V2310
Contact lens, hydrophillic, bifocal, per lens   V2522
Spherocylinder, bifocal, plus or minus 725 to plus or minus 1200d sphere, 25 to 225d cylinder, per lens   V2211
Spherocylinder, single vision, plus or minus 725 to plus or minus 1200d sphere, 25 to 225d cylinder, per lens   V2111
Contact lens, hydrophilic, extended wear, per lens   V2523
Spherocylinder, trifocal, plus or minus 725 to plus or minus 1200d sphere, 25 to 225d cylinder, per lens   V2311
Spherocylinder, bifocal, plus or minus 725 to plus or minus 1200d sphere, 225 to 400d cylinder, per lens   V2212
Spherocylinder, trifocal, plus or minus 725 to plus or minus 1200d sphere, 225 to 400d cylinder, per lens   V2312
Contact lens, scleral, gas impermeable, per lens (for contact lens modification, see 92325)   V2530
Spherocylinder, single vision, plus or minus 725 to plus or minus 1200d sphere, 225d to 400d cylinder, per lens   V2112
Contact lens, scleral, gas permeable, per lens (for contact lens modification, see 92325)   V2531
Spherocylinder, trifocal, plus or minus 725 to plus or minus 1200d sphere, 425 to 600d cylinder, per lens   V2313
Spherocylinder, bifocal, plus or minus 725 to plus or minus 1200d sphere, 425 to 600d cylinder, per lens   V2213
Spherocylinder, single vision, plus or minus 725 to plus or minus 1200d sphere, 425 to 600d cylinder, per lens   V2113
Contact lens, other type   V2599
Spherocylinder, single vision, sphere over plus or minus 1200d, per lens   V2114
Spherocylinder, trifocal, sphere over plus or minus 1200d, per lens   V2314
Spherocylinder, bifocal, sphere over plus or minus 1200d, per lens   V2214
Lenticular, (myodisc), per lens, single vision   V2115
Lenticular (myodisc), per lens, bifocal   V2215
Lenticular, (myodisc), per lens, trifocal   V2315
Aniseikonic lens, trifocal   V2318
Aniseikonic lens, single vision   V2118
Aniseikonic, per lens, bifocal   V2218
Trifocal seg width over 28 mm   V2319
Bifocal seg width over 28mm   V2219
Lenticular lens, per lens, single   V2121
Trifocal add over 325d   V2320
Bifocal add over 325d   V2220
Not otherwise classified, single vision lens   V2199
Lenticular lens, per lens, trifocal   V2321
Lenticular lens, per lens, bifocal   V2221
Specialty bifocal (by report)   V2299
Specialty trifocal (by report)   V2399
Balance lens, per lens   V2700
Deluxe lens feature   V2702
Slab off prism, glass or plastic, per lens   V2710
Prism, per lens   V2715
Press-on lens, fresnell prism, per lens   V2718
Special base curve, glass or plastic, per lens   V2730
Tint, photochromatic, per lens   V2744
Addition to lens tint, any color, solid, gradient or equal, excludes photochromatic, any lens material, per lens   V2745
Anti-reflective coating, per lens   V2750
U-v lens, per lens   V2755
Eye glass case   V2756
Scratch resistant coating, per lens   V2760
Mirror coating, any type, solid, gradient or equal, any lens material, per lens   V2761
Polarization, any lens material, per lens   V2762
Occluder lens, per lens   V2770
Oversize lens, per lens   V2780
Progressive lens, per lens   V2781
Lens, index 154 to 165 plastic or 160 to 179 glass, excludes polycarbonate, per lens   V2782
Lens, index greater than or equal to 166 plastic or greater than or equal to 180 glass, excludes polycarbonate, per lens   V2783
Lens, polycarbonate or equal, any index, per lens   V2784
Processing, preserving and transporting corneal tissue   V2785
Specialty occupational multifocal lens, per lens   V2786
Astigmatism correcting function of intraocular lens   V2787
Presbyopia correcting function of intraocular lens   V2788
Amniotic membrane for surgical reconstruction, per procedure   V2790
Vision supply, accessory andor service component of another hcpcs vision code   V2797
Vision service, miscellaneous   V2799
intraocular,   V2630 - V2632
Anterior chamber intraocular lens   V2630
Iris supported intraocular lens   V2631
Posterior chamber intraocular lens   V2632
low vision,   V2600 - V2615
Hand held low vision aids and other nonspectacle mounted aids   V2600
Single lens spectacle mounted low vision aids   V2610
Telescopic and other compound lens system, including distance vision telescopic, near vision telescopes and compound microscopic lens system   V2615
progressive,   V2781
Lepirudin,   J1945
Leucovorin calcium,   J0640
Leukocyte poor blood,   P9016
Leuprolide acetate,   J9217, J9218, J9219, J1950
Levalbuterol, all formulations, inhalation solution, concentrated,   J7607, J7612
Levalbuterol, all formulations, inhalation solution, unit dose,   J7614, J7615
Levetiracetam,   J1953
Levocarnitine,   J1955
Levofloxacin,   J1956
Levoleucovorin,   J0641
Levonorgestrel, (contraceptive), implants and supplies,   J7306
Levorphanol tartrate,   J1960
Lexidronam,   A9604
Lidocaine HCl,   J2001
patient (includes seat lift),   E0621 - E0635
Sling or seat, patient lift, canvas or nylon   E0621
Patient lift, bathroom or toilet, not otherwise classified   E0625
Seat lift mechanism incorporated into a combination lift-chair mechanism   E0627
Separate seat lift mechanism for use with patient owned furniture-electric   E0628
Separate seat lift mechanism for use with patient owned furniture-non-electric   E0629
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)   E0630
Patient lift, electric with seat or sling   E0635
shoe,   L3300 - L3334
Lift, elevation, heel, tapered to metatarsals, per inch   L3300
Lift, elevation, heel and sole, neoprene, per inch   L3310
Lift, elevation, heel and sole, cork, per inch   L3320
Lift, elevation, metal extension (skate)   L3330
Lift, elevation, inside shoe, tapered, up to one-half inch   L3332
Lift, elevation, heel, per inch   L3334
Lincomycin HCl,   J2010
Linezolid,   J2020
Liquid barrier, ostomy,   A4363
Lodging, recipient, escort nonemergency transport,   A0180, A0200
Lorazepam,   J2060
Low osmolar contrast material,   Q9965 - Q9967
Low osmolar contrast material, 100-199 mgml iodine concentration, per ml   Q9965
Low osmolar contrast material, 200-299 mgml iodine concentration, per ml   Q9966
Low osmolar contrast material, 300-399 mgml iodine concentration, per ml   Q9967
LSO,   L0621 - L0640
Sacroiliac orthosis, flexible, provides pelvic-sacral support, reduces motion about the sacroiliac joint, includes straps, closures, may include pendulous abdomen design, prefabricated, includes fitting and adjustment   L0621
Sacroiliac orthosis, flexible, provides pelvic-sacral support, reduces motion about the sacroiliac joint, includes straps, closures, may include pendulous abdomen design, custom fabricated   L0622
Sacroiliac orthosis, provides pelvic-sacral support, with rigid or semi-rigid panels over the sacrum and abdomen, reduces motion about the sacroiliac joint, includes straps, closures, may include pendulous abdomen design, prefabricated, includes fitting and adjustment   L0623
Sacroiliac orthosis, provides pelvic-sacral support, with rigid or semi-rigid panels placed over the sacrum and abdomen, reduces motion about the sacroiliac joint, includes straps, closures, may include pendulous abdomen design, custom fabricated   L0624
Lumbar orthosis, flexible, provides lumbar support, posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include pendulous abdomen design, shoulder straps, stays, prefabricated, includes fitting and adjustment   L0625
Lumbar orthosis, sagittal control, with rigid posterior panel(s), posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, stays, shoulder straps, pendulous abdomen design, prefabricated, includes fitting and adjustment   L0626
Lumbar orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated, includes fitting and adjustment   L0627
Lumbar-sacral orthosis, flexible, provides lumbo-sacral support, posterior extends from sacrococcygeal junction to t-9 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include stays, shoulder straps, pendulous abdomen design, prefabricated, includes fitting and adjustment   L0628
Lumbar-sacral orthosis, flexible, provides lumbo-sacral support, posterior extends from sacrococcygeal junction to t-9 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include stays, shoulder straps, pendulous abdomen design, custom fabricated   L0629
Lumbar-sacral orthosis, sagittal control, with rigid posterior panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, stays, shoulder straps, pendulous abdomen design, prefabricated, includes fitting and adjustment   L0630
Lumbar-sacral orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from sacrococcygeal junction to t-9 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated, includes fitting and adjustment   L0631
Lumbar-sacral orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from sacrococcygeal junction to t-9 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, custom fabricated   L0632
Lumbar-sacral orthosis, sagittal-coronal control, with rigid posterior framepanel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral framepanels, produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, stays, shoulder straps, pendulous abdomen design, prefabricated, includes fitting and adjustment   L0633
Lumbar-sacral orthosis, sagittal-coronal control, with rigid posterior framepanel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral framepanel(s), produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, stays, shoulder straps, pendulous abdomen design, custom fabricated   L0634
Lumbar-sacral orthosis, sagittal-coronal control, lumbar flexion, rigid posterior framepanel(s), lateral articulating design to flex the lumbar spine, posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral framepanel(s), produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, anterior panel, pendulous abdomen design, prefabricated, includes fitting and adjustment   L0635
Lumbar sacral orthosis, sagittal-coronal control, lumbar flexion, rigid posterior framepanels, lateral articulating design to flex the lumbar spine, posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral framepanels, produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, anterior panel, pendulous abdomen design, custom fabricated   L0636
Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior framepanels, posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral framepanels, produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated, includes fitting and adjustment   L0637
Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior framepanels, posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral framepanels, produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, custom fabricated   L0638
Lumbar-sacral orthosis, sagittal-coronal control, rigid shell(s)panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, anterior extends from symphysis pubis to xyphoid, produces intracavitary pressure to reduce load on the intervertebral discs, overall strength is provided by overlapping rigid material and stabilizing closures, includes straps, closures, may include soft interface, pendulous abdomen design, prefabricated, includes fitting and adjustment   L0639
Lumbar-sacral orthosis, sagittal-coronal control, rigid shell(s)panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, anterior extends from symphysis pubis to xyphoid, produces intracavitary pressure to reduce load on the intervertebral discs, overall strength is provided by overlapping rigid material and stabilizing closures, includes straps, closures, may include soft interface, pendulous abdomen design, custom fabricated   L0640
Lubricant,   A4402, A4332
Lumbar flexion,   L054
Lumbar-sacral orthosis (LSO),   L0621 - L0640
Sacroiliac orthosis, flexible, provides pelvic-sacral support, reduces motion about the sacroiliac joint, includes straps, closures, may include pendulous abdomen design, prefabricated, includes fitting and adjustment   L0621
Sacroiliac orthosis, flexible, provides pelvic-sacral support, reduces motion about the sacroiliac joint, includes straps, closures, may include pendulous abdomen design, custom fabricated   L0622
Sacroiliac orthosis, provides pelvic-sacral support, with rigid or semi-rigid panels over the sacrum and abdomen, reduces motion about the sacroiliac joint, includes straps, closures, may include pendulous abdomen design, prefabricated, includes fitting and adjustment   L0623
Sacroiliac orthosis, provides pelvic-sacral support, with rigid or semi-rigid panels placed over the sacrum and abdomen, reduces motion about the sacroiliac joint, includes straps, closures, may include pendulous abdomen design, custom fabricated   L0624
Lumbar orthosis, flexible, provides lumbar support, posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include pendulous abdomen design, shoulder straps, stays, prefabricated, includes fitting and adjustment   L0625
Lumbar orthosis, sagittal control, with rigid posterior panel(s), posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, stays, shoulder straps, pendulous abdomen design, prefabricated, includes fitting and adjustment   L0626
Lumbar orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated, includes fitting and adjustment   L0627
Lumbar-sacral orthosis, flexible, provides lumbo-sacral support, posterior extends from sacrococcygeal junction to t-9 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include stays, shoulder straps, pendulous abdomen design, prefabricated, includes fitting and adjustment   L0628
Lumbar-sacral orthosis, flexible, provides lumbo-sacral support, posterior extends from sacrococcygeal junction to t-9 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include stays, shoulder straps, pendulous abdomen design, custom fabricated   L0629
Lumbar-sacral orthosis, sagittal control, with rigid posterior panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, stays, shoulder straps, pendulous abdomen design, prefabricated, includes fitting and adjustment   L0630
Lumbar-sacral orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from sacrococcygeal junction to t-9 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated, includes fitting and adjustment   L0631
Lumbar-sacral orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from sacrococcygeal junction to t-9 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, custom fabricated   L0632
Lumbar-sacral orthosis, sagittal-coronal control, with rigid posterior framepanel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral framepanels, produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, stays, shoulder straps, pendulous abdomen design, prefabricated, includes fitting and adjustment   L0633
Lumbar-sacral orthosis, sagittal-coronal control, with rigid posterior framepanel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral framepanel(s), produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, stays, shoulder straps, pendulous abdomen design, custom fabricated   L0634
Lumbar-sacral orthosis, sagittal-coronal control, lumbar flexion, rigid posterior framepanel(s), lateral articulating design to flex the lumbar spine, posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral framepanel(s), produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, anterior panel, pendulous abdomen design, prefabricated, includes fitting and adjustment   L0635
Lumbar sacral orthosis, sagittal-coronal control, lumbar flexion, rigid posterior framepanels, lateral articulating design to flex the lumbar spine, posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral framepanels, produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, anterior panel, pendulous abdomen design, custom fabricated   L0636
Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior framepanels, posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral framepanels, produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated, includes fitting and adjustment   L0637
Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior framepanels, posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral framepanels, produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, custom fabricated   L0638
Lumbar-sacral orthosis, sagittal-coronal control, rigid shell(s)panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, anterior extends from symphysis pubis to xyphoid, produces intracavitary pressure to reduce load on the intervertebral discs, overall strength is provided by overlapping rigid material and stabilizing closures, includes straps, closures, may include soft interface, pendulous abdomen design, prefabricated, includes fitting and adjustment   L0639
Lumbar-sacral orthosis, sagittal-coronal control, rigid shell(s)panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, anterior extends from symphysis pubis to xyphoid, produces intracavitary pressure to reduce load on the intervertebral discs, overall strength is provided by overlapping rigid material and stabilizing closures, includes straps, closures, may include soft interface, pendulous abdomen design, custom fabricated   L0640
Lymphocyte immune globulin,   J7504, J7511