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L1200 | Thoracic-lumbar-sacral-orthosis (tlso), inclusive of furnishing initial orthosis only |
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L1210 | Addition to tlso, (low profile), lateral thoracic extension |
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L1220 | Addition to tlso, (low profile), anterior thoracic extension |
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L1230 | Addition to tlso, (low profile), milwaukee type superstructure |
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L1240 | Addition to tlso, (low profile), lumbar derotation pad |
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L1250 | Addition to tlso, (low profile), anterior asis pad |
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L1260 | Addition to tlso, (low profile), anterior thoracic derotation pad |
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L1270 | Addition to tlso, (low profile), abdominal pad |
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L1280 | Addition to tlso, (low profile), rib gusset (elastic), each |
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L1290 | Addition to tlso, (low profile), lateral trochanteric pad |
