Code: L0460

Description:

Description: Tlso, triplanar control, modular segmented spinal system, two rigid plastic shells, posterior extends from the sacrococcygeal junction and terminates just inferior to the scapular spine, anterior extends from the symphysis pubis to the sternal notch, soft liner, restricts gross trunk motion in the sagittal, coronal, and transverse planes, lateral strength is provided by overlapping plastic and stabilizing closures, includes straps and closures, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise
HCPCS Category: Orthotic/prosthetic procedures

Other Descriptions:

DONJOY DUAL TLSO XL

DONJOY DUAL TLSO L

SUPP LG BOA TLS DL PS AP

SUPP XXL BOA DUEL TLSO

SUPP SMALL BOA TLS DL PS

BRACE TLSO BACK

TLSO WITH T-BAR

Yb Tlso 2 Shell Boa Dual

HC TLSO TRIPLANAR 2 SHELL ANT TO STERNL NOTCH PRFAB

Related codes:

Code: L0462

BRACE LINER3 SHL STRNL

Code: L0464

BRACE TLSO 4 MOD SACLVL3

Code: L0466

Description: Tlso, sagittal control, rigid posterior frame and flexible soft anterior apron with straps, closures and padding, restricts gross trunk motion in sagittal plane, produces intracavitary pressure to reduce load on intervertebral disks, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise
HCPCS Category: Orthotic/prosthetic procedures

Code: L0467

Description: Tlso, sagittal control, rigid posterior frame and flexible soft anterior apron with straps, closures and padding, restricts gross trunk motion in sagittal plane, produces intracavitary pressure to reduce load on intervertebral disks, prefabricated, off-the-shelf
HCPCS Category: Orthotic/prosthetic procedures

Code: L0468

Description: Tlso, sagittal-coronal control, rigid posterior frame and flexible soft anterior apron with straps, closures and padding, extends from sacrococcygeal junction over scapulae, lateral strength provided by pelvic, thoracic, and lateral frame pieces, restricts gross trunk motion in sagittal, and coronal planes, produces intracavitary pressure to reduce load on intervertebral disks, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise
HCPCS Category: Orthotic/prosthetic procedures

Code: L0469

Description: Tlso, sagittal-coronal control, rigid posterior frame and flexible soft anterior apron with straps, closures and padding, extends from sacrococcygeal junction over scapulae, lateral strength provided by pelvic, thoracic, and lateral frame pieces, restricts gross trunk motion in sagittal and coronal planes, produces intracavitary pressure to reduce load on intervertebral disks, prefabricated, off-the-shelf
HCPCS Category: Orthotic/prosthetic procedures

Illinois

Hospital	Address	Code	Price	Last Updated
Adventist Bolingbrook Hospital	500 Remington Blvd, Bolingbrook	L0460	$1,182 [source]	4 years ago
Presence St. Mary's Hospital	500 W Court St, Kankakee	L0460	$1,573 [source]	4 years ago
Alexian Brothers Medical Center	935 Beisner Rd, Elk Grove Village	L0460	$2,063 [source]	4 years ago
Adventist Hinsdale Hospital	120 N Oak St, Hinsdale	L0460	$2,118 [source]	4 years ago
Adventist Lagrange Memorial Hospital	5101 Willow Springs Rd, La Grange	L0460	$2,136 [source]	4 years ago
Adventist Glenoaks Hospital	701 Winthrop Ave, Glendale Heights	L0460	$2,136 [source]	4 years ago
St. Alexius Medical Center	1555 Barrington Road,	L0460	$2,145 [source]	4 years ago
Van Matre Encompass Health Rehabilitation Hospital	950 S Mulford Rd, Rockford	L0460	$2,826 [source]	4 years ago

ChargemasterDB by Joseph Paul Cohen
A database of US hospital prices based on data made available by the Centers for Medicare & Medicaid Services (CMS), HHS price transparancy rule 45 CFR §180.