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

Oklahoma

Hospital	Address	Code	Price	Last Updated
St. John Owasso	12451 E 100Th St N, Owasso	L0460	$652 [source]	4 years ago
St. John Medical Center	1923 S Utica Ave, Tulsa	L0460	$652 [source]	4 years ago
St. Mary’S Regional Medical Center	305 South 5Th Street, Enid	L0460	$2,150 [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.