Code: L0464

Description:
Description: Tlso, triplanar control, modular segmented spinal system, four rigid plastic shells, posterior extends from sacrococcygeal junction and terminates just inferior to scapular spine, anterior extends from symphysis pubis to the sternal notch, soft liner, restricts gross trunk motion in sagittal, coronal, and transverse planes, lateral strength is provided by overlapping plastic and stabilizing closures, includes straps and closures, prefabricated, includes fitting and adjustment
HCPCS Category: Orthotic/prosthetic procedures
Other Descriptions:
BRACE ORTH SHLDR MED17IN
BRACE ORTH SHLDR LG 19IN
BRACE ORTH SHLDR XL 19IN
BRACE ORTH 2XL 19IN
BRACE HPR XTN CERV CEO
BRACE ORTHO SM 17IN
BRACE TLCO ORTH 4MOD
Yb Tlso 4 Shell
HC PFAB TLSO 4 PLAST SHELLS
Related codes:
Code: L0460
DONJOY DUAL TLSO M
Code: L0462
BRACE LINER3 SHL STRNL
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 L0464 $1,750 [source] 4 years ago
Presence St. Mary's Hospital 500 W Court St, Kankakee L0464 $2,329 [source] 4 years ago
Alexian Brothers Medical Center 935 Beisner Rd, Elk Grove Village L0464 $3,055 [source] 4 years ago
Adventist Hinsdale Hospital 120 N Oak St, Hinsdale L0464 $3,136 [source] 4 years ago
Adventist Lagrange Memorial Hospital 5101 Willow Springs Rd, La Grange L0464 $3,163 [source] 4 years ago
Adventist Glenoaks Hospital 701 Winthrop Ave, Glendale Heights L0464 $3,163 [source] 4 years ago
St. Alexius Medical Center 1555 Barrington Road, L0464 $3,177 [source] 4 years ago
Van Matre Encompass Health Rehabilitation Hospital 950 S Mulford Rd, Rockford L0464 $4,185 [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 ยง180.