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
Indiana
Hospital Address Code Price Last Updated
St. Vincent Mercy Hospital 1331 S A St, Elwood L0464 $1,477 [source] 4 years ago
Ascension St. Vincent Heart Center 10580 N Meridian St, Indianapolis L0464 $1,477 [source] 4 years ago
Ascension St. Vincent Anderson 2015 Jackson St, Anderson L0464 $1,477 [source] 4 years ago
Ascension St. Vincent Carmel 13500 N Meridian St, Carmel L0464 $1,477 [source] 4 years ago
Ascension St. Vincent Randolph 473 E Greenville Ave, Winchester L0464 $1,477 [source] 4 years ago
Ascension St. Vincent Dunn 1600 23Rd St, Bedford L0464 $1,477 [source] 4 years ago
St Vincent Salem Hospital Inc 911 N Shelby St, Salem L0464 $1,477 [source] 4 years ago
Ascension St. Vincent Williamsport 412 N Monroe St, Williamsport L0464 $1,477 [source] 4 years ago
Ascension St. Vincent Evansville 3700 Washington Ave, Evansville L0464 $1,477 [source] 4 years ago
Ascension Medical Group St. Vincent 301 Henry St, North Vernon L0464 $1,477 [source] 4 years ago
Ascension St. Vincent Hospital 2001 W 86Th St, Indianapolis L0464 $1,477 [source] 4 years ago
Ascension St. Vincent Warrick 1116 Millis Ave, Boonville L0464 $1,477 [source] 4 years ago
Franciscan Health Indianapolis , Indianapolis L0464 $2,062 [source] 4 years ago
Encompass Health Deaconess Rehabilitation Hospital 9355 Warrick Trl, Newburgh L0464 $3,524 [source] 4 years ago
Terre Haute Regional Hospital 3901 S 7Th St, Terre Haute L0464 $5,480 [source] 4 years ago
St. Vincent Clay Hospital, Inc 1206 E National Ave, Brazil L0464 $6,012 [source] 4 years ago
Ascension St Vincent Fishers 13861 Olio Road, L0464 $6,012 [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.