Showing codes L2627 (Addition to lower extremity, pelvic control, plastic, molded to patient model, reciprocating hip joint and cables) — L3031 (Foot, insert/plate, removable, addition to lower extremity orthosis, high strength, lightweight material, all hybrid lamination/prepreg composite, each)

L2627 - Plastic mold recipro hip & c
Long description: Addition to lower extremity, pelvic control, plastic, molded to patient model, reciprocating hip joint and cables
Code added date: 19890101.
Code effective date: 19960101.
Pricing Indicator Code(s): 38 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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L2628 - Metal frame recipro hip & ca
Long description: Addition to lower extremity, pelvic control, metal frame, reciprocating hip joint and cables
Code added date: 19890101.
Code effective date: 19960101.
Pricing Indicator Code(s): 38 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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L2630 - Pelvic control band & belt u
Long description: Addition to lower extremity, pelvic control, band and belt, unilateral
Code added date: 19860101.
Code effective date: 19960101.
Pricing Indicator Code(s): 38 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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L2640 - Pelvic control band & belt b
Long description: Addition to lower extremity, pelvic control, band and belt, bilateral
Code added date: 19860101.
Code effective date: 19960101.
Pricing Indicator Code(s): 38 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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L2650 - Pelv & thor control gluteal
Long description: Addition to lower extremity, pelvic and thoracic control, gluteal pad, each
Code added date: 19860101.
Code effective date: 19960101.
Pricing Indicator Code(s): 38 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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L2660 - Thoracic control thoracic ba
Long description: Addition to lower extremity, thoracic control, thoracic band
Code added date: 19860101.
Code effective date: 19960101.
Pricing Indicator Code(s): 38 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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L2670 - Thorac cont paraspinal uprig
Long description: Addition to lower extremity, thoracic control, paraspinal uprights
Code added date: 19860101.
Code effective date: 19960101.
Pricing Indicator Code(s): 38 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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L2680 - Thorac cont lat support upri
Long description: Addition to lower extremity, thoracic control, lateral support uprights
Code added date: 19860101.
Code effective date: 19960101.
Pricing Indicator Code(s): 38 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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L2750 - Plating chrome/nickel pr bar
Long description: Addition to lower extremity orthosis, plating chrome or nickel, per bar
Code added date: 19860101.
Code effective date: 19960101.
Pricing Indicator Code(s): 38 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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L2755 - Carbon graphite lamination
Long description: Addition to lower extremity orthosis, high strength, lightweight material, all hybrid lamination/prepreg composite, per segment, for custom fabricated orthosis only
Code added date: 19970101.
Code effective date: 20050101.
Pricing Indicator Code(s): 38 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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L2760 - Extension per extension per
Long description: Addition to lower extremity orthosis, extension, per extension, per bar (for lineal adjustment for growth)
Code added date: 19860101.
Code effective date: 19960101.
Pricing Indicator Code(s): 38 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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L2768 - Ortho sidebar disconnect
Long description: Orthotic side bar disconnect device, per bar
Code added date: 20020101.
Code effective date: 20020101.
Pricing Indicator Code(s): 38 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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L2780 - Non-corrosive finish
Long description: Addition to lower extremity orthosis, non-corrosive finish, per bar
Code added date: 19860101.
Code effective date: 19960101.
Pricing Indicator Code(s): 38 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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L2785 - Drop lock retainer each
Long description: Addition to lower extremity orthosis, drop lock retainer, each
Code added date: 19880101.
Code effective date: 19960101.
Pricing Indicator Code(s): 38 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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L2795 - Knee control full kneecap
Long description: Addition to lower extremity orthosis, knee control, full kneecap
Code added date: 19880101.
Code effective date: 19960101.
Pricing Indicator Code(s): 38 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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L2800 - Knee cap medial or lateral p
Long description: Addition to lower extremity orthosis, knee control, knee cap, medial or lateral pull, for use with custom fabricated orthosis only
Code added date: 19880101.
Code effective date: 20050101.
Pricing Indicator Code(s): 38 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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L2810 - Knee control condylar pad
Long description: Addition to lower extremity orthosis, knee control, condylar pad
Code added date: 19880101.
Code effective date: 19960101.
Pricing Indicator Code(s): 38 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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L2820 - Soft interface below knee se
Long description: Addition to lower extremity orthosis, soft interface for molded plastic, below knee section
Code added date: 19880101.
Code effective date: 19960101.
Pricing Indicator Code(s): 38 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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L2830 - Soft interface above knee se
Long description: Addition to lower extremity orthosis, soft interface for molded plastic, above knee section
Code added date: 19880101.
Code effective date: 19960101.
Pricing Indicator Code(s): 38 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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L2840 - Tibial length sock fx or equ
Long description: Addition to lower extremity orthosis, tibial length sock, fracture or equal, each
Code added date: 19890101.
Code effective date: 19960101.
Pricing Indicator Code(s): 38 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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L2850 - Femoral lgth sock fx or equa
Long description: Addition to lower extremity orthosis, femoral length sock, fracture or equal, each
Code added date: 19890101.
Code effective date: 19960101.
Pricing Indicator Code(s): 38 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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L2861 - Torsion mechanism knee/ankle
Long description: Addition to lower extremity joint, knee or ankle, concentric adjustable torsion style mechanism for custom fabricated orthotics only, each
Code added date: 20100101.
Code effective date: 20100101.
Pricing Indicator Code(s): 00 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: I (A code denoting Medicare coverage status).
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L2999 - Lower extremity orthosis nos
Long description: Lower extremity orthoses, not otherwise specified
Code added date: 19820101.
Code effective date: 19980101.
Pricing Indicator Code(s): 46 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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L3000 - Ft insert ucb berkeley shell
Long description: Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each
Code added date: 19820101.
Code effective date: 19970101.
Pricing Indicator Code(s): 00 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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L3001 - Foot insert remov molded spe
Long description: Foot, insert, removable, molded to patient model, spenco, each
Code added date: 19840101.
Code effective date: 19970101.
Pricing Indicator Code(s): 00 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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L3002 - Foot insert plastazote or eq
Long description: Foot, insert, removable, molded to patient model, plastazote or equal, each
Code added date: 19840101.
Code effective date: 19970101.
Pricing Indicator Code(s): 00 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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L3003 - Foot insert silicone gel eac
Long description: Foot, insert, removable, molded to patient model, silicone gel, each
Code added date: 19840101.
Code effective date: 19970101.
Pricing Indicator Code(s): 00 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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L3010 - Foot longitudinal arch suppo
Long description: Foot, insert, removable, molded to patient model, longitudinal arch support, each
Code added date: 19820101.
Code effective date: 19970101.
Pricing Indicator Code(s): 00 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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L3020 - Foot longitud/metatarsal sup
Long description: Foot, insert, removable, molded to patient model, longitudinal/ metatarsal support, each
Code added date: 19860101.
Code effective date: 19970101.
Pricing Indicator Code(s): 00 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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L3030 - Foot arch support remov prem
Long description: Foot, insert, removable, formed to patient foot, each
Code added date: 19860101.
Code effective date: 19970101.
Pricing Indicator Code(s): 00 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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L3031 - Foot lamin/prepreg composite
Long description: Foot, insert/plate, removable, addition to lower extremity orthosis, high strength, lightweight material, all hybrid lamination/prepreg composite, each
Code added date: 20040101.
Code effective date: 20050101.
Pricing Indicator Code(s): 00 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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