L0456
TLSO, FLEXIBLE, PROVIDES TRUNK SUPPORT,THORACIC REGION, RIGID POSTERIOR PANEL ANDSOFT ANTERIOR APRON, EXTENDS FROM THESACROCOCCYGEAL JUNCTION AND TERMINATESJUST INFERIOR TO THE SCAPULAR SPINE, RESTRICTSGROSS TRUNK MOTION IN THE SAGITTAL PLANE,PRODUCES INTRACAVITARY PRESSURE TO REDUCELOAD ON THE INTERVERTEBRAL DISKS, INCLUDESSTRAPS AND CLOSURES, PREFABRICATED ITEM
THAT HAS BEEN TRIMMED, BENT, MOLDED,ASSEMBLED, OR OTHERWISE CUSTOMIZED TO FIT ASPECIFIC PATIENT BY AN INDIVIDUAL WITHEXPERTISEHealthcare Common Procedure Coding System
The Healthcare Common Procedure Coding System (HCPCS) is a collection ofcodes that represent procedures, supplies,products and services which may beprovided to Medicare beneficiaries and to individuals enrolled in private healthinsurance programs. HCPCS codes primarily correspond to services, procedures,and equipment not covered by CPT® codes.

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L0456 Tlso, flexible, provides trunk support, thoracic region, rigid
posterior panel and soft anterior apron, extends from thesacrococcygeal junction and terminates just inferior to the scapularspine, restricts gross trunk motion in the sagittal plane, produces
intracavitary pressure to reduce load on the intervertebral disks,
includes straps and closures, prefabricated item that has been trimmed,bent, molded, assembled, or otherwise customized to fit a specificpatient by an individual with expertiseHCPCS Code

L0456

The Healthcare Common Prodecure Coding
System (HCPCS) is a collection of codes that
represent procedures, supplies, products andservices which may be provided to Medicare
beneficiaries and to individuals enrolled in private
health insurance programs.The codes are divided
into two levels, or groups, as described Below:
Level I
Codes and descriptors copyrighted by theAmerican Medical Association's current procedural
terminology, fourth edition (CPT-4). These are 5
position numeric codes representing physician andnonphysician services.
**** NOTE: ****
CPT-4 codes including both long and short
descriptions shall be used in accordance with theCMS/AMA agreement. Any other use violates theAMA copyright.
Level II
Includes codes and descriptors copyrighted by
the American Dental Association's current dental
terminology, seventh edition (CDT-2011/12). Theseare 5 position alpha-numeric codes comprising the dseries. All other level II codes and descriptors areapproved and maintained jointly by the alphanumeric editorial panel (consisting of CMS, theHealth Insurance Association of America, and theBlue Cross and Blue Shield Association). These are
5 position alpha- numeric codes representing
primarily items and nonphysician services that are
not represented in the level I codes.

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Code Description

Tlso, flexible, provides
trunk support, thoracic
region, rigid posterior
panel and soft anterior
apron, extends from thesacrococcygeal junction
and terminates justinferior to the scapularspine, restricts grosstrunk motion in thesagittal plane, produces
intracavitary pressure toreduce load on theintervertebral disks,
includes straps andclosures, prefabricateditem that has been
trimmed, bent, molded,
assembled, or otherwise
customized to fit a
specific patient by anindividual with expertiseContains all text of procedure or modifier longdescriptions.
As of 2013, this field contains the consumerfriendly descriptions for the AMA CPT codes. The
AMA owns the copyright on the CPT codes anddescriptions; CPT codes and descriptions are notpublic property and must always be used incompliance with copyright law.

Short Description

Tlso flex trnk sj-ss precst

Short descriptive text of procedure or modifier
code (28 characters or less).
The AMA owns the copyright on the CPT codesand descriptions; CPT codes and descriptions are
not public property and must always be used incompliance with copyright law.

Pricing Indicator
Code #1

38

Code used to identify the appropriate
methodology for developing unique pricing amounts
under part B. A procedure may have one to four
pricing codes.

Orthotics, prosthetics,
prosthetic devices &vision services (pricesubject to floors andceilings) . Durable
Medical Equipment,
Prosthetics, Orthotics,
Supplies And SurgicalDressings

Description of Pricing Indicator Code #1

Multiple Pricing
Indicator CodeA

Code used to identify instances where aprocedure could be priced under multiple
methodologies.

Multiple Pricing
Indicator CodeDescription

Not applicable asHCPCS priced underone methodology

HCPCS Multiple Pricing Indicator CodeDescription

Coverage CodeC

Coverage CodeDescription

Carrier judgment

Pricing Indicator
Code #1 Description

Berenson-Eggers TypeOf Service CodeA code denoting Medicare coverage status.

D1F

HCPCS Coverage Code Description

This field is valid beginning with 2003 data. The
Berenson-Eggers Type of Service (BETOS) for theprocedure code based on generally agreed uponclinically meaningful groupings of procedures andservices.

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Berenson-Eggers TypeOf Service CodeDescription

Prosthetic/Orthotic
devices

HCPCS Berenson-Eggers Type Of Service CodeDescription

Type Of Service Code#1PThe carrier assigned CMS type of service which
describes the particular kind(s) of service
represented by the procedure code.

Type Of Service Code#1 Description

Lump sum purchase ofDME, prosthetics,orthotics

Description of HCPCS Type Of Service Code #1

Anesthesia Base Unit
Quantity

0The base unit represents the level of intensity foranesthesia procedure services that reflects all
activities except time. These activities include usual
preoperative and post-operative visits, theadministration of fluids and/or blood incident toanesthesia care, and monitering procedures.
**** NOTE: ****The payment amount for anesthesia services isbased on a calculation using base unit, time units,
and the conversion factor.

Code Added Date

20030101

The year the HCPCS code was added to theHealthcare common procedure coding system.

Action Effective Date

20140101

Effective date of action to a procedure or modifier
code

Action CodeN

A code denoting the change made to a procedureor modifier code within the HCPCS system.

Action CodeDescription

No maintenance for thiscodeStatusActualLast Update Date

2024-4-HCPCS Action Code Description

Healthcare Common Prodecure Coding SystemContact Information for HCPCSHCPCS Email Address: hcpcs@cms.hhs.gov
The PDAC has a toll free helpline(877) 735-1326
HCPCS-related questions must be submitted online
via the www.codingclinicadvisor.com website-5-

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