PDAC Letters
For customer convenience, we have compiled this L-Code Index. Click on the desired L-Code to view a pdf of the Medicare letter. You can also click on a product description to visit that individual product page. For more information, you can also visit the Medicare website.
| PRODUCT DESCRIPTION | LCODE |
| Ultra Cervical Collar | L0120 |
| Axis Classic Cervical Collar | L0172 |
| Axis TXT Cervical Collar | L0174 |
| Axis MP Cervical Collar | L0180 |
| Lace Align Spinal Orthosis TLSO Universal | L0456 |
| Lace Align Spinal Orthosis TLSO Universal | L0457 |
| Trochanter Belt Universal | L0621 |
| V Lock Back Support | L0625 |
| V Lock Lumbar Orthosis with Preformed Insert | L0626 |
| Disc Unloader Orthosis | L0627 |
| Disc Unloader LSO w/10″ Anterior Panel | L0631 |
| Lace Align Lumbosacral Plus Orthosis | L0637 |
| Lace Align Lumbosacral Plus Orthosis | L0650 |
| CoolTex J-Pull w/Low Profile Hinge | L1810 |
| Knee Sleeve w/Hinge | L1810 |
| 6″ Knee-O-Trakker w/Hinge | L1810 |
| 13″ Knee-O-Trakker w/Hinge | L1810 |
| 6″ Knee-O-Trakker | L1825 |
| Universal Knee Immobilizer | L1830 |
| Compression Knee Immobilizer | L1830 |
| 13″ Anterior Closure Wrap w/ROM Hinge | L1832 |
| 16″ Anterior Closure Wrap w/ROM Hinge | L1832 |
| 16″ TPAS Contender | L1832 |
| Contender Post-op Knee Brace | L1832 |
| Rival Ace ATC Ligament Brace | L1845 |
| Rival Ace ATC Ligament Brace | L1852 |
| Rival Ace RT Ligament Brace | L1845 |
| Rival Ace RT Ligament Brace | L1852 |
| Rival Pro ATC Ligament Brace | L1845 |
| Rival Pro ATC Ligament Brace | L1852 |
| Rival Pro RT Ligament Brace | L1845 |
| Rival Pro RT Ligament Brace | L1852 |
| Stride Duo OA Knee Brace | L1845 |
| Stride Duo OA Knee Brace | L1852 |
| Lace-Up Ankle Support | L1902 |
| Bunion Splint | L3100 |
| Soft Heel Cushion | L3170 |
| Universal Comfort Shoulder | L3650 |
| Ultra Clavicle Strap | L3650 |
| Shoulder Abduction Pillow w/Sling | L3660 |
| Ultra Shoulder Immobilizer | L3670 |
| Ultra Shoulder Abduction Pillow w/Sling | L3670 |
| Cryo Pneumatic Shoulder (0 gel / 1 gel / 2 gels) | L3670 |
| Elbow Orthosis w/ROM Hinge | L3760 |
| XR Cubital Tunnel Splint | L3762 |
| Universal Elbow Immobilizer | L3762 |
| Wrist Hand Thumb Orthosis (black) | L3807 |
| Wrist Hand Thumb Orthosis (white) | L3807 |
| Extended Length Boxer Splint | L3807 |
| Thumbster Soft | L3807 |
| Ultra Fit Wrist Splint w/Abducted Thumb 8″ | L3807 |
| Boxer Splint | L3809 |
| Ultra Fit Wrist Splint Universal 8″ | L3908 |
| Ultra Fit Wrist Splint 8″ | L3908 |
| Suede Wrist Lacer Splint 8″ | L3908 |
| Vinyl Wrist Splint 8″ | L3980 |
| Target Sewn Thumb w/Stays | L3923 |
| Ranger AP Shoulder Brace | L3960 |
| Ranger II AP Shoulder Brace | L3960 |
| Humeral Splint | L3980 |
| Extended Length Humeral Splint | L3980 |
| Mid Length Humeral Splint | L3980 |
| Ulnar Splint | L3982 |
| Ankle Stirrup w/Air Gel Liner (black or white) | L4350 |
| Ankle Stirrup w/Memory Foam Liner (black) | L4350 |
| Ultra Stretch Plantar Fasciitis Splint | L4396 |
| Next Step Suspension Belt | L4396 |
