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
Disc Unloader Orthosis L0627
Disc Unloader Spinal Orthosis LO L0642
Disc Unloader LSO w/10″ Anterior Panel L0631
Lace Align Spinal Orthosis LO L0642
Lace Align Spinal Orthosis LSO L0648
Lace Align Lumbosacral Plus Orthosis L0637
Lace Align Lumbosacral Plus Orthosis L0650
ReAlign Spinal Orthosis LO L0627
ReAlign Spinal Orthosis LO L0642
ReAlign Spinal Orthosis LSO L0631
ReAlign Spinal Orthosis LSO L0648
ReAlign Spinal Orthosis LSO Plus L0637
ReAlign Spinal Orthosis LSO Plus L0650
ReAlign Spinal Orthosis LSO Plus 639/651 L0639
ReAlign Spinal Orthosis LSO Plus 639/651 L0651
CoolTex J-Pull w/Low Profile Hinge L1810
Knee Sleeve w/Hinge L1810
Knee Sleeve w/Hinge L1812
6″ Knee-O-Trakker w/Hinge L1810
6″ Knee-O-Trakker w/Hinge L1812
13″ Knee-O-Trakker w/Hinge L1810
13″ Knee-O-Trakker w/Hinge L1812
Cooltex™ AG 13″ Knee-O-Trakker w/Hinge L1810
Cooltex™ AG 13″ Knee-O-Trakker w/Hinge L1812
Cooltex™ AG 13″ Patella Stabilizer w/COR-TRAK Buttress & Hinge L1810
Cooltex™ AG 13″ Patella Stabilizer w/COR-TRAK Buttress & Hinge L1812
Neoprene Patella Stabilizer w/Buttress & Hinge L1810
Neoprene Patella Stabilizer w/Buttress & Hinge L1812
Anterior Closure Knee Wrap w/Hinge L1820
Anterior Closure Knee Wrap w/Hinge L1821
Cooltex™ AG 13″ Anterior Closure Knee Wrap w/Hinge L1820
Universal Neoprene Knee Wrap L1820
Universal Neoprene Knee Wrap L1821
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
Contender Post-op Knee Brace L1833
Recovery Post-Op Knee Brace L1832
Recovery Post-Op Knee Brace L1833
Cooltex™ AG Hybrid Knee w/ROM Hinge L1832
Cooltex™ AG Hybrid Knee w/ROM Hinge L1833
Anterior Closure Knee Wrap w/ROM Hinge L1832
Anterior Closure Knee Wrap w/ROM Hinge L1833
Cryo Pneumatic Knee Orthosis w/ROM Hinge L1832
Cryo Pneumatic Knee Orthosis w/ROM Hinge L1833
Cryo Pneumatic Knee Orthosis w/Hinge L1810
Cryo Pneumatic Knee Orthosis w/Hinge L1812
Stride OA Knee Brace OTS L1843
Stride OA Knee Brace OTS L1851
Motion OA 2 L1843
Motion OA 2 L1851
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
Marathon Active Lace-Up Ankle L1902
Marathon Speed Lacer Ankle L1902
Ankle Stirrup w/Air Gel Liner (black or white) L4350
Ankle Stirrup w/Memory Foam Liner (black) L4350
Marathon Air Walker Boot — Tall L4360
Marathon Air Walker Boot — Tall L4361
Marathon Air Walker Boot — Ankle L4360
Marathon Air Walker Boot — Ankle L4361
Pneumatic Walker Boot L4360
Pneumatic Walker Boot L4361
Ultra Stretch Plantar Fasciitis Splint L4396
Padded PF Night Splint L4396
Padded PF Night Splint L4397
Ultra Stretch PF Night Splint L4396
Ultra Stretch PF Night Splint L4397
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
Ranger AP Shoulder Brace L3960
Ranger II AP Shoulder Brace L3960
Elbow Orthosis w/ROM Hinge L3760
Contender Post-Op Elbow Brace L3760
Contender Post-Op Elbow Brace L3761
XR Cubital Tunnel Splint L3762
Ventral 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
Target Sewn Thumb w/Stays L3923
Low Profile Thumbster L3923
Low Profile Thumbster L3924
Wrist Hand Orthosis L3984
Vinyl Wrist Splint 8” L3980
Humeral Splint L3980
Extended Length Humeral Splint L3980
Mid Length Humeral Splint L3980

 

This list is provided to our customers to assist them in receiving reimbursement for our product; the examining practitioner must verify that the suggested code is applicable. Although we have made every effort to make this information is as accurate and up-to-date as possible, we are not responsible for any errors or subsequent changes in the codes. Furthermore, we cannot guarantee eligibility for reimbursement based on these codes. The assignment of a code to a product does not guarantee reimbursement. Eligibility for reimbursement is based on the diagnosis, the medical necessity of the product & special coverage issues. Please contact individual private insurance carriers regarding coverage status or consult your Medicare manual.