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Back to Local Coverage Determinations (LCDs) for CGS

A knee orthosis with a locking knee joint (L) or a rigid knee orthosis (L) is covered for beneficiaries with flexion or extension contractures of the knee with movement on passive range of motion testing of at least 10 degrees (i.e., a nonfixed contracture) (see ICD-10 Codes that Support Medical Necessity Group 1 Codes section).

Knee Orthoses LCD and PA

A knee orthosis with a locking knee joint (L) or a rigid knee orthosis (L) is covered for beneficiaries with flexion or extension contractures of the knee with movement on passive range of motion testing of at least 10 degrees (i.e., a nonfixed contracture) (refer to the Group 1 ICD-10 Codes in the LCD-related Policy Article).

DynaPro Flex Knee

Suggested LCode: L 279.03. Additional information Weight: N/A: Dimensions: N/A: Sizing Chart Sizing Chart. Size Thigh Circ. Calf Circ. Small: 12" - 15" 7" - 10" Medium: 15" - 19" 10" - 13" Large: 19" - 21" 13" - 16" Extra Large (NOT AVAILABLE) Must order extender PADS. 21"-25" 16"-19".

Case B skid steer in Mt. Pleasant, IA

Item L sold on December 17th, . Purple Wave is selling a used Skid Steer Loader in Iowa. This item is a Case B skid steer with the following: 694 hours on meter, Two cylinder gas engine, Hydrostatic transmission, Open station/canopy, Hand and foot controls, 43"W bucket, Weld-on cutting edge, 1,787 lbs. base operating weight.

OA LP Knee Brace, L/L

The OA LP is a lightweight, low-profile alternative to traditional osteoarthritis braces, combining optimum support and patient comfort, making it ideal for the active wearer. Made from durable neoprene with a reinforced mesh backing, this low-profile OA ensures a snug fit while remaining breathable and preventing skin irritation. The malleable hinge uprights allow for a custom load adjustment.

DynaPro™ Flex Knee

Need rehabilitation for the knee? The DynaPro™ Flex Knee focuses on mild/moderate flexion, Abnormal reflex arc therapy provided by the device assists in neuro-rehabilitation of the knee.

Knee Orthoses

If an L or L orthosis is provided but the criterion above is not met, the orthosis will be denied as not reasonable and necessary. There is no proven clinical benefit to the inflatable air bladder incorporated into the design of code L or L; therefore, claims for code L or L will be denied as not reasonable and necessary.

Knee Orthosis Orthotic Devices Lower Limb

A knee orthosis with a locking knee joint (L) or a rigid knee orthosis (L) is covered for beneficiaries with flexion or extension contractures of the knee with movement on passive range of motion testing of at least 10 degrees (i.e., a nonfixed contracture) (see Diagnosis Codes That Support Medical Necessity Group 1 Codes section).

Article L183

Article L100-1 ; Replier Titre VIII : Loi applicable aux contrats d'assurance pour les risques situés sur le territoire d'un ou plusieurs Etats parties à l'accord sur l'Espace économique européen et pour les engagements qui y sont pris (Articles L181-1 à L183-2). Déplier Chapitre III : Assurance sur la vie et capitalisation. (Articles L183-1 à L183-2).

Palmetto GBA

HCPCS Code L Details . Short Description: Knee orth pos locking joint. Long Description: KNEE ORTHOSIS, LOCKING KNEE JOINT(S), POSITIONAL ORTHOSIS, PREFABRICATED, INCLUDES FITTING AND ADJUSTMENT. Additional Search Terminology: Product and Service Code(s): OR02 : ORTHOSES: PREFABRICATED (CUSTOM FITTED). References:.

DynaPro® Flex Knee :: Knee :: Guardian Brace

hcpcs

Need rehabilitation for the knee? The DynaPro™ Flex Knee focuses on mild/moderate flexion, Abnormal reflex arc therapy provided by the device assists in neuro-rehabilitation of the knee.

Local Coverage Determination for Knee Orthoses (L)

prefabricated knee orthoses (l, l, l, l, l, l, l, l, l, l, l, l, l, l, l): A knee flexion contracture is a condition in which there is shortening of the muscles and/or tendons with the resulting inability to bring the knee to 0 degrees extension or greater (i.e., hyperextension) by.

Orthotics and Prosthetics: Frequency Limits for Orthotics

L 1 in 12 months L 1 in 12 months L 1 in 5 years L 1 in 12 months L 1 in 12 months L 1 in 12 months L 1 in 12 months L 1 in 12 months L 1 in 12 months L 1 in 12 months L 1 in 12 months L 1 in 5 years L 1 in 12 months . ortho cd fre1.

SoftPro® Static Knee Orthosis :: Knee :: Guardian Brace

Ideal for providing positioning therapy for mild to moderate (< 90 degrees) flexion contractures of the knee. Double upright with single setting hinges which are set to provide the desired extension of the knee. Soft, light, and comfortable, the SoftPro® Static Knee is excellent for maintaining range of motion or providing progressive extension therapy.

RAC Audit

KO: A complex review of off-the-shelf KOs to determine if the item was reasonable and necessary. Affected codes: L, L, L, L, L, L, L, L, L, and L. LSO/TLSO: A complex review to determine if Spinal Orthoses meet Medicare coverage criteria and/or is medically reasonable and necessary.

Knees

Billing Codes: L

L from HCPCS Code List. Knee orthosis, locking knee joint(s), positional orthosis, prefabricated, includes fitting and adjustment.

L HCPCS Code

l The Healthcare Common Procedure Coding System (HCPCS) is a collection of codes that represent procedures, supplies, products and services which may be provided to Medicare beneficiaries and to individuals enrolled in private health insurance programs.

Same or Similar Chart

 · Same or similar denials occur when the patient's CMN history indicates a piece of equipment is the same or similar to the equipment being billed. Search for a DMEPOS Item or HCPCS.

L

L is the billing code designated for knee orthosis that can treat hyper extended knees as well as many more conditions. Each L-code has specific regulations that must be observed in order for it to qualify for that code. There are no products in this category.

LCD for Knee Orthoses (L)

L None L L, L, L L None L L, L, L L L, L, L, L L None L L The following table lists addition codes which describe components or features that can be physically incorporated in the specified prefabricated base orthosis but are considered not reasonable and necessary.

Reporting Knee Orthoses

 · L Knee orthosis, locking knee joint(s), positional orthosis, prefabricated, includes fitting and adjustment L Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an.

Local Coverage Article for Knee Orthoses

Codes L, L and L describe prefabricated knee orthoses with joint(s) which lock the knee into a particular position. Codes L and L are distinguished from L by the addition of an air bladder in the space behind the knee. These orthoses are designed for ….

Article L183

Article L100-1 ; Replier Titre VIII : Loi applicable aux contrats d'assurance pour les risques situés sur le territoire d'un ou plusieurs Etats parties à l'accord sur l'Espace économique européen et pour les engagements qui y sont pris (Articles L181-1 à L183-2). Déplier Chapitre III : Assurance sur la vie et capitalisation. (Articles L183-1 à L183-2).

HCPCS L Codes List

L - Knee orth pos locking joint; L - Ko adj jnt pos r sup pre cst; L - Ko adj jnt pos r sup pre ots; L - Ko w/0 joint rigid molded to; L - Ko rigid w/o joints pre ots; L - Ko derot ant cruciate custom; L - Ko single upright pre cst; L - Ko w/adj jt rot cntrl molded; L - Ko double upright pre cst.