Dynamic List Information
Dynamic List Data
HCPCS Code
L0457
On Master List?
Yes
Prior Authorization Required?
No
F2F and Written Order Prior to Delivery?
No
Description: TLSO, flexible, provides trunk support, thoracic region, rigid posterior panel, and soft anterior apron, extends from the sacrococcygeal junction and terminates just inferior to the scapular spine, restricts gross trunk motion in the sagittal plane, produces intracavitary pressure to reduce load on the intervertebral disks, includes straps and closures, prefabricated, off-the-shelf