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L0484

Tlso rigid plastic cust fab

✓ CURRENT — JULY 2026
Source: CMS
Imported: Aug 10 2026

Full descriptor

Tlso, triplanar control, two piece rigid plastic shell without interface liner, with multiple straps and closures, posterior extends from sacrococcygeal junction and terminates just inferior to scapular spine, anterior extends from symphysis pubis to sternal notch, lateral strength is enhanced by overlapping plastic, restricts gross trunk motion in the sagittal, coronal, and transverse planes, includes a carved plaster or cad-cam model, custom fabricated

Details

Code
L0484
Short descriptor
Tlso rigid plastic cust fab
Code set
HCPCS Level II
Release
July 2026
Status
Active
Added
Jan 1 2003

Nearby codes

Code sets are published in blocks, so neighbours are usually related.

L0482

Tlso rigid lined custom fab

L0486

Tlso rigidlined cust fab two

L0480

Tlso rigid plastic custom fa

L0488

Tlso rigid lined pre one pie

L0490

Tlso rigid plastic pre one

L0491

Tlso 2 piece rigid shell

L0492

Tlso 3 piece rigid shell

L0472

Tlso rigid frame hyperex pre

Sources

Reference information only. Not billing advice. Verify against the payer before you file.