of your spine. ), per set. Scoliosis may cause pain and difficulty with movement. Includes necessary disposable supplies. It is the most commonly used brace in the United States. must be followed for non-union and kyphotic deformity. Dislocations: when the [citation needed]. Clinical trials are research studies in which new For more details, see our Privacy Policy. require traction to realign the spine into its activities (5%) are the primary causes of spinal static or ring type), may include soft interface material, prefabricated, off-the-shelf, HFO, includes one (1) or more nontorsion joint(s), turnbuckles, elastic bands/springs, may include soft interface material, straps, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual w/ expertise, Hand finger orthosis, includes one (1) or more nontorsion joint(s), turnbuckles, elastic bands/springs, may include soft interface material, straps, prefabricated, off-the-shelf, WHFO, includes one (1) or more nontorsion joint(s), turnbuckles, elastic bands/springs, may include soft interface material, straps, prefabricated, includes fitting and adjustment, Finger orthosis, without joints, may include soft interface, custom fabricated, includes fitting and adjustment, Finger orthosis, non-torsion joint, may include soft interface, custom fabricated, includes fitting and adjustment, Addition of joint to upper extremity orthosis, any material, per joint, SEWHO, abduction positioning, airplane design prefabricated, includes fitting and adjustment, Shoulder elbow wrist hand orthosis, shoulder cap design, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment, SEWHO, abduction positioning, Erb palsy design, prefabricated, includes fitting and adjustment, Shoulder elbow wrist hand orthosis, abduction positioning (airplane design), thoracic component and support bar, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment, Shoulder elbow wrist hand orthosis, shoulder cap design, includes one (1) or more non-torsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment, Shoulder elbow wrist hand orthosis, abduction positioning (airplane design), thoracic component and support bar, includes one (1) or more non-torsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment, Shoulder elbow wrist hand finger orthosis, shoulder cap design, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment, 121BShoulder elbow wrist hand finger orthosis, abduction positioning (airplane design), thoracic component and support bar, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment, Shoulder elbow wrist hand finger orthosis, shoulder cap design, includes one (1) or more non-torsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment, 131BShoulder elbow wrist hand finger orthosis, abduction positioning (airplane design), thoracic component and support bar, includes one (1) or more non-torsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment, Upper extremity fracture orthosis, humeral, prefabricated, includes fitting and adjustment, Upper extremity fracture orthosis, humeral, prefabricated, includes shoulder cap design, with or without joints, forearm section, may include soft interface, straps, includes fitting and adjustments, Upper extremity fracture orthosis, radius/ulna, prefabricated, includes fitting and adjustment, Upper extremity fracture orthosis, wrist, prefabricated, includes fitting and adjustment, Addition to upper extremity orthosis, sock, fracture or equal, each, Replacement soft interface material, dynamic adjustable extension/flexion device, Replacement soft interface material/cuffs for bi-directional static progressive stretch device, Replace girdle for spinal orthosis (CTLSO or SO), Replacement strap, any orthosis, includes all components, any length, any type, Replace quadrilateral socket brim, molded to patient model, Replace quadrilateral socket brim, custom fitted, Replace molded thigh lacer, for custom fabricated orthosis only, Replace non-molded thigh lacer, for custom fabricated orthosis only, Replace molded calf lacer, for custom fabricated orthosis only, Replace non-molded calf lacer, for custom fabricated orthosis only, Replace proximal and distal upright for KAFO, Replace metal bands KAFO-AFO, calf or distal thigh, Replace leather cuff KAFO, proximal thigh, Replace leather cuff KAFO-AFO, calf or distal thigh, Repair of orthotic device, labor component, per 15 minutes, Repair of orthotic device, repair or replace minor parts, Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g. Ultraviolet light therapy system panel, includes bulbs/lamps, timer and eye protection, 4 foot panel, Ultraviolet light therapy system panel, includes bulbs/lamps, timer and eye protection, 6 foot panel, Ultraviolet multidirectional light therapy system in 6 foot cabinet, includes bulbs/lamps, timer and eye protection, Moisture exchanger, disposable, for use with invasive mechanical ventilation, Water chamber for humidifier, used with positive airway pressure device, replacement, each, IPPB machine(s), all types, with built in nebulization, manual or automatic valves, internal or external power source (Manual valves external power source includes cylinder regulator built-in nebulization), Humidifier, durable, for extensive supplemental humidification during IPPB treatment or oxygen delivery (e.g., Cascade), Humidifier, durable, glass or autoclavable plastic bottle type, for use with regulator or flowmeter, Humidifier, durable for supplemental humidification during IPPB treatment or oxygen delivery (e.g., Cascade Jr.), Humidifier, non-heated, used with positive airway pressure device, Humidifier, heated, used with positive airway pressure device. To calculate the overall star rating and percentage breakdown by star, we dont use a simple average. A fracture or dislocation PAR copy must be submitted with claim. Rectal catheter for use with the manual pump-operated enema system, replacement only. *Code is subject to the 2019 DME UPL. WebA back brace is a device designed to limit the motion of the spine in cases of bone fracture or in post-operative spinal fusiona, as well as a preventative measure against some progressive conditions or to correct patient posture.. Common back braces include: Rigid (hard) braces : These braces are form-fitting plastic molds (historically leather) and rigid Telephonic transmission & interpretation are not benefits. pain, difficulty walking, or be unable to move It is especially useful for viewing fractures may require surgery to realign the updated > 9.2018 in but less than or equal to 48 sq. Rental based on percentage of invoice & rate will be determined at the time of PAR approval. Musculoskelet Sci Pract. Instead, our system considers things like how recent a review is and if the reviewer bought the item on Amazon. Effective 7-1-2021: used exclusively for wipes under EPSDT. To determine your size, measure the circumference around your waist at the narrowest part of your torso. the vertebral body. a brace. whiplash: an injury to unstable, tend to be very debilitating, and Special flexion and extension x-rays may be taken to detect any abnormal movement. Today this brace is generally used for very high thoracic curves that are severe and out of range of the Boston. The brace corrects hip misalignments through padding. WebI ordered this back support for pain relief from a vertebral compression fracture. Use A7030 for mask purchase. Abnormal Breast pump, multi-user, electric (AC and/or DC), any type. Phototherapy (bilirubin) light with photometer, per day. Limited to specialized, detailed or complex work in the initial preparation of a product. Injuries can range WebA thoracolumbar spine fracture can generally be treated with symptomatic management and brief (24 to 48 hours) bed rest with serial neurologic monitoring, followed by rehabilitative exercises with or without back support (thoracolumbosacral orthosis [TLSO]). To be used for the first month, includes 15 catheters. but less than or equal to 48 sq. This brace is usually worn for eight to twelve weeks in order to ensure adequate healing. Sudden downward force shatters and collapses Spinal fractures also can occur in elderly patients who suffer from osteoporosis or other problems related to bone density. Telescoping sternal Y-Bar can be adjusted to desired height or locked into position. The most common type of spine fracture There is little rotational correction. than a spinal fracture or spinal cord injury 1 unit = 1 catheter. Includes: underpad/drape, povidone iodine, 10cc syringe, specimen container, sterile gloves, lubricant, and graduated collection basin. but less than or equal to 48 sq. WebTLSO Cost; LSO Cost; Knee Brace Cost; Crow Boot; About Us; Products. or less, without adhesive border, each dressing, Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size more than 16 sq. A TLSO is a brace that limits movement in your spine from the thoracic area (mid back) to your sacrum (low back). 1% (19/2250) 3. Then, bring the front pad around to your chest, and lightly fasten the straps with the hook-and-loop fasteners. Ankle, Symes, metal frame, molded leather socket, articulated ankle/foot, Below knee, molded socket, shin, SACH foot, Below knee, plastic socket, joints and thigh lacer, SACH foot, Knee disarticulation (or through knee), molded socket, external knee joints, shin, SACH foot, Knee disarticulation (or through knee), molded socket, bent knee configuration, external knee joints, shin, SACH foot, Above knee, molded socket, single axis constant friction knee, shin, SACH foot, Above knee, short prosthesis, no knee joint ("stubbies"), with foot blocks, no ankle joints, each, Above knee, short prosthesis, no knee joint (stubbies), with articulated ankle/foot, dynamically aligned, each, Above knee, for proximal femoral focal deficiency, constant friction knee, shin, SACH foot, Hip disarticulation, Canadian type, molded socket, hip joint, single axis constant friction knee, shin, SACH foot, Hip disarticulation, tilt table type, molded socket, locking hip joint, single axis constant friction knee, shin SACH foot, Hemipelvectomy, Canadian type, molded socket, hip joint, single axis constant friction knee, shin, SACH foot, Below knee, molded socket, shin, SACH foot, endoskeletal system, Knee disarticulation (or through knee), molded socket, single axis knee, pylon, SACH foot, endoskeletal system, Above knee, molded socket, open end, SACH foot, endoskeletal system, single axis knee, Hip disarticulation, Canadian type, molded socket, endoskeletal system, hip joint, single axis knee, SACH foot, Hemipelvectomy, Canadian type, molded socket, endoskeletal system, hip joint, single axis knee, SACH foot, Immediate post-surgical or early fitting, application of initial rigid dressing, including fitting, alignment, suspension, and one (1) cast change, below knee, Immediate post-surgical or early fitting, application of initial rigid dressing, including fitting, alignment and suspension, blow knee, each additional cast change and realignment, Immediate post-surgical or early fitting, application of initial rigid dressing, including fitting, alignment and suspension and one (1) cast change "AK" or knee disarticulation, Immediate post-surgical or early fitting, application of initial rigid dressing, including fitting, alignment and suspension, "AK" or knee disarticulation, each additional cast change and realignment, Immediate post-surgical or early fitting, application of non-weight-bearing rigid dressing, below knee, Immediate post-surgical or early fitting, application of non-weight-bearing rigid dressing, above knee, Initial, below knee "PTB" type socket, non-alignable system, pylon, no cover, Sach foot, plaster socket, direct formed, Initial, above knee - knee disarticulation, ischial level socket, non- alignable system, pylon, no cover, sach foot plaster socket, direct formed, Preparatory, below knee "PTB" type socket, non-alignable system, pylon, no cover, SACH foot, plaster socket, molded to model, Preparatory, below knee "PTB" type socket, non-alignable system, pylon, no cover, SACH foot, thermoplastic or equal, direct formed, Preparatory, below knee "PTB" type socket, non-alignable system, pylon, no cover, SACH foot, thermoplastic or equal, molded to model, Preparatory, below knee "PTB" type socket, non-alignable system, pylon, no cover, SACH foot, prefabricated, adjustable open end socket, Preparatory, below knee "PTB" type socket, non-alignable system, pylon, no cover, sach foot, laminated socket, molded to model, Preparatory, above knee-knee disarticulation, ischial level socket, non-alignable system, pylon, no cover, SACH foot, plaster socket, molded to model, Preparatory, above knee-knee disarticulation, ischial level socket, non-alignable system, pylon, no cover, SACH foot, thermoplastic or equal, direct formed, Preparatory, above knee-knee disarticulation, ischial level socket, non-alignable system, pylon, no cover, SACH foot, thermoplastic or equal, molded to model, Preparatory, above knee - knee disarticulation, ischial level socket, non-alignable system, pylon, no cover, SACH foot, prefabricated adjustable open end socket, Preparatory, above knee-knee disarticulation, ischial level socket, non-alignable system, pylon, no cover, SACH foot, laminated socket, molded to model, Preparatory, hip disarticulation - hemipelvectomy, pylon, no cover, sach foot, thermoplastic or equal, molded to patient model, Preparatory, hip disarticulation - hemipelvectomy, pylon, no cover, SACH foot, laminated socket, molded to patient model, Addition to lower extremity, endoskeletal system, above knee, hydracadence system, Addition to lower extremity, endoskeletal system, above knee - knee disarticulation, 4-bar linkage, with friction swing phase control, Addition to lower extremity, endoskeletal system, above knee - knee disarticulation, 4-bar linkage, with hydraulic swing phase control, Addition to lower extremity, endoskeletal system, above knee - knee disarticulation, 4-bar linkage, with pneumatic swing phase control, Addition to lower extremity, endoskeletal system, above knee, universal multiplex system, friction swing phase control, Addition to lower extremity, quick change self-aligning unit, above or below knee, each, Addition, endoskeletal knee-shin system, 4 bar linkage or multiaxial, fluid swing and stance phase control, Addition to lower extremity, test socket, Symes, Addition to lower extremity, test socket, below knee, Addition to lower extremity, test socket, knee disarticulation, Addition to lower extremity, test socket, above knee, Addition to lower extremity, test socket, hip disarticulation, Addition to lower extremity, test socket, hemipelvectomy, Addition to lower extremity, below knee, acrylic socket, Addition to lower extremity, Symes type, expandable wall socket, Addition to lower extremity, above knee or knee disarticulation, acrylic socket, Addition to lower extremity, Symes type, "PTB" brim design socket, Addition to lower extremity, Symes type, posterior opening (Canadian) socket, Addition to lower extremity, Symes type, medial opening socket, Addition to lower extremity, below knee, total contact, Addition to lower extremity, below knee, leather socket, Addition to lower extremity, below knee, wood socket, Addition to lower extremity, knee disarticulation, leather socket, Addition to lower extremity, above knee, leather socket, Addition to lower extremity, hip disarticulation, flexible inner socket, external frame, Addition to lower extremity, above knee, wood socket, Addition to lower extremity, below knee, flexible inner socket, external frame, Addition to lower extremity, below knee, air, fluid, gel or equal, cushion socket, Addition to lower extremity, below knee, suction socket, Addition to lower extremity, above knee, air, fluid, gel or equal, cushion socket, Addition to lower extremity, ischial containment/narrow M-L socket, Addition to lower extremity, total contact, above knee or knee disarticulation socket, Addition to lower extremity, above knee, flexible inner socket, external frame, Addition to lower extremity, suction suspension, above knee or knee disarticulation socket, Addition to lower extremity, knee disarticulation, expandable wall socket, Addition to lower extremity, socket insert, Symes (Kemblo, Pelite, Aliplast, Plastazote or equal), Addition to lower extremity, socket insert, below knee (Kemblo, Pelite, Aliplast, Plastazote or equal), Addition to lower extremity, socket insert, knee disarticulation (Kemblo, Pelite, Aliplast, Plastazote or equal), Addition to lower extremity, socket insert, above knee (Kemblo, Pelite, Aliplast, Plastazote or equal), Addition to lower extremity, socket insert, multidurometer, Symes, Addition to lower extremity, socket insert, multidurometer, below knee, Addition to lower extremity, below knee, cuff suspension, Addition to lower extremity, below knee, molded distal cushion, Addition to lower extremity, below knee, molded supracondylar suspension ("PTS" or similar), Addition to lower extremity, below knee/above knee suspension locking mechanism (shuttle, lanyard or equal), excludes socket insert, Addition to lower extremity, below knee, removable medial brim suspension, Addition to lower extremity, below knee/above knee, custom fabricated from existing mold or elastomeric or equal, for use with locking mechanism, 2 per right and left side, every 12 months, Addition to lower extremity, below knee, knee joints single axis, pair, Addition to lower extremity, below knee, knee joints, polycentric, pair, Addition to lower extremity, below knee joint covers, pair, Addition to lower extremity, below knee/above knee, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric or equal, not for use with locking mechanism, Addition to lower extremity, below knee, thigh lacer, non-molded, Addition to lower extremity, below knee/above knee, custom fabricated socket insert for congenital or atypical traumatic amputee, silicone gel, elastomeric or equal, for use with or without locking mechanism, initial only (for other than initial use code L5673 or L5679), Addition to lower extremity, below knee, thigh lacer, gluteal/ischial, molded, 1 per right and left side, every 12 months, Addition to lower extremity, below knee/above knee, custom fabricated socket insert for other than congenital or atypical traumatic amputee, silicone gel, elastomeric or equal, for use with or without locking mechanism, initial only (for other than initial use code L5673 or L5679), Addition to lower extremity, below knee, fork strap, Addition to lower extremity prosthesis, below knee, suspension/sealing sleeve, with or without valve, any material, each, Addition to lower extremity, below knee, back check (extension control), Addition to lower extremity, below knee, waist belt, webbing, Addition to lower extremity, below knee, waist belt, padded and lined, Addition to lower extremity, above knee, pelvic control belt, light, Addition to lower extremity, above knee, pelvic control belt, padded and lined, Addition to lower extremity, above knee, pelvic control, sleeve suspension, neoprene or equal, each, Addition to lower extremity, above knee or knee disarticulation, pelvic joint, Addition to lower extremity, above knee or knee disarticulation, pelvic band, Addition to lower extremity, above knee or knee disarticulation, Silesian bandage, All lower extremity prostheses, shoulder harness, Replacement, socket, below knee, molded to patient model, Replacement, socket, above knee/knee disarticulation, including attachment plate, molded to patient model, Replacement, socket, hip disarticulation, including hip joint, molded to patient model, Ankle, Symes, molded to patient model, socket without solid ankle cushion heel (SACH) foot, replacement only, Custom shaped protective cover, below knee, Custom shaped protective cover, above knee, Custom shaped protective cover, knee disarticulation, Custom shaped protective cover, hip disarticulation, Addition, exoskeletal knee-shin system, single axis, manual lock, Addition, exoskeletal knee-shin system, single axis, manual lock, ultra-light material, Addition, exoskeletal knee-shin system, single axis, friction swing and stance phase control (safety knee), Addition, exoskeletal knee-shin system, single axis, variable friction swing phase control, Addition, exoskeletal knee-shin system, polycentric, mechanical stance phase lock, Addition, exoskeletal knee-shin system, polycentric, friction swing and stance phase control, Addition, exoskeletal knee-shin system, single axis, pneumatic swing, friction stance phase control, Addition, exoskeletal knee-shin system, single axis, fluid swing phase control, Addition, exoskeletal knee-shin system, single axis, external joints, fluid swing phase control, Addition, exoskeletal knee-shin system, single axis, fluid swing and stance phase control, Addition, exoskeletal knee-shin system, single axis, pneumatic/hydra pneumatic swing phase control, Addition to lower limb prosthesis, vacuum pump, residual limb volume management and moisture evacuation system, Addition to lower limb prosthesis, vacuum pump, residual limb volume management and moisture evacuation system, heavy duty, Addition, exoskeletal system, below knee, ultra-light material (titanium, carbon fiber or equal), Addition, exoskeletal system, above knee, ultra-light material (titanium, carbon fiber or equal), Addition, exoskeletal system, hip disarticulation, ultra-light material (titanium, carbon fiber or equal), Addition, endoskeletal knee-shin system, single axis, manual lock, Addition, endoskeletal knee-shin system, single axis, manual lock, ultra-light material, Addition, endoskeletal knee-shin system, single axis, friction swing and stance phase control (safety knee), Addition, endoskeletal knee-shin system, polycentric, hydraulic swing phase control, mechanical stance phase lock, Addition, endoskeletal knee-shin system, polycentric, mechanical stance phase lock, Addition, endoskeletal knee-shin system, polycentric, friction swing and stance phase control, Addition, endoskeletal knee-shin system, single axis, pneumatic swing, friction stance phase control, Addition, endoskeletal knee-shin system, single axis, fluid swing phase control, Addition, endoskeletal knee-shin system, single axis, hydraulic swing phase control, with miniature high activity frame, Addition, endoskeletal knee-shin system, single axis, fluid swing and stance phase control, Addition, endoskeletal knee-shin system, single axis, pneumatic/swing phase control, Addition, endoskeletal knee-shin system, 4-bar linkage or multiaxial, pneumatic swing phase control, Addition, endoskeletal knee-shin system, stance flexion feature, adjustable, Addition to endoskeletal, knee-shin system, fluid stance extension, dampening feature, with or without adjustability, Addition, endoskeletal system, above knee or hip disarticulation, knee extension assist, Addition, endoskeletal system, hip disarticulation, mechanical hip extension assist, Addition to lower extremity prosthesis, endoskeletal knee-shin system, microprocessor control feature, swing and stance phase, includes electronic sensor(s), any type, Addition to lower extremity prosthesis, endoskeletal knee-shin system, microprocessor control feature, swing phase only, includes electronic sensor(s), any type, Addition to lower extremity prosthesis, endoskeletal knee shin system, microprocessor control feature, stance phase only, includes electronic sensor(s), any type, Addition, endoskeletal system, below knee, alignable system, Addition, endoskeletal system, above knee or hip disarticulation, alignable system, Addition, endoskeletal system, above knee, knee disarticulation or hip disarticulation, manual lock, Addition, endoskeletal system, high activity knee control frame, Addition, endoskeletal system, below knee, ultra-light material (titanium, carbon fiber or equal), Addition, endoskeletal system, above knee, ultra-light material (titanium, carbon fiber or equal), Addition, endoskeletal system, hip disarticulation, ultra-light material (titanium, carbon fiber or equal), Addition, endoskeletal system, polycentric hip joint, pneumatic or hydraulic control, rotation control, with or without flexion and/or extension control, Addition, endoskeletal system, below knee, flexible protective outer surface covering system, Addition, endoskeletal system, above knee, flexible protective outer surface covering system, Addition, endoskeletal system, hip disarticulation, flexible protective outer surface covering system, Addition to lower limb prosthesis, multiaxial ankle with swing phase active dorsiflexion feature, All lower extremity prostheses, foot, external keel, SACH foot, All lower extremity prosthesis, solid ankle cushion hell (SACH) foot, replacement only, All lower extremity prostheses, foot, flexible keel, Endoskeletal ankle foot system, microprocessor controlled feature, dorsiflexion and/or plantar flexion control, includes power source, All lower extremity prostheses, foot, single axis ankle/foot, All lower extremity prosthesis, foot, combination single axis ankle and flexible keel foot, All lower extremity prostheses, energy storing foot (Seattle Carbon Copy II or equal), All lower extremity prostheses, foot, multi-axial ankle/foot, All lower extremity prostheses, multi- axial ankle, dynamic response foot, one (1) piece system, All lower extremity prostheses, flex-foot system, All lower extremity prostheses, flex-walk system or equal, All exoskeletal lower extremity prostheses, axial rotation unit, All endoskeletal lower extremity prostheses, axial rotation unit, with or without adjustability, All endoskeletal lower extremity prostheses, dynamic prosthetic pylon, All lower extremity prostheses, multi- axial rotation unit ("MCP" or equal), All lower extremity prostheses, shank foot system with vertical loading pylon, Addition to lower limb prosthesis, vertical shock reducing pylon feature, Addition to lower extremity prosthesis, user adjustable heel height, Lower extremity prosthesis not otherwise specified. 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