LSO

L Code Opening Liner Type
L 0490 Single opening unlined Prefab
L 0638 Single opening lined Custom
L 0640 Bivalve lined / unlined Custom
L 0491 Bivalve lined (low anterior-high posterior) Prefab
L 0639 Single opening lined / unlined Prefab

TLSO

L Code Opening Liner Type
L 0480 Single opening unlined Custom
L 0482 Single opening lined Custom
L 0488 Single opening lined Prefab
L 0484 Bivalve unlined Custom
L 0486 Bivalve lined Custom

Hip

Additions to LSO or TLSO

L Code Description Type
L 2600 Hip Joint – Clevis or Thrust Bearing (Becker) No Lock ( Free Motion)
L 2610 Hip Joint – Clevis or Thrust Bearing (Becker) With Lock
L 2620 Hip Joint – Heavy Duty SS Joint
L 2622 Hip Joint – Adjustable Flexion or Extension Lerman Adjustable
L 2405 Hip Joint – Adjustable Flexion or Extension Lerman Adjustable with Drop Lock
L 2624 Hip Joint – Adjustable Flex. or Ext. / Abd or Add. Becker Multi-Axis
L 2330 Thigh Cuff Molded to Patient Model

Cervical

L Code Description Liner Type
L 0190 Multiple Post, Occipital / Mandibula SOMI, Guilford, Taylor
L 0200 Multiple Post, Occipital / Mandibular Lerman Cervical
L 0700 CTLSO Bivalve, (Queen Ann Style ) unlined Custom
L 0710 CTLSO Bivalve, (Queen Ann Style ) lined Custom

Scoliosis - Milwaukee

L Code Description Type
L 1000 CTLSO (Milwaukee) By Measurements
L 1300 Scoliosis Orthosis By Cast
L Code Item Description
L 1010 Axilla Sling
L 1020 Kyphosis Pads (Post. Static Pads)
L 1025 Floating Kyphosis Pad
L 1085 Bilateral Outrigger with Floating Pad (Kyphosis Pad)
L 1030 Lumbar Bolster Pad (Lumbar Pad)
L 1040 Lumbar or Lumbar Rib Pad (Static Pad on Bar)
L 1050 Sternal Pad
L 1060 Thoracic Pad
L 1080 Out Rigger (For Thoracic Pad)
L 1070 Trapezius Sling (Shoulder Depressor)
L 1090 Lumbar Sling (Floating Lumbar Pad on Bar)
L 1100 Shoulder Ring (Plastic or Leather By Measurments)
L 1110 Shoulder Ring (Custom Molded)
L 1120 Upright Covers each

Scoliosis

L Code Description Type
L 1200 TLSO (Boston, Providence, Rosenberg, Wilmington, Zamosky)
L 1300 Scoliosis Orthosis By Cast

Scoliosis Additions

L Code Item Description
L 1210 Lateral Thoracic Extension (Axilla)
L 1220 Anterior Thoracic Extension (Ant Milwaukee Bar
L 1240 Lumbar Derotation Pad
L 1250 ASIS Pad (ASIS Relief Pad)
L 1260 Anterior Thoracic Derotation Pad
L 1060 Thoracic Pad
L 1270 Abdominal Pad
L 1280 Elastic Rib Gusset
L 1290 Trochanteric Pad

Scoliosis Pads

1 Prov Front 1200x1505 72 Horz

Scoliosis Pads
An overview of Scoliosis pads
and their placement.

Scoliosis - Providence

Lumbar Curve

L Code Item Description
L 1200 Providence Base Code
L 1240 Providence Lumbar Pad
L 1290 Providence Trochanter Pad
L 1210 Providence Axilla Ext.

Thoracolumbar Curve

L Code Item Description
L 1200 Providence Base Code
L 1210 Providence Axilla Ext.
L 1240 Providence Lumbar Pad
L 1060 Providence Thoracic Pad
L 1290 Providence Trochanter Pad

Double Major Curve

L Code Item Description
L 1200 Providence Base Code
L 1210 Providence Axilla Ext.
L 1240 Providence Lumbar Pad
L 1060 Providence Thoracic Pad
L 1290 Providence Trochanter Pad

Scoliosis - Full Time

Lumbar Curve

L Code Item Description
L 1200 Full Time Base Code
L 1240 Full Time Lumbar Pad
L 1290 Full Time Trochanter Pad
L1280 Full Time Gusset (Per Gusset)
L 1210 Full Time Axilla Ext.

Thoracolumbar Curve

L Code Item Description
L 1200 Full Time Base Code
L 1210 Full Time Axilla Ext.
L 1240 Full Time Lumbar Pad
L 1060 Full Time Thoracic Pad
L1290 Full Time Trochanter Pad

Double Major Curves

L Code Item Description
L 1200 Full Time Base Code
L 1210 Full Time Axilla Ext.
L 1240 Full Time Lumbar Pad
L 1060 Full Time Thoracic Pad
L1290 Full Time Trochanter Pad

Prefabricated - OTS (Off The Shelf)

L Code Item Description
L 0637 SpinaLoc
S.T.O.P. Series
L 0460 STOP 1 & 2
L 0462 STOP 3
L 0464 STOP 4
SpinaLoc X Series
L0637 or L0650 Model X1 LSO 9” Front and 14” Back with lateral panel
L0637 or L0650 Model X2 LSO 7” Front and 14” Back with lateral panels
L0627 or L064 Model X3 LSO 7” Front and 12” Back with NO lateral panels
L0456 or L0457 Model X6 TLSO 9” Front and 18” Back with lateral panels
L0456 or L0457 Model X7 TLSO 7” Front and 18” Back with lateral panels
L0456 or L0457 Model X8 TLSO 7” Front 18” Back with ATE and lateral panels
L0631 or L0648 Model X9 LSO 9” Front and 14” Back with NO lateral panels2 Piece Design
L0631 or L0648 Model X10 LSO 7” Front and 14” Back with NO lateral panels 2 Piece Design
The SpinaLoc XT Orthosis
L0627 or L0642 XT Model LSO 3 Back Heights Available
L0627 or L0642 XT8 LSO 8” back heighttapered to a 4” front
L0627 or L0642 XT10 LSO 10” back heighttapered to a 6” front
L0627 or L0642 XT12 LSO 12” back heighttapered to a 6” front