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PDAC Letters

For customer convenience we have compiled this L-Code Index. Click on the desired L-Code to view a pdf of the Medicare letter. You can also click on a product description to visit that individual product page. For more information you can also visit the Medicare website at www.dmepdac.com

 

LCODE ITEM RANGE PRODUCT DESCRIPTION
L0120 15-5000 thru 15-5044 Ultra Cervical Collar
L0210 31-1901 thru 31-1915 Elastic Rib Belt
L0621 35-1419 Trochanter Belt Universal
L0627 35-4000 thru 35-4007 Disc Unloader Orthosis
L0631 35-4300 thru 35-4307 Disc Unloader LSO w/10″ Anterior Panel
L1800 88-5132 thru 88-5149 U-Shape Patella Stabilizer
L1810 86-6182 thru 86-6199 CoolTex J-Pull w/Low Profile Hinge
L1810 88-0322 thru 88-0339 Knee Sleeve w/Hinge
L1810 88-7242 thru 88-7249 6″ Knee-O-Trakker w/Hinge
L1810 88-7272 thru 88-7279 13″ Knee-O-Trakker w/Hinge
L1825 88-7232 thru 88-7239 6″ Knee-O-Trakker
L1830 51-1506 thru 51-1524 Universal Knee Immobilizer
L1830 75-0651 thru 75-2451 Compression Knee Immobilizer
L1832 88-1343 thru 88-1357 13″ Anterior Closure Wrap w/ROM Hinge
L1832 88-1683 thru 88-1697 16″ Anterior Closure Wrap w/ROM Hinge
L1832 88-8453 thru 88-8459 16″ TPAS Contender
L1832 75-7500 thru 75-7550 Contender Post-op Knee Brace
L1902 75-8000 thru 75-8005 Lace-Up AnkleSupport
L3100 61-5327 thru 61-5339 Bunion Splint
L3170 99-4301-100 thru 99-4303-100 Soft Heel Cushion
L3650 23-4100 Universal Comfort Shoulder
L3650 25-1729 thru 1734 Ultra Clavicle Strap
L3660 23-1931 thru 23-1934 Shoulder Abduction Pillow w/Sling
L3670 23-1869 thru 23-1874 Ultra Shoulder Immobilizer
L3670 23-1901 thru 23-1904 Ultra Shoulder Abduction Pillow w/Sling
L3670 72-7180, 72-7181, 72-7182 Cryo Pneumatic Shoulder (0 gel / 1 gel / 2 gels)
L3760 37-2201 thru 37-2213 Elbow Orthosis w/ROM Hinge
L3762 37-2191 thru 37-2193 XR Cubital Tunnel Splint
L3762 43-5071 thru 43-5072 Universal Elbow Immobilizer
L3807 37-0520 thru 37-0534 Wrist Hand Thumb Orthosis (black)
L3807 37-0620 thru 37-0634 Wrist Hand Thumb Orthosis (white)
L3807 37-1221 thru 37-1234 Extended Length Boxer Splint
L3807 73-5000 thru 73-5004 Thumbster Soft
L3807 73-5302 thru 73-5316 Ultra Fit Wrist Splint w/Abducted Thumb 8″
L3908 73-1000 thru 73-1001 Ultra Fit Wrist Splint Universal 8″
L3908 73-1002 thru 73-1016 Ultra Fit Wrist Splint 8″
L3908 73-5551 thru 73-5564 Vinyl Wrist Splint 8″
L3908 73-7550 thru 73-7564 Suede Wrist Lacer Splint 8″
L3923 88-2042 Target Sewn Thumb w/Stays
L3980 37-2061 thru 37-2064 Humeral Splint
L3980 37-2160 thru 37-2165 Extended Length Humeral Splint
L3980 37-2180 thru 37-2185 Mid Length Humeral Splint
L3982 37-2071 thru 37-2074 Ulnar Splint
L4350 75-1025, 75-1125 Ankle Stirrup w/Air Gel Liner (black or white)
L4350 75-1030 Ankle Stirrup w/Memory Foam Liner (black)
L4396 37-4191 thru 37-4194 Ultra Stretch Plantar Fasciitis Splint
L5698 89-1450 thru 89-1457 Next Step Suspension Belt

 

This list is provided to our customers to assist them in receiving reimbursement for our product; the examining practictioner must verify that the suggested code is applicable.Although we have made every effort to make this information is as accurate and up-to-date as possible, we are not responsible for any errors or subsequent changes in the codes. Furthermore, we cannot guarantee eligibility for reimbursement based on these codes.The assignment of a code to a product does not guarantee reimbursement. Eligibility for reimbursement is based on the diagnosis, the medical necessity of the product & special coverage issues. Please contact individual private insurance carriers regarding coverage status or consult your Medicare manual.