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.