L0484 Tlso rigid plastic cust fab

Full Description

Tlso, triplanar control, two piece rigid plastic shell without interface liner,

Code
L0484
Short Description
Tlso rigid plastic cust fab
Section
L — Orthotic and Prosthetic Procedures
Pricing Indicator
38
Source: CMS HCPCS October 2026 quarterly release.

Last reviewed: September 2026