L0112	Cranial cervical orthosis
L0113	Cranial cervical torticollis
L0120	Cerv flex n/adj foam pre ots
L0130	Flex thermoplastic collar mo
L0140	Cervical semi-rigid adjustab
L0150	Cerv semi-rig adj molded chn
L0160	Cerv sr wire occ/man pre ots
L0170	Cervical collar molded to pt
L0172	Cerv col sr foam 2pc pre ots
L0174	Cerv sr 2pc thor ext pre ots
L0180	Cer post col occ/man sup adj
L0190	Cerv collar supp adj cerv ba
L0200	Cerv col supp adj bar & thor
L0220	Thor rib belt custom fabrica
L0450	Tlso flex trunk/thor pre ots
L0452	Tlso flex custom fab thoraci
L0454	Tlso trnk sj-t9 pre cst
L0455	Tlso flex trnk sj-t9 pre ots
L0456	Tlso flex trnk sj-ss pre cst
L0457	Tlso flex trnk sj-ss pre ots
L0458	Tlso 2mod symphis-xipho pre
L0460	Tlso 2 shl symphys-stern cst
L0462	Tlso 3mod sacro-scap pre
L0464	Tlso 4mod sacro-scap pre
L0466	Tlso r fram soft ant pre cst
L0467	Tlso r fram soft pre ots
L0468	Tlso rig fram pelvic pre cst
L0469	Tlso rig fram pelvic pre ots
L0470	Tlso rigid frame pre subclav
L0472	Tlso rigid frame hyperex pre
L0480	Tlso rigid plastic custom fa
L0482	Tlso rigid lined custom fab
L0484	Tlso rigid plastic cust fab
L0486	Tlso rigidlined cust fab two
L0488	Tlso rigid lined pre one pie
L0490	Tlso rigid plastic pre one
L0491	Tlso 2 piece rigid shell
L0492	Tlso 3 piece rigid shell
L0621	Sio flex pelvic/sacr pre ots
L0622	Sio flex pelvisacral custom
L0623	Sio rig pnl pelv/sac pre ots
L0624	Sio panel custom
L0625	Lo flex l1-below l5 pre ots
L0626	Lo sag rig pnl stays pre cst
L0627	Lo sag ri an/pos pnl pre cst
L0628	Lso flex no ri stays pre ots
L0629	Lso flex w/rigid stays cust
L0630	Lso r post pnl sj-t9 pre cst
L0631	Lso sag r an/pos pnl pre cst
L0632	Lso sag rigid frame cust
L0633	Lso sc r pos/lat pnl pre cst
L0634	Lso flexion control custom
L0635	Lso sagit rigid panel prefab
L0636	Lso sagittal rigid panel cus
L0637	Lso sc r ant/pos pnl pre cst
L0638	Lso sag-coronal panel custom
L0639	Lso s/c shell/panel prefab
L0640	Lso s/c shell/panel custom
L0641	Lo rig pos pnl l1-l5 pre ots
L0642	Lo sag ri an/pos pnl pre ots
L0643	Lso sag ctr rigi pos pre ots
L0648	Lso sag r an/pos pnl pre ots
L0649	Lso sc r pos/lat pnl pre ots
L0650	Lso sc r ant/pos pnl pre ots
L0651	Lso sag-co shell pnl pre ots
L0700	Ctlso a-p-l control molded
L0710	Ctlso a-p-l control w/ inter
L0810	Halo cervical into jckt vest
L0820	Halo cervical into body jack
L0830	Halo cerv into milwaukee typ
L0859	Mri compatible system
L0861	Halo repl liner/interface
L0970	Tlso corset front
L0972	Lso corset front
L0974	Tlso full corset
L0976	Lso full corset
L0978	Axillary crutch extension
L0980	Peroneal straps pair pre ots
L0982	Stocking sup grips 4 pre ots
L0984	Protect body sock ea pre ots
L0999	Add to spinal orthosis nos
L1000	Ctlso milwauke initial model
L1001	Ctlso infant immobilizer
L1005	Tension based scoliosis orth
L1010	Ctlso axilla sling
L1020	Kyphosis pad
L1025	Kyphosis pad floating
L1030	Lumbar bolster pad
L1040	Lumbar or lumbar rib pad
L1050	Sternal pad
L1060	Thoracic pad
L1070	Trapezius sling
L1080	Outrigger
L1085	Outrigger bil w/ vert extens
L1090	Lumbar sling
L1100	Ring flange plastic/leather
L1110	Ring flange plas/leather mol
L1120	Covers for upright each
L1200	Furnsh initial orthosis only
L1210	Lateral thoracic extension
L1220	Anterior thoracic extension
L1230	Milwaukee type superstructur
L1240	Lumbar derotation pad
L1250	Anterior asis pad
L1260	Anterior thoracic derotation
L1270	Abdominal pad
L1280	Rib gusset (elastic) each
L1290	Lateral trochanteric pad
L1300	Body jacket mold to patient
L1310	Post-operative body jacket
L1499	Spinal orthosis nos
L1600	Ho flex frejka w/cov pre cst
L1610	Ho frejka cov only pre cst
L1620	Ho flex pavlik harns pre cst
L1630	Abduct control hip semi-flex
L1640	Pelv band/spread bar thigh c
L1650	Ho abduction hip adjustable
L1652	Ho bi thighcuffs w sprdr bar
L1660	Ho abduction static plastic
L1680	Pelvic & hip control thigh c
L1685	Post-op hip abduct custom fa
L1686	Ho post-op hip abduction
L1690	Combination bilateral ho
L1700	Leg perthes orth toronto typ
L1710	Legg perthes orth newington
L1720	Legg perthes orthosis trilat
L1730	Legg perthes orth scottish r
L1755	Legg perthes patten bottom t
L1810	Ko elastic with joints
L1812	Ko elastic w/joints pre ots
L1820	Ko elas w/ condyle pads & jo
L1830	Ko immob canvas long pre ots
L1831	Knee orth pos locking joint
L1832	Ko adj jnt pos r sup pre cst
L1833	Ko adj jnt pos r sup pre ots
L1834	Ko w/0 joint rigid molded to
L1836	Ko rigid w/o joints pre ots
L1840	Ko derot ant cruciate custom
L1843	Ko single upright pre cst
L1844	Ko w/adj jt rot cntrl molded
L1845	Ko double upright pre cst
L1846	Ko w adj flex/ext rotat mold
L1847	Ko dbl upright w/air pre cst
L1848	Ko dbl upright w/air pre ots
L1850	Ko swedish type pre ots
L1851	Ko single upright prefab ots
L1852	Ko double upright prefab ots
L1860	Ko supracondylar socket mold
L1900	Afo sprng wir drsflx calf bd
L1902	Afo ankle gauntlet pre ots
L1904	Afo molded ankle gauntlet
L1906	Afo multilig ank sup pre ots
L1907	Afo supramalleolar custom
L1910	Afo sing bar clasp attach sh
L1920	Afo sing upright w/ adjust s
L1930	Afo plastic
L1932	Afo rig ant tib prefab tcf/=
L1940	Afo molded to patient plasti
L1945	Afo molded plas rig ant tib
L1950	Afo spiral molded to pt plas
L1951	Afo spiral prefabricated
L1960	Afo pos solid ank plastic mo
L1970	Afo plastic molded w/ankle j
L1971	Afo w/ankle joint, prefab
L1980	Afo sing solid stirrup calf
L1990	Afo doub solid stirrup calf
L2000	Kafo sing fre stirr thi/calf
L2005	Kafo sng/dbl mechanical act
L2006	Kaf sng/dbl swg/stn mcpr cus
L2010	Kafo sng solid stirrup w/o j
L2020	Kafo dbl solid stirrup band/
L2030	Kafo dbl solid stirrup w/o j
L2034	Kafo pla sin up w/wo k/a cus
L2035	Kafo plastic pediatric size
L2036	Kafo plas doub free knee mol
L2037	Kafo plas sing free knee mol
L2038	Kafo w/o joint multi-axis an
L2040	Hkafo torsion bil rot straps
L2050	Hkafo torsion cable hip pelv
L2060	Hkafo torsion ball bearing j
L2070	Hkafo torsion unilat rot str
L2080	Hkafo unilat torsion cable
L2090	Hkafo unilat torsion ball br
L2106	Afo tib fx cast plaster mold
L2108	Afo tib fx cast molded to pt
L2112	Afo tibial fracture soft
L2114	Afo tib fx semi-rigid
L2116	Afo tibial fracture rigid
L2126	Kafo fem fx cast thermoplas
L2128	Kafo fem fx cast molded to p
L2132	Kafo femoral fx cast soft
L2134	Kafo fem fx cast semi-rigid
L2136	Kafo femoral fx cast rigid
L2180	Plas shoe insert w ank joint
L2182	Drop lock knee
L2184	Limited motion knee joint
L2186	Adj motion knee jnt lerman t
L2188	Quadrilateral brim
L2190	Waist belt
L2192	Pelvic band & belt thigh fla
L2200	Limited ankle motion ea jnt
L2210	Dorsiflexion assist each joi
L2220	Dorsi & plantar flex ass/res
L2230	Split flat caliper stirr & p
L2232	Rocker bottom, contact afo
L2240	Round caliper and plate atta
L2250	Foot plate molded stirrup at
L2260	Reinforced solid stirrup
L2265	Long tongue stirrup
L2270	Varus/valgus strap padded/li
L2275	Plastic mod low ext pad/line
L2280	Molded inner boot
L2300	Abduction bar jointed adjust
L2310	Abduction bar-straight
L2320	Non-molded lacer
L2330	Lacer molded to patient mode
L2335	Anterior swing band
L2340	Pre-tibial shell molded to p
L2350	Prosthetic type socket molde
L2360	Extended steel shank
L2370	Patten bottom
L2375	Torsion ank & half solid sti
L2380	Torsion straight knee joint
L2385	Straight knee joint heavy du
L2387	Add le poly knee custom kafo
L2390	Offset knee joint each
L2395	Offset knee joint heavy duty
L2397	Suspension sleeve lower ext
L2405	Knee joint drop lock ea jnt
L2415	Knee joint cam lock each joi
L2425	Knee disc/dial lock/adj flex
L2430	Knee jnt ratchet lock ea jnt
L2492	Knee lift loop drop lock rin
L2500	Thi/glut/ischia wgt bearing
L2510	Th/wght bear quad-lat brim m
L2520	Th/wght bear quad-lat brim c
L2525	Th/wght bear nar m-l brim mo
L2526	Th/wght bear nar m-l brim cu
L2530	Thigh/wght bear lacer non-mo
L2540	Thigh/wght bear lacer molded
L2550	Thigh/wght bear high roll cu
L2570	Hip clevis type 2 posit jnt
L2580	Pelvic control pelvic sling
L2600	Hip clevis/thrust bearing fr
L2610	Hip clevis/thrust bearing lo
L2620	Pelvic control hip heavy dut
L2622	Hip joint adjustable flexion
L2624	Hip adj flex ext abduct cont
L2627	Plastic mold recipro hip & c
L2628	Metal frame recipro hip & ca
L2630	Pelvic control band & belt u
L2640	Pelvic control band & belt b
L2650	Pelv & thor control gluteal
L2660	Thoracic control thoracic ba
L2670	Thorac cont paraspinal uprig
L2680	Thorac cont lat support upri
L2750	Plating chrome/nickel pr bar
L2755	Carbon graphite lamination
L2760	Extension per extension per
L2768	Ortho sidebar disconnect
L2780	Non-corrosive finish
L2785	Drop lock retainer each
L2795	Knee control full kneecap
L2800	Knee cap medial or lateral p
L2810	Knee control condylar pad
L2820	Soft interface below knee se
L2830	Soft interface above knee se
L2840	Tibial length sock fx or equ
L2850	Femoral lgth sock fx or equa
L2861	Torsion mechanism knee/ankle
L2999	Lower extremity orthosis nos
L3000	Ft insert ucb berkeley shell
L3001	Foot insert remov molded spe
L3002	Foot insert plastazote or eq
L3003	Foot insert silicone gel eac
L3010	Foot longitudinal arch suppo
L3020	Foot longitud/metatarsal sup
L3030	Foot arch support remov prem
L3031	Foot lamin/prepreg composite
L3040	Ft arch suprt premold longit
L3050	Foot arch supp premold metat
L3060	Foot arch supp longitud/meta
L3070	Arch suprt att to sho longit
L3080	Arch supp att to shoe metata
L3090	Arch supp att to shoe long/m
L3100	Hallus-valgus nt dyn pre ots
L3140	Abduction rotation bar shoe
L3150	Abduct rotation bar w/o shoe
L3160	Shoe styled positioning dev
L3170	Foot plas heel stabi pre ots
L3201	Oxford w supinat/pronat inf
L3202	Oxford w/ supinat/pronator c
L3203	Oxford w/ supinator/pronator
L3204	Hightop w/ supp/pronator inf
L3206	Hightop w/ supp/pronator chi
L3207	Hightop w/ supp/pronator jun
L3208	Surgical boot each infant
L3209	Surgical boot each child
L3211	Surgical boot each junior
L3212	Benesch boot pair infant
L3213	Benesch boot pair child
L3214	Benesch boot pair junior
L3215	Orthopedic ftwear ladies oxf
L3216	Orthoped ladies shoes dpth i
L3217	Ladies shoes hightop depth i
L3219	Orthopedic mens shoes oxford
L3221	Orthopedic mens shoes dpth i
L3222	Mens shoes hightop depth inl
L3224	Woman's shoe oxford brace
L3225	Man's shoe oxford brace
L3230	Custom shoes depth inlay
L3250	Custom mold shoe remov prost
L3251	Shoe molded to pt silicone s
L3252	Shoe molded plastazote cust
L3253	Shoe molded plastazote cust
L3254	Orth foot non-stndard size/w
L3255	Orth foot non-standard size/
L3257	Orth foot add charge split s
L3260	Ambulatory surgical boot eac
L3265	Plastazote sandal each
L3300	Sho lift taper to metatarsal
L3310	Shoe lift elev heel/sole neo
L3320	Shoe lift elev heel/sole cor
L3330	Lifts elevation metal extens
L3332	Shoe lifts tapered to one-ha
L3334	Shoe lifts elevation heel /i
L3340	Shoe wedge sach
L3350	Shoe heel wedge
L3360	Shoe sole wedge outside sole
L3370	Shoe sole wedge between sole
L3380	Shoe clubfoot wedge
L3390	Shoe outflare wedge
L3400	Shoe metatarsal bar wedge ro
L3410	Shoe metatarsal bar between
L3420	Full sole/heel wedge btween
L3430	Sho heel count plast reinfor
L3440	Heel leather reinforced
L3450	Shoe heel sach cushion type
L3455	Shoe heel new leather standa
L3460	Shoe heel new rubber standar
L3465	Shoe heel thomas with wedge
L3470	Shoe heel thomas extend to b
L3480	Shoe heel pad & depress for
L3485	Shoe heel pad removable for
L3500	Ortho shoe add leather insol
L3510	Orthopedic shoe add rub insl
L3520	O shoe add felt w leath insl
L3530	Ortho shoe add half sole
L3540	Ortho shoe add full sole
L3550	O shoe add standard toe tap
L3560	O shoe add horseshoe toe tap
L3570	O shoe add instep extension
L3580	O shoe add instep velcro clo
L3590	O shoe convert to sof counte
L3595	Ortho shoe add march bar
L3600	Trans shoe calip plate exist
L3610	Trans shoe caliper plate new
L3620	Trans shoe solid stirrup exi
L3630	Trans shoe solid stirrup new
L3640	Shoe dennis browne splint bo
L3649	Orthopedic shoe modifica nos
L3650	So 8 abd restraint pre ots
L3660	So 8 ab rstr can/web pre ots
L3670	So acro/clav can web pre ots
L3671	So cap design w/o jnts cf
L3674	So airplane w/wo joint cf
L3675	So vest canvas/web pre ots
L3677	So hard plas stabili pre cst
L3678	So hard plas stabili pre ots
L3702	Eo w/o joints cf
L3710	Eo elas w/metal jnts pre ots
L3720	Forearm/arm cuffs free motio
L3730	Forearm/arm cuffs ext/flex a
L3740	Cuffs adj lock w/ active con
L3760	Eo adj jt prefab custom fit
L3761	Eo, adj lock joint prefab ot
L3762	Eo rigid w/o joints pre ots
L3763	Ewho rigid w/o jnts cf
L3764	Ewho w/joint(s) cf
L3765	Ewhfo rigid w/o jnts cf
L3766	Ewhfo w/joint(s) cf
L3806	Whfo w/joint(s) custom fab
L3807	Whfo w/o joints pre cst
L3808	Whfo, rigid w/o joints
L3809	Whfo w/o joints pre ots
L3891	Torsion mechanism wrist/elbo
L3900	Hinge extension/flex wrist/f
L3901	Hinge ext/flex wrist finger
L3904	Whfo electric custom fitted
L3905	Who w/nontorsion jnt(s) cf
L3906	Who w/o joints cf
L3908	Who cock-up nonmolde pre ots
L3912	Hfo flexion glove pre ots
L3913	Hfo w/o joints cf
L3915	Who nontorsion jnts pre cst
L3916	Who nontorsion jnts pre ots
L3917	Metacarp fx orthosis pre cst
L3918	Metacarp fx orthosis pre ots
L3919	Ho w/o joints cf
L3921	Hfo w/joint(s) cf
L3923	Hfo without joints pre cst
L3924	Hfo without joints pre ots
L3925	Fo pip dip jnt/sprng pre ots
L3927	Fo pip dip no jt spr pre ots
L3929	Hfo nontorsion jnts pre cst
L3930	Hfo nontorsion jnts pre ots
L3931	Whfo nontorsion joint prefab
L3933	Fo w/o joints cf
L3935	Fo nontorsion joint cf
L3956	Add joint upper ext orthosis
L3960	Sewho airplan desig abdu pos
L3961	Sewho cap design w/o jnts cf
L3962	Sewho erbs palsey design abd
L3967	Sewho airplane w/o jnts cf
L3971	Sewho cap design w/jnt(s) cf
L3973	Sewho airplane w/jnt(s) cf
L3975	Sewhfo cap design w/o jnt cf
L3976	Sewhfo airplane w/o jnts cf
L3977	Sewhfo cap desgn w/jnt(s) cf
L3978	Sewhfo airplane w/jnt(s) cf
L3980	Up ext fx orthos humeral nos
L3981	Ue fx orth shoul cap forearm
L3982	Upper ext fx orthosis rad/ul
L3984	Upper ext fx orthosis wrist
L3995	Sock fracture or equal each
L3999	Upper limb orthosis nos
L4000	Repl girdle milwaukee orth
L4002	Replace strap, any orthosis
L4010	Replace trilateral socket br
L4020	Replace quadlat socket brim
L4030	Replace socket brim cust fit
L4040	Replace molded thigh lacer
L4045	Replace non-molded thigh lac
L4050	Replace molded calf lacer
L4055	Replace non-molded calf lace
L4060	Replace high roll cuff
L4070	Replace prox & dist upright
L4080	Repl met band kafo-afo prox
L4090	Repl met band kafo-afo calf/
L4100	Repl leath cuff kafo prox th
L4110	Repl leath cuff kafo-afo cal
L4130	Replace pretibial shell
L4205	Ortho dvc repair per 15 min
L4210	Orth dev repair/repl minor p
L4350	Ankle control ortho pre ots
L4360	Pneumat walking boot pre cst
L4361	Pneuma/vac walk boot pre ots
L4370	Pneum full leg splnt pre ots
L4386	Non-pneum walk boot pre cst
L4387	Non-pneum walk boot pre ots
L4392	Replace afo soft interface
L4394	Replace foot drop spint
L4396	Static or dynami afo pre cst
L4397	Static or dynami afo pre ots
L4398	Foot drop splint pre ots
L4631	Afo, walk boot type, cus fab
L5000	Sho insert w arch toe filler
L5010	Mold socket ank hgt w/ toe f
L5020	Tibial tubercle hgt w/ toe f
L5050	Ank symes mold sckt sach ft
L5060	Symes met fr leath socket ar
L5100	Molded socket shin sach foot
L5105	Plast socket jts/thgh lacer
L5150	Mold sckt ext knee shin sach
L5160	Mold socket bent knee shin s
L5200	Kne sing axis fric shin sach
L5210	No knee/ankle joints w/ ft b
L5220	No knee joint with artic ali
L5230	Fem focal defic constant fri
L5250	Hip canad sing axi cons fric
L5270	Tilt table locking hip sing
L5280	Hemipelvect canad sing axis
L5301	Bk mold socket sach ft endo
L5312	Knee disart, sach ft, endo
L5321	Ak open end sach
L5331	Hip disart canadian sach ft
L5341	Hemipelvectomy canadian sach
L5400	Postop dress & 1 cast chg bk
L5410	Postop dsg bk ea add cast ch
L5420	Postop dsg & 1 cast chg ak/d
L5430	Postop dsg ak ea add cast ch
L5450	Postop app non-wgt bear dsg
L5460	Postop app non-wgt bear dsg
L5500	Init bk ptb plaster direct
L5505	Init ak ischal plstr direct
L5510	Prep bk ptb plaster molded
L5520	Perp bk ptb thermopls direct
L5530	Prep bk ptb thermopls molded
L5535	Prep bk ptb open end socket
L5540	Prep bk ptb laminated socket
L5560	Prep ak ischial plast molded
L5570	Prep ak ischial direct form
L5580	Prep ak ischial thermo mold
L5585	Prep ak ischial open end
L5590	Prep ak ischial laminated
L5595	Hip disartic sach thermopls
L5600	Hip disart sach laminat mold
L5610	Above knee hydracadence
L5611	Ak 4 bar link w/fric swing
L5613	Ak 4 bar ling w/hydraul swig
L5614	4-bar link above knee w/swng
L5616	Ak univ multiplex sys frict
L5617	Ak/bk self-aligning unit ea
L5618	Test socket symes
L5620	Test socket below knee
L5622	Test socket knee disarticula
L5624	Test socket above knee
L5626	Test socket hip disarticulat
L5628	Test socket hemipelvectomy
L5629	Below knee acrylic socket
L5630	Syme typ expandabl wall sckt
L5631	Ak/knee disartic acrylic soc
L5632	Symes type ptb brim design s
L5634	Symes type poster opening so
L5636	Symes type medial opening so
L5637	Below knee total contact
L5638	Below knee leather socket
L5639	Below knee wood socket
L5640	Knee disarticulat leather so
L5642	Above knee leather socket
L5643	Hip flex inner socket ext fr
L5644	Above knee wood socket
L5645	Bk flex inner socket ext fra
L5646	Below knee cushion socket
L5647	Below knee suction socket
L5648	Above knee cushion socket
L5649	Isch containmt/narrow m-l so
L5650	Tot contact ak/knee disart s
L5651	Ak flex inner socket ext fra
L5652	Suction susp ak/knee disart
L5653	Knee disart expand wall sock
L5654	Socket insert symes
L5655	Socket insert below knee
L5656	Socket insert knee articulat
L5658	Socket insert above knee
L5661	Multi-durometer symes
L5665	Multi-durometer below knee
L5666	Below knee cuff suspension
L5668	Bk molded distal cushion
L5670	Bk molded supracondylar susp
L5671	Bk/ak locking mechanism
L5672	Bk removable medial brim sus
L5673	Socket insert w lock mech
L5676	Bk knee joints single axis p
L5677	Bk knee joints polycentric p
L5678	Bk joint covers pair
L5679	Socket insert w/o lock mech
L5680	Bk thigh lacer non-molded
L5681	Intl custm cong/latyp insert
L5682	Bk thigh lacer glut/ischia m
L5683	Initial custom socket insert
L5684	Bk fork strap
L5685	Below knee sus/seal sleeve
L5686	Bk back check
L5688	Bk waist belt webbing
L5690	Bk waist belt padded and lin
L5692	Ak pelvic control belt light
L5694	Ak pelvic control belt pad/l
L5695	Ak sleeve susp neoprene/equa
L5696	Ak/knee disartic pelvic join
L5697	Ak/knee disartic pelvic band
L5698	Ak/knee disartic silesian ba
L5699	Shoulder harness
L5700	Replace socket below knee
L5701	Replace socket above knee
L5702	Replace socket hip
L5703	Symes ankle w/o (sach) foot
L5704	Custom shape cover bk
L5705	Custom shape cover ak
L5706	Custom shape cvr knee disart
L5707	Custom shape cvr hip disart
L5710	Kne-shin exo sng axi mnl loc
L5711	Knee-shin exo mnl lock ultra
L5712	Knee-shin exo frict swg & st
L5714	Knee-shin exo variable frict
L5716	Knee-shin exo mech stance ph
L5718	Knee-shin exo frct swg & sta
L5722	Knee-shin pneum swg frct exo
L5724	Knee-shin exo fluid swing ph
L5726	Knee-shin ext jnts fld swg e
L5728	Knee-shin fluid swg & stance
L5780	Knee-shin pneum/hydra pneum
L5781	Lower limb pros vacuum pump
L5782	Hd low limb pros vacuum pump
L5785	Exoskeletal bk ultralt mater
L5790	Exoskeletal ak ultra-light m
L5795	Exoskel hip ultra-light mate
L5810	Endoskel knee-shin mnl lock
L5811	Endo knee-shin mnl lck ultra
L5812	Endo knee-shin frct swg & st
L5814	Endo knee-shin hydral swg ph
L5816	Endo knee-shin polyc mch sta
L5818	Endo knee-shin frct swg & st
L5822	Endo knee-shin pneum swg frc
L5824	Endo knee-shin fluid swing p
L5826	Miniature knee joint
L5828	Endo knee-shin fluid swg/sta
L5830	Endo knee-shin pneum/swg pha
L5840	Multi-axial knee/shin system
L5845	Knee-shin sys stance flexion
L5848	Knee-shin sys hydraul stance
L5850	Endo ak/hip knee extens assi
L5855	Mech hip extension assist
L5856	Elec knee-shin swing/stance
L5857	Elec knee-shin swing only
L5858	Stance phase only
L5859	Knee-shin pro flex/ext cont
L5910	Endo below knee alignable sy
L5920	Endo ak/hip alignable system
L5925	Above knee manual lock
L5930	High activity knee frame
L5940	Endo bk ultra-light material
L5950	Endo ak ultra-light material
L5960	Endo hip ultra-light materia
L5961	Endo poly hip, pneu/hyd/rot
L5962	Below knee flex cover system
L5964	Above knee flex cover system
L5966	Hip flexible cover system
L5968	Multiaxial ankle w dorsiflex
L5969	Ak/ft power asst incl motors
L5970	Foot external keel sach foot
L5971	Sach foot, replacement
L5972	Flexible keel foot
L5973	Ank-foot sys dors-plant flex
L5974	Foot single axis ankle/foot
L5975	Combo ankle/foot prosthesis
L5976	Energy storing foot
L5978	Ft prosth multiaxial ankl/ft
L5979	Multi-axial ankle/ft prosth
L5980	Flex foot system
L5981	Flex-walk sys low ext prosth
L5982	Exoskeletal axial rotation u
L5984	Endoskeletal axial rotation
L5985	Lwr ext dynamic prosth pylon
L5986	Multi-axial rotation unit
L5987	Shank ft w vert load pylon
L5988	Vertical shock reducing pylo
L5990	User adjustable heel height
L5999	Lowr extremity prosthes nos
L6000	Part hand thumb rem
L6010	Part hand little/ring
L6020	Part hand no fingers
L6026	Part hand myo exclu term dev
L6050	Wrst mld sck flx hng tri pad
L6055	Wrst mold sock w/exp interfa
L6100	Elb mold sock flex hinge pad
L6110	Elbow mold sock suspension t
L6120	Elbow mold doub splt soc ste
L6130	Elbow stump activated lock h
L6200	Elbow mold outsid lock hinge
L6205	Elbow molded w/ expand inter
L6250	Elbow inter loc elbow forarm
L6300	Shlder disart int lock elbow
L6310	Shoulder passive restor comp
L6320	Shoulder passive restor cap
L6350	Thoracic intern lock elbow
L6360	Thoracic passive restor comp
L6370	Thoracic passive restor cap
L6380	Postop dsg cast chg wrst/elb
L6382	Postop dsg cast chg elb dis/
L6384	Postop dsg cast chg shlder/t
L6386	Postop ea cast chg & realign
L6388	Postop applicat rigid dsg on
L6400	Below elbow prosth tiss shap
L6450	Elb disart prosth tiss shap
L6500	Above elbow prosth tiss shap
L6550	Shldr disar prosth tiss shap
L6570	Scap thorac prosth tiss shap
L6580	Wrist/elbow bowden cable mol
L6582	Wrist/elbow bowden cbl dir f
L6584	Elbow fair lead cable molded
L6586	Elbow fair lead cable dir fo
L6588	Shdr fair lead cable molded
L6590	Shdr fair lead cable direct
L6600	Polycentric hinge pair
L6605	Single pivot hinge pair
L6610	Flexible metal hinge pair
L6611	Additional switch, ext power
L6615	Disconnect locking wrist uni
L6616	Disconnect insert locking wr
L6620	Flexion/extension wrist unit
L6621	Flex/ext wrist w/wo friction
L6623	Spring-ass rot wrst w/ latch
L6624	Flex/ext/rotation wrist unit
L6625	Rotation wrst w/ cable lock
L6628	Quick disconn hook adapter o
L6629	Lamination collar w/ couplin
L6630	Stainless steel any wrist
L6632	Latex suspension sleeve each
L6635	Lift assist for elbow
L6637	Nudge control elbow lock
L6638	Elec lock on manual pw elbow
L6640	Shoulder abduction joint pai
L6641	Excursion amplifier pulley t
L6642	Excursion amplifier lever ty
L6645	Shoulder flexion-abduction j
L6646	Multipo locking shoulder jnt
L6647	Shoulder lock actuator
L6648	Ext pwrd shlder lock/unlock
L6650	Shoulder universal joint
L6655	Standard control cable extra
L6660	Heavy duty control cable
L6665	Teflon or equal cable lining
L6670	Hook to hand cable adapter
L6672	Harness chest/shlder saddle
L6675	Harness figure of 8 sing con
L6676	Harness figure of 8 dual con
L6677	Ue triple control harness
L6680	Test sock wrist disart/bel e
L6682	Test sock elbw disart/above
L6684	Test socket shldr disart/tho
L6686	Suction socket
L6687	Frame typ socket bel elbow/w
L6688	Frame typ sock above elb/dis
L6689	Frame typ socket shoulder di
L6690	Frame typ sock interscap-tho
L6691	Removable insert each
L6692	Silicone gel insert or equal
L6693	Lockingelbow forearm cntrbal
L6694	Elbow socket ins use w/lock
L6695	Elbow socket ins use w/o lck
L6696	Cus elbo skt in for con/atyp
L6697	Cus elbo skt in not con/atyp
L6698	Below/above elbow lock mech
L6703	Term dev, passive hand mitt
L6704	Term dev, sport/rec/work att
L6706	Term dev mech hook vol open
L6707	Term dev mech hook vol close
L6708	Term dev mech hand vol open
L6709	Term dev mech hand vol close
L6711	Ped term dev, hook, vol open
L6712	Ped term dev, hook, vol clos
L6713	Ped term dev, hand, vol open
L6714	Ped term dev, hand, vol clos
L6715	Term device, multi art digit
L6721	Hook/hand, hvy dty, vol open
L6722	Hook/hand, hvy dty, vol clos
L6805	Term dev modifier wrist unit
L6810	Term dev precision pinch dev
L6880	Elec hand ind art digits
L6881	Term dev auto grasp feature
L6882	Microprocessor control uplmb
L6883	Replc sockt below e/w disa
L6884	Replc sockt above elbow disa
L6885	Replc sockt shldr dis/interc
L6890	Prefab glove for term device
L6895	Custom glove for term device
L6900	Hand restorat thumb/1 finger
L6905	Hand restoration multiple fi
L6910	Hand restoration no fingers
L6915	Hand restoration replacmnt g
L6920	Wrist disarticul switch ctrl
L6925	Wrist disart myoelectronic c
L6930	Below elbow switch control
L6935	Below elbow myoelectronic ct
L6940	Elbow disarticulation switch
L6945	Elbow disart myoelectronic c
L6950	Above elbow switch control
L6955	Above elbow myoelectronic ct
L6960	Shldr disartic switch contro
L6965	Shldr disartic myoelectronic
L6970	Interscapular-thor switch ct
L6975	Interscap-thor myoelectronic
L7007	Adult electric hand
L7008	Pediatric electric hand
L7009	Adult electric hook
L7040	Prehensile actuator
L7045	Pediatric electric hook
L7170	Electronic elbow hosmer swit
L7180	Electronic elbow sequential
L7181	Electronic elbo simultaneous
L7185	Electron elbow adolescent sw
L7186	Electron elbow child switch
L7190	Elbow adolescent myoelectron
L7191	Elbow child myoelectronic ct
L7259	Electronic wrist rotator any
L7360	Six volt bat otto bock/eq ea
L7362	Battery chrgr six volt otto
L7364	Twelve volt battery utah/equ
L7366	Battery chrgr 12 volt utah/e
L7367	Replacemnt lithium ionbatter
L7368	Lithium ion battery charger
L7400	Add ue prost be/wd, ultlite
L7401	Add ue prost a/e ultlite mat
L7402	Add ue prost s/d ultlite mat
L7403	Add ue prost b/e acrylic
L7404	Add ue prost a/e acrylic
L7405	Add ue prost s/d acrylic
L7499	Upper extremity prosthes nos
L7510	Prosthetic device repair rep
L7520	Repair prosthesis per 15 min
L7600	Prosthetic donning sleeve
L7700	Pros soc insert gasket/seal
L7900	Male vacuum erection system
L7902	Tension ring, vac erect dev
L8000	Mastectomy bra
L8001	Breast prosthesis bra & form
L8002	Brst prsth bra & bilat form
L8010	Mastectomy sleeve
L8015	Ext breastprosthesis garment
L8020	Mastectomy form
L8030	Breast prosthes w/o adhesive
L8031	Breast prosthesis w adhesive
L8032	Reusable nipple prosthesis
L8033	Nipple prosthesis custom, ea
L8035	Custom breast prosthesis
L8039	Breast prosthesis nos
L8040	Nasal prosthesis
L8041	Midfacial prosthesis
L8042	Orbital prosthesis
L8043	Upper facial prosthesis
L8044	Hemi-facial prosthesis
L8045	Auricular prosthesis
L8046	Partial facial prosthesis
L8047	Nasal septal prosthesis
L8048	Unspec maxillofacial prosth
L8049	Repair maxillofacial prosth
L8300	Truss single w/ standard pad
L8310	Truss double w/ standard pad
L8320	Truss addition to std pad wa
L8330	Truss add to std pad scrotal
L8400	Sheath below knee
L8410	Sheath above knee
L8415	Sheath upper limb
L8417	Pros sheath/sock w gel cushn
L8420	Prosthetic sock multi ply bk
L8430	Prosthetic sock multi ply ak
L8435	Pros sock multi ply upper lm
L8440	Shrinker below knee
L8460	Shrinker above knee
L8465	Shrinker upper limb
L8470	Pros sock single ply bk
L8480	Pros sock single ply ak
L8485	Pros sock single ply upper l
L8499	Unlisted misc prosthetic ser
L8500	Artificial larynx
L8501	Tracheostomy speaking valve
L8505	Artificial larynx, accessory
L8507	Trach-esoph voice pros pt in
L8509	Trach-esoph voice pros md in
L8510	Voice amplifier
L8511	Indwelling trach insert
L8512	Gel cap for trach voice pros
L8513	Trach pros cleaning device
L8514	Repl trach puncture dilator
L8515	Gel cap app device for trach
L8600	Implant breast silicone/eq
L8603	Collagen imp urinary 2.5 ml
L8604	Dextranomer/hyaluronic acid
L8605	Inj bulking agent anal canal
L8606	Synthetic implnt urinary 1ml
L8607	Inj vocal cord bulking agent
L8608	Arg ii ext com/sup/acc misc
L8609	Artificial cornea
L8610	Ocular implant
L8612	Aqueous shunt prosthesis
L8613	Ossicular implant
L8614	Cochlear device
L8615	Coch implant headset replace
L8616	Coch implant microphone repl
L8617	Coch implant trans coil repl
L8618	Coch implant tran cable repl
L8619	Coch imp ext proc/contr rplc
L8621	Repl zinc air battery
L8622	Repl alkaline battery
L8623	Lith ion batt cid,non-earlvl
L8624	Lith ion batt cid, ear level
L8625	Charger coch impl/aoi battry
L8627	Cid ext speech process repl
L8628	Cid ext controller repl
L8629	Cid transmit coil and cable
L8630	Metacarpophalangeal implant
L8631	Mcp joint repl 2 pc or more
L8641	Metatarsal joint implant
L8642	Hallux implant
L8658	Interphalangeal joint spacer
L8659	Interphalangeal joint repl
L8670	Vascular graft, synthetic
L8679	Imp neurosti pls gn any type
L8680	Implt neurostim elctr each
L8681	Pt prgrm for implt neurostim
L8682	Implt neurostim radiofq rec
L8683	Radiofq trsmtr for implt neu
L8684	Radiof trsmtr implt scrl neu
L8685	Implt nrostm pls gen sng rec
L8686	Implt nrostm pls gen sng non
L8687	Implt nrostm pls gen dua rec
L8688	Implt nrostm pls gen dua non
L8689	External recharg sys intern
L8690	Aud osseo dev, int/ext comp
L8691	Aoi snd proc repl excl actua
L8692	Non-osseointegrated snd proc
L8693	Aud osseo dev, abutment
L8694	Aoi transducer/actuator repl
L8695	External recharg sys extern
L8696	Ext antenna phren nerve stim
L8698	Misc used with tot art heart
L8699	Prosthetic implant nos
L8701	Pow ue rom dev ewh uprt cust
L8702	Pow ue rom dev ewhf uprt cus
L9900	O&p supply/accessory/service