# L0469: Orthotics (braces and supports)

- **HCPCS code:** L0469
- **CMS description:** Tlso, sagittal-coronal control, rigid posterior frame and flexible soft anterior apron with straps, closures and padding, extends from sacrococcygeal junction over scapulae, lateral strength provided by pelvic, thoracic, and lateral frame pieces, restricts gross trunk motion in sagittal and coronal planes, produces intracavitary pressure to reduce load on intervertebral disks, prefabricated, off-the-shelf

## Service Type Codes to Send

1. [DM Durable Medical Equipment](https://www.verifytx.com/stc-lookup/service-types/DM/)
2. [75 Prosthetic Device](https://www.verifytx.com/stc-lookup/service-types/75/)

**Why these codes:** 5010 has no orthotics code; payers answer braces under DME, some under prosthetic devices.

**Sources:** CMS HCPCS Level II descriptor; X12 HIPAA 5010 service type code definitions; VerifyTX billing practice

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Canonical: https://www.verifytx.com/stc-lookup/procedure-codes/L0469/