# L0472: Orthotics (braces and supports)

- **HCPCS code:** L0472
- **CMS description:** Tlso, triplanar control, hyperextension, rigid anterior and lateral frame extends from symphysis pubis to sternal notch with two anterior components (one pubic and one sternal), posterior and lateral pads with straps and closures, limits spinal flexion, restricts gross trunk motion in sagittal, coronal, and transverse planes, includes fitting and shaping the frame, prefabricated, includes fitting and adjustment

## 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

---

Canonical: https://www.verifytx.com/stc-lookup/procedure-codes/L0472/