# L0490: Orthotics (braces and supports)

- **HCPCS code:** L0490
- **CMS description:** Tlso, sagittal-coronal control, one piece rigid plastic shell, with overlapping reinforced anterior, with multiple straps and closures, posterior extends from sacrococcygeal junction and terminates at or before the t-9 vertebra, anterior extends from symphysis pubis to xiphoid, anterior opening, restricts gross trunk motion in sagittal and coronal planes, 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

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Canonical: https://www.verifytx.com/stc-lookup/procedure-codes/L0490/