Custom-Fit Flexible TLSO HCPCS Code L0456

To bill for thoracolumbosacral orthoses (TLSOs), you'll need to use HCPCS Level II codes, which are designed for healthcare products and services that fall outside the CPT system. All bracing and orthotic devices are categorized under the "L" series of HCPCS codes.

HCPCS Code:

L0456

Definition:

Tlso, flexible, provides trunk support, thoracic region, rigid posterior panel and soft anterior apron, extends from the sacrococcygeal junction and terminates just inferior to the scapular spine, restricts gross trunk motion in the sagittal plane, produces intracavitary pressure to reduce load on the intervertebral disks, includes straps and closures, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise

This code applies to custom-fit flexible TLSOs with a rigid posterior panel and soft anterior apron. Designed to provide trunk support from the sacrococcygeal junction to just below the scapular spine, these orthoses restrict motion in the sagittal plane and reduce intervertebral disk load through intracavitary pressure. They are customized by healthcare professionals to ensure an optimal fit and compliance with Medicare standards.

Clinical Use Cases for L0456 Custom-Fit TLSOs

Post-Surgical Recovery

Provides rigid posterior support and controlled motion restriction for patients recovering from spinal surgeries, ensuring proper healing and alignment.

Spinal Conditions

Reduces load on intervertebral disks and supports proper alignment for conditions such as herniated disks, degenerative disc disease, or spondylolisthesis.

Injury Stabilization

Restricts motion and stabilizes the thoracic and lumbar spine for patients recovering from trauma, such as fractures or severe sprains.

Why Healthcare Providers Choose Brace Direct

Comprehensive Product Selection

Our extensive range of PDAC-approved braces ensures you'll find the perfect solution for every patient's unique needs. From off-the-shelf options to specialized supports, we provide high-quality products that meet stringent medical standards.
Streamlined Ordering Process

Our user-friendly online platform allows for quick and efficient product selection. Search by specific codes, patient conditions, or product features to find exactly what you need with minimal effort.
Expert Clinical Support

Access a wealth of educational resources including detailed fitting guides, instructional videos, and direct support from our team of bracing specialists. We're committed to supporting healthcare providers in delivering optimal patient care.

Cost-Effective Solutions

Benefit from competitive pricing, volume discounts, and our Provider Discount Program. We help you manage costs without compromising on the quality of patient care and support.

Provider Discount Program

Save on wholesale orders and access exclusive volume discounts for your practice. Our program makes it easy to stock high-quality, PDAC-approved braces at competitive prices, ensuring your patients receive the best care while keeping your costs low.

Learn More

Become an Affiliate

Earn commissions by referring patients to trusted, high-quality braces. Our Affiliate Program offers a seamless way to recommend PDAC-approved products to your patients while creating an additional revenue stream for your practice.

Join Now

Explore Our PDAC L0456 Approved Custom-Fit Flexible TLSOs

Ensure optimal trunk support and Medicare compliance with our custom-fit flexible TLSOs. Designed for healthcare professionals to tailor-fit each patient, these orthoses provide effective spinal stabilization for a variety of clinical applications.

View Custom-Fit TLSO Collection

Frequently Asked Questions

How can I ensure correct billing for DME (Durable Medical Equipment)? + –

To bill for DME, you’ll need proper documentation, including patient diagnosis, medical necessity, and a detailed prescription. Be sure to use the appropriate modifiers (e.g., KX, RT, LT) and maintain compliance with Medicare guidelines.

Why doesn't Brace Direct work with insurance or Medicare? + –

Brace Direct follows a direct-to-consumer model to offer affordable prices, upfront pricing transparency, and faster access to braces without the delays and complexities of insurance or Medicare billing. Many products are FSA and HSA eligible for added convenience.
Direct-to-Consumer Medical Braces & Supports: No Insurance Hassles

How does Brace Direct support healthcare providers? + –

We offer an extensive range of PDAC-approved products, educational resources, and a user-friendly ordering platform. Additionally, our Provider Discount Program helps practices manage costs while delivering high-quality care.

What does PDAC approval mean, and why is it important? + –

PDAC (Pricing, Data Analysis, and Coding) approval ensures that a brace meets Medicare’s strict requirements for quality, design, and function. Using PDAC-approved products simplifies reimbursement processes and helps avoid claim denials.

Where can I learn more about Medicare's requirements for braces and billing? + –

For more details on Medicare’s coding and reimbursement guidelines for orthotics, visit the official Medicare website below.
Medicare's DME Coverage

What is the CPT Code for a Custom-Fit Flexible TLSO?