L0631 Durable Medical Equipment Prosthetic Devices LSO SAG R AN/POS PNL PRE CST LSO SAG R AN/POS PNL PRE CST
L0637 Durable Medical Equipment Prosthetic Devices LSO SC R ANT/POS PNL PRE CST LSO SC R ANT/POS PNL PRE CST
L1200 Durable Medical Equipment Prosthetic Devices FURNSH INITIAL ORTHOSIS ONLY FURNSH INITIAL ORTHOSIS ONLY
L1210 Durable Medical Equipment Prosthetic Devices LATERAL THORACIC EXTENSION LATERAL THORACIC EXTENSION
L1260 Durable Medical Equipment Prosthetic Devices ANTERIOR THORACIC DEROTATION ANTERIOR THORACIC DEROTATION
L1300 Durable Medical Equipment Prosthetic Devices BODY JACKET MOLD TO PATIENT BODY JACKET MOLD TO PATIENT
