{
"HCPCS": {
"HCPC": "L1652",
"LongDescription": "Hip orthosis, bilateral thigh cuffs with adjustable abductor spreader bar, adult size, prefabricated, includes fitting and adjustment, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",
"ShortDescription": "Ho bi thighcuffs w sprdr bar",
"PricingIndicators": {
"PricingIndicator": {
"PricingIndicatorName": "38",
"PricingIndicatorCode": "Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings) . Durable Medical Equipment, Prosthetics, Orthotics, Supplies And Surgical Dressings"
}
},
"MPI": "A",
"MultiplePricingIndicatorCode": "Not applicable as HCPCS priced under one methodology",
"CIMs": null,
"MCMs": "",
"Statute": null,
"LabCertifications": null,
"XReferences": null,
"Coverage": "C",
"CoverageDescription": "Carrier judgment",
"ASCPayGrp": null,
"ASCPayGrpEffDate": null,
"MOGPayGrp": null,
"MOGPaymentGroupCode": null,
"MOGPayInd": null,
"MOGPaymentPolicyIndicator": null,
"MOGEffDate": null,
"ProcNote": null,
"BETOS": "D1F",
"BETOSDescription": "Prosthetic/Orthotic devices",
"TypeOfServices": {
"TypeOfService": {
"TOS": "P",
"TypeOfServiceCode": "Lump sum purchase of DME, prosthetics, orthotics"
}
},
"AnestBaseUnits": "0",
"CodeAddDate": "20030101",
"ActionEffDate": "20241001",
"TermDate": null,
"ActionCode": "N",
"ActionCodeDescription": "No maintenance for this code"
}
}