L1652 : HCPCS Code (2025) : XML

L1652 : 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 ( Ho bi thighcuffs w sprdr bar )

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PDF | L1652 in JSON format

JSON formats.

HCPCS Code : L1652 – XML Data Format

                
<?xml version="1.0" encoding="UTF-8"?>
<HCPCS>
	<HCPC>
		L1652
	</HCPC>
	<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
	</LongDescription>
	<ShortDescription>
		Ho bi thighcuffs w sprdr bar
	</ShortDescription>
	<PricingIndicators>
		<PricingIndicator>
			<PricingIndicatorName>
				38
			</PricingIndicatorName>
			<PricingIndicatorCode>
				Orthotics, prosthetics, prosthetic devices &amp; vision services (price subject to floors and ceilings) . Durable Medical Equipment, Prosthetics, Orthotics, Supplies And Surgical Dressings
			</PricingIndicatorCode>
		</PricingIndicator>
	</PricingIndicators>
	<MPI>
		A
	</MPI>
	<MultiplePricingIndicatorCode>
		Not applicable as HCPCS priced under one methodology
	</MultiplePricingIndicatorCode>
	<CIMs/>
	<MCMs>
	</MCMs>
	<Statute/>
	<LabCertifications/>
	<XReferences/>
	<Coverage>
		C
	</Coverage>
	<CoverageDescription>
		Carrier judgment
	</CoverageDescription>
	<ASCPayGrp/>
	<ASCPayGrpEffDate/>
	<MOGPayGrp/>
	<MOGPaymentGroupCode/>
	<MOGPayInd/>
	<MOGPaymentPolicyIndicator/>
	<MOGEffDate/>
	<ProcNote/>
	<BETOS>
		D1F
	</BETOS>
	<BETOSDescription>
		Prosthetic/Orthotic devices
	</BETOSDescription>
	<TypeOfServices>
		<TypeOfService>
			<TOS>
				P
			</TOS>
			<TypeOfServiceCode>
				Lump sum purchase of DME, prosthetics, orthotics
			</TypeOfServiceCode>
		</TypeOfService>
	</TypeOfServices>
	<AnestBaseUnits>
		0
	</AnestBaseUnits>
	<CodeAddDate>
		20030101
	</CodeAddDate>
	<ActionEffDate>
		20241001
	</ActionEffDate>
	<TermDate/>
	<ActionCode>
		N
	</ActionCode>
	<ActionCodeDescription>
		No maintenance for this code
	</ActionCodeDescription>
</HCPCS>

HCPCS XML XSD Schema

                
<xs:schema attributeFormDefault="unqualified" elementFormDefault="qualified" xmlns:xs="http://www.w3.org/2001/XMLSchema">
  <xs:element name="HCPCS">
    <xs:complexType>
      <xs:sequence>
        <xs:element type="xs:string" name="HCPC"/>
        <xs:element type="xs:string" name="LongDescription"/>
        <xs:element type="xs:string" name="ShortDescription"/>
        <xs:element name="PricingIndicators">
          <xs:complexType>
            <xs:sequence>
              <xs:element name="PricingIndicator" maxOccurs="unbounded" minOccurs="0">
                <xs:complexType>
                  <xs:sequence>
                    <xs:element type="xs:string" name="PricingIndicatorName"/>
                    <xs:element type="xs:string" name="PricingIndicatorCode"/>
                  </xs:sequence>
                </xs:complexType>
              </xs:element>
            </xs:sequence>
          </xs:complexType>
        </xs:element>
        <xs:element type="xs:string" name="MPI"/>
        <xs:element type="xs:string" name="MultiplePricingIndicatorCode"/>
        <xs:element name="CIMs">
          <xs:complexType>
            <xs:sequence>
              <xs:element type="xs:string" name="CIM" maxOccurs="unbounded" minOccurs="0"/>
            </xs:sequence>
          </xs:complexType>
        </xs:element>
        <xs:element name="MCMs">
          <xs:complexType>
            <xs:sequence>
              <xs:element type="xs:string" name="MCM" maxOccurs="unbounded" minOccurs="0"/>
            </xs:sequence>
          </xs:complexType>
        </xs:element>
        <xs:element type="xs:string" name="Statute"/>
        <xs:element name="LabCertifications">
          <xs:complexType>
            <xs:sequence>
              <xs:element name="LabCertification" maxOccurs="unbounded" minOccurs="0">
                <xs:complexType>
                  <xs:sequence>
                    <xs:element type="xs:string" name="LabCert"/>
                    <xs:element type="xs:string" name="LabCertificationCode"/>
                  </xs:sequence>
                </xs:complexType>
              </xs:element>
            </xs:sequence>
          </xs:complexType>
        </xs:element>
        <xs:element name="XReferences">
          <xs:complexType>
            <xs:sequence>
              <xs:element name="XReference" maxOccurs="unbounded" minOccurs="0">
                <xs:complexType>
                  <xs:sequence>
                    <xs:element type="xs:string" name="XRef"/>
                    <xs:element type="xs:string" name="XRefDescription"/>
                  </xs:sequence>
                </xs:complexType>
              </xs:element>
            </xs:sequence>
          </xs:complexType>
        </xs:element>
        <xs:element type="xs:string" name="Coverage"/>
        <xs:element type="xs:string" name="CoverageDescription"/>
        <xs:element type="xs:string" name="ASCPayGrp"/>
        <xs:element type="xs:string" name="ASCPayGrpEffDate"/>
        <xs:element type="xs:string" name="MOGPayGrp"/>
        <xs:element type="xs:string" name="MOGPaymentGroupCode"/>
        <xs:element type="xs:string" name="MOGPayInd"/>
        <xs:element type="xs:string" name="MOGPaymentPolicyIndicator"/>
        <xs:element type="xs:string" name="MOGEffDate"/>
        <xs:element type="xs:string" name="ProcNote"/>
        <xs:element type="xs:string" name="BETOS"/>
        <xs:element type="xs:string" name="BETOSDescription"/>
        <xs:element name="TypeOfServices">
          <xs:complexType>
            <xs:sequence>
              <xs:element name="TypeOfService" maxOccurs="unbounded" minOccurs="0">
                <xs:complexType>
                  <xs:sequence>
                    <xs:element type="xs:string" name="TOS"/>
                    <xs:element type="xs:string" name="TypeOfServiceCode"/>
                  </xs:sequence>
                </xs:complexType>
              </xs:element>
            </xs:sequence>
          </xs:complexType>
        </xs:element>
        <xs:element type="xs:string" name="AnestBaseUnits"/>
        <xs:element type="xs:float" name="CodeAddDate"/>
        <xs:element type="xs:float" name="ActionEffDate"/>
        <xs:element type="xs:string" name="TermDate"/>
        <xs:element type="xs:string" name="ActionCode"/>
        <xs:element type="xs:string" name="ActionCodeDescription"/>
      </xs:sequence>
    </xs:complexType>
  </xs:element>
</xs:schema>