HCPCS code L0456: Thoracic-Lumbar-Sacral Orthosis (TLSO), flexible

Properly use and code HCPCS code L0456 by meeting the documentation and billing requirements listed in our short guide.

Frequently asked questions

Use L0456 if the prefabricated TLSO is custom-fitted—trimmed, molded, or assembled—by a specialist at delivery. If no such adjustment is made, use L0457 instead.

Typically, a certified orthotist or a qualified healthcare provider can dispense this device. Billing to Medicare also requires a separate Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) number.

Yes. The orthosis must be fitted at the time of delivery and cannot be shipped post-customization. Documentation must include proof of delivery.