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    v1.0.28
    OpenPayerBilling CodesOrthotic Procedures and servicesHCPCS hcpcs-l1652-hip-orthosis-bilateral-thigh-cuffs-abductor-spreader
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    HCPCS Level II L1652: Hip Orthosis with Bilateral Abductor Spreader Bar, Adult

    HCPCS Level II code L1652 describes a prefabricated hip orthosis with bilateral thigh cuffs and an adjustable abductor spreader bar for adults; the item includes professional fitting and adjustment and may be trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by a skilled provider. Service type: durable medical equipment / orthotic device provision and customization. Typical site of service: outpatient clinic, orthotics/prosthetics facility, or durable medical equipment supplier.

    For related coverage guidance, see recent payer policy updates: Interferential Stimulation Devices (for home use), Durable Medical Equipment (DME): Tumor Treating Fields (Alternating Electric Field Therapy) Medical Guideline, Durable Medical Equipment (DME): Bone Growth Stimulators Medical Guideline.

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    Clinical & Coding Specifications

    Clinical Context

    A 68-year-old ambulatory adult with bilateral hip osteoarthritis and recurrent subluxation following total hip arthroplasty presents to an orthotics clinic after referral from an orthopedic surgeon. The patient reports pain with abduction and intermittent instability when transferring and ambulating at home. A certified orthotist performs an evaluation, documents range of motion, muscle strength, gait deviations, and the need for abduction control to prevent dislocation. A prefabricated adult hip orthosis with bilateral thigh cuffs and an adjustable abductor spreader bar (L1652) is selected, then trimmed, bent, and molded by the orthotist to fit the patient. The service includes fitting, adjustments, patient education on donning/doffing, skin checks, and documentation of medical necessity in the chart.

    Typical clinical workflow:

    • Referral from orthopedic surgeon or primary care for mechanical instability or protection after hip surgery

    • Orthotic evaluation by certified orthotist with documentation of functional limitations and measurements

    • Selection of prefabricated L1652 device and point-of-care customization (trimming/molding/assembly)

    • Fitting and adjustment visit with patient education and tolerance testing

    • Billing of L1652 with supporting clinical notes, measurements, and supplier customization details

    Related CPT Codes

    CPT CodeDescriptionRelationship to This Procedure
    97760Orthotic(s) management and training, upper or lower extremity, initial encounter; fit/adjust and training in use of device.Commonly performed by therapists to train patients in donning, doffing, and functional use of the hip orthosis after fitting.
    97763Orthotic(s)/prosthetic(s) follow-up fitting and adjustment(s) (e.g., check and repair).Used for subsequent visits for adjustments, pressure relief, or minor repairs following initial L1652 fitting.
    99213Office or other outpatient visit for the evaluation and management of an established patient, low to moderate severity.Typical physician follow-up visit documenting ongoing medical necessity, wound or skin checks related to orthosis use.
    20550Injection(s); single tendon sheath, or ligament, tendon origin/insertion (e.g., for pain management).May be performed in the same clinical episode for pain control before or after orthosis provision in some care plans.

    Related Modifiers

    5 rows

    ModifierDescriptionWhen to Use
    59Modifier 59 indicates a distinct procedural service when two procedures that are not normally billed together are clinically and procedurally separate. The CPT definition (as reiterated by CMS)…- Use modifier -59 to report a distinct procedural service when documentation supports that the procedure reported is not normally billed together with another service on the same day because of a…
    90Modifier ‑90 (Reference/Outside Laboratory) indicates that a laboratory test was performed by an entity other than the treating or reporting provider. The American Medical Association defines…- Use CPT modifier -90 when a laboratory test is performed by an outside/reference laboratory (an entity other than the treating or reporting physician or qualified professional) and the claim needs…
    2PModifier -2P is a Category II performance‑measure exclusion appended to a CPT Category II (quality) code when the provider did not perform the measured action because of patient‑related reasons (for…- Use modifier 2P only with CPT Category II (performance‑measure) codes when a patient‑specific reason prevented performance of the measured action (for example, patient refusal, economic or social…
    73Modifier 73 indicates a facility-level outpatient hospital or ASC procedure that was discontinued after the patient was prepared and taken to the procedure/operating room but before any anesthesia…- When to use: Apply CPT modifier 73 on the FACILITY (outpatient hospital or ASC) claim when the patient has been fully prepared and physically taken into the procedure/operating room but the…
    47Modifier -47 (“Anesthesia by Surgeon”) is appended to a surgical or procedural CPT code when the surgeon personally provides regional or general anesthesia for the procedure. Use of -47 indicates the…- Use modifier -47 when the surgeon personally provides regional or general anesthesia during the surgical procedure (i.e., the surgeon administers the anesthesia in addition to performing the…

    Related Provider Taxonomies

    8 rows

    Taxonomy CodeSpecialtyNotes
    207L00000XAnesthesiology PhysicianAn anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an opera…
    363L00000XNurse Practitioner(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision mak…
    2080B0002XPediatric Obesity Medicine PhysicianA physician who specializes in the treatment of obesity demonstrates competency in and a thorough understanding of the treatment of obesity and the ge…
    261QP2400XPrison Health Clinic/CenterAmbulatory Health Care Facilities · Clinic/Center
    156FX1101XOphthalmic AssistantAn ophthalmic assistant assists ophthalmologists by performing duties including, but not limited to, patient charting, patient education, and basic ey…
    323P00000XPsychiatric Residential Treatment FacilityA residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four ho…
    207ZP0007XMolecular Genetic Pathology (Pathology) PhysicianA molecular genetic pathologist is expert in the principles, theory and technologies of molecular biology and molecular genetics. This expertise is us…
    2081H0002XHospice and Palliative Medicine (Physical Medicine & Rehabilitation) PhysicianA physical medicine and rehabilitation physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with l…

    Related ICD-10-CM Codes

    26 rows

    ICD-10-CM CodeDescription
    F72Severe intellectual disabilities
    G82.20Paraplegia, unspecified
    G83.4Cauda equina syndrome
    M12.851Other specific arthropathies, not elsewhere classified, right hip
    M16.11Unilateral primary osteoarthritis, right hip
    M16.12Unilateral primary osteoarthritis, left hip
    M16.9Osteoarthritis of hip, unspecified
    M17.11Unilateral primary osteoarthritis, right knee
    M17.12Unilateral primary osteoarthritis, left knee
    M20.10Hallux valgus (acquired), unspecified foot

    Showing 1–10 of 26

    Related Payer Policy Updates

    Specialty: Durable Medical Equipment (DME)1 / 3

    5 rows

    PolicyPayerEffective Date
    Interferential Stimulation Devices (for home use)Moda Health2026-10-01
    Durable Medical Equipment (DME): Tumor Treating Fields (Alternating Electric Field Therapy) Medical GuidelineWPS Health Insurance2026-10-01
    Durable Medical Equipment (DME): Bone Growth Stimulators Medical GuidelineWPS Health Insurance2026-10-01
    General Durable Medical Equipment (DME) Medical GuidelineWPS Health Insurance2026-10-01
    Prior Authorization for Durable Medical Equipment (DME)Blue Cross Blue Shield - Rhode Island2026-10-01

    Related Codes

    HCPCS-L0112-CRANIAL-CERVICAL-ORTHOSIS-CONGENITAL-TORTICOLLIS-CUSTOM

    HCPCS L0112: Cranial Cervical Orthosis, Congenital Torticollis Type

    HCPCS-L0113-CRANIAL-CERVICAL-ORTHOSIS-TORTICOLLIS

    HCPCS Level II L0113: Prefabricated Cranial Cervical Orthosis for Torticollis

    HCPCS-L0130-CERVICAL-FLEXIBLE-THERMOPLASTIC-COLLAR-MOLDED-TO-PATIENT

    HCPCS Level II L0130: Cervical Flexible Thermoplastic Collar, Molded to Patient

    HCPCS-L0140-CERVICAL-SEMI-RIGID-ADJUSTABLE-PLASTIC-COLLAR

    HCPCS Level II L0140: Cervical Semi-Rigid Adjustable Plastic Collar

    HCPCS-L0150-CERVICAL-SEMI-RIGID-ADJUSTABLE-CHIN-CUP

    HCPCS Level II L0150: Cervical Semi-Rigid Adjustable Chin Cup

    HCPCS-L0160-CERVICAL-SEMI-RIGID-OCCIPITAL-MANDIBULAR-SUPPORT

    HCPCS Level II L0160: Cervical Semi-Rigid Occipital/Mandibular Support

    HCPCS-L0170-CERVICAL-COLLAR-MOLDED-TO-PATIENT-MODEL

    HCPCS Level II L0170: Cervical Collar, Custom-Molded

    HCPCS-L0172-CERVICAL-COLLAR-SEMI-RIGID-THERMOPLASTIC-FOAM

    HCPCS L0172: Cervical Collar, Semi-Rigid Prefabricated

    HCPCS-L0174-CERVICAL-COLLAR-SEMI-RIGID-THORACIC-EXTENSION

    HCPCS L0174: Cervical Collar, Semi-Rigid Thermoplastic with Thoracic Extension

    HCPCS-L0180-CERVICAL-MULTIPLE-POST-COLLAR-OCCIPITAL-MANDIBULAR-ADJUSTABLE

    HCPCS Level II L0180: Cervical Orthosis with Occipital/Mandibular Supports

    Showing 1–10 of 466

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    Frequently Asked Questions

    References

    1. 1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
    2. 2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
    3. 3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.
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    26825Open treatment of femoral neck fracture, includes internal fixation or prosthetic replacement.Surgical care that may precede orthotic prescription for stability during recovery; included as a related operative CPT in the care pathway.