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| 4640340699 | Pre or Post Operative Laminectomy | Prefabricated Knight Spinal (chairback): Apron Front, Corsette Front (HD use), Modified Bennett | 0 | |
| 4640349135 | Pre or Post Operative Laminectomy | Molded LSO (lumbar body jacket low profile): Clamshell Opening, Anterior Opening | 1 | |
| 4640357656 | Pre or Post Operative Fusion (S/P Fusion) L1 Thru L4 | Prefabricated APML LSO: Knight Spinal, Apron Front (mild), Corset Front (HD use) | 2 | |
| 4640385653 | Pre or Post Operative Fusion (S/P Fusion) L1 Thru L4 | Prefabricated Molded LS (Lumbar Body Jacket Low Profile): Clamshell, Anterior Opening | 3 | |
| 4640392744 | Lumbar Degenerative Disc Disease MILD | Warm and Form Style Corset, firm non-elastic lumbosacral corset | 4 | |
| 4640393993 | Lumbar Degenerative Disc Disease MODERATE | firm non-elastic corset, Knight Spinal Orthosis | 5 | |
| 4640399449 | Lumbar Degenerative Disc Disease SEVERE | Knight Spinal Orthosis-corset front | 6 | |
| 4640401146 | Lumbar Degenerative Disc Disease PREFAB | Molded SLO: clamshell or anterior opening | 7 | |
| 4640402422 | Thoracolumbar Pain | Molded Thoracolumbar Corset | 8 | |
| 4640403702 | Thoracolumbar Pain | Non-elastic Side Pull Corset with staves | 9 | |
| 4640406463 | Thoracolumbar Pain | Taylor Type Orthosis: apron front, corset front | 10 | |
| 4640406464 | Thoracolumbar Pain | Prefabricated Molded TLSO | 11 | |
| 4640408154 | Kyphosis | Posture Training Orthosis | 12 | |
| 4640409026 | Kyphosis | Molded Posterior Panel Thoracolumbar Orthosis | 13 | |
| 4640409573 | Kyphosis | Dorsolumbar Orthosis (taylor type) | 14 | |
| 4640411129 | Kyphosis | Hyperextension Orthosis: Jewett (young & active), CASH (RA, elderly) | 15 | |
| 4640422211 | Lordosis/spondolisthesis | Firm Lumbar Corset, Knight Spinal Orthosis (apron or corset), Williams Flexion Orthosis, Prefab Molded Lumbar Jacket (anterior) | 16 | |
| 4640427117 | WOS-weekend overuse syndrome | Lumbar Corset: custom molded plastic panel style, elastic with staves, 2 or 3 pull type | 17 | |
| 4640432894 | WOS-weekend overuse syndrome ACUTE PAIN | Knight Spinal, Prefab Molded LSO (low profile design) | 18 | |
| 4640434124 | Anterior Compression Fracture | CASH Hyperextension Orthosis, Jewett Hyperextension Orthosis, Taylor Style Orthosis, Prefab TLSO Molded Jacket (anterior or clamshell) | 19 | |
| 4640436980 | Osteoporosis | Molded Panel Style Thoracolumbar Orthosis, Elastic Thoracolumbar Orthosis, Non-elastic Thoracolumbar Orthosis, Taylor Style, Soft TLSO Style Jacket, Prefab Molded TLSO Jacket | 20 | |
| 4640443727 | Post Operative Dislocated Hip | Hip Abduction Pillow (supine), Hip Abduction Orthosis (newport or equivalent)- 70degree flexion stop, 15degree abduction | 21 | |
| 4640447377 | Knee Ligament Damage LATERAL/MEDIAL INSUFFICIENCY | Hinged Elastic Knee Sleeve, Knee Orthosis (rigid frame) | 22 | |
| 4640449671 | Knee Ligament Damage ACL INSUFFICIENCY | Knee orthosis (rigid frame), Custom Knee Orthosis | 23 | |
| 4640453632 | Knee Ligament Damage PCL INSUFFICIENCY | Knee Orthosis (rigid frame), Custom Fit (rigid frame)- 10degree extension stop | 24 | |
| 4640456057 | Stroke (CVA): peroneal palsy | Posterior AFO (prefab), Sold Ankle (toe lift, articulated) | 25 | |
| 4640459003 | Genu Recurvatum | Molded AFO (prefab solid ankle, articulated ankle)- double adjustable type w/ limiting pins set to slight dorsiflexion | 26 |
