Code: L0625

Description:
Description: Lumbar orthosis, flexible, provides lumbar support, posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include pendulous abdomen design, shoulder straps, stays, prefabricated, off-the-shelf
HCPCS Category: Orthotic/prosthetic procedures
Other Descriptions:
BRACE ORTH UNV TLSO DRBL
SUPPORT LUMB CORSETTE
SUPPORT ORT 2XL 54X10
SUPPORT ORTH 2XL 48-52IN
LUMBAR ORTHOSIS CORSET
HC LUMBAR ORTHOTIC FLEXIBLE PREFABRICATED
BELT SACLC MED
BINDER ABD 3PNL UNIV 9X30-45IN 79-89070
BINDER ABD 3PNL UNIV 9X45-62IN 79-89071
Related codes:
Code: L0621
SUPPORT ORTH SCROILIAC
Code: L0622
ORTHOSIS SACROLILAC FLEX
Code: L0623
Description: Sacroiliac orthosis, provides pelvic-sacral support, with rigid or semi-rigid panels over the sacrum and abdomen, reduces motion about the sacroiliac joint, includes straps, closures, may include pendulous abdomen design, prefabricated, off-the-shelf
HCPCS Category: Orthotic/prosthetic procedures
Code: L0626
Description: Lumbar orthosis, sagittal control, with rigid posterior panel(s), posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, stays, shoulder straps, pendulous abdomen design, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise
HCPCS Category: Orthotic/prosthetic procedures
Code: L0627
BRACE LO SAGTL RIGD LVL1
Code: L0628
BRACE FLEX SUPPORT L0628
Code: L0629
LSO FLX SURG SUPP
North Dakota
Hospital Address Code Price Last Updated
Kenmare Community Hospital 317 1St Ave Nw, Kenmare L0625 $148 [source] 4 years ago
Trinity Hospitals 1 Burdick Expy W, Minot L0625 $148 [source] 4 years ago

ChargemasterDB by Joseph Paul Cohen
A database of US hospital prices based on data made available by the Centers for Medicare & Medicaid Services (CMS), HHS price transparancy rule 45 CFR ยง180.