Code: L0629

Description:

Description: Lumbar-sacral orthosis, flexible, provides lumbo-sacral support, posterior extends from sacrococcygeal junction to t-9 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include stays, shoulder straps, pendulous abdomen design, custom fabricated
HCPCS Category: Orthotic/prosthetic procedures

Other Descriptions:

BRACE LSO PREFAB

HC LUMBAR-SACRAL ORTHOTIC FLEXIBLE CUSTOM FAB

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: L0625

SUPPORT LUMBAR SACRO 10

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

Texas

Hospital	Address	Code	Price	Last Updated
Medical City Lewisville	500 W Main St, Lewisville	L0629	$1,163 [source]	4 years ago
Medical City Fort Worth	900 8Th Ave, Fort Worth	L0629	$2,091 [source]	4 years ago
Medical City North Hills	4401 Booth Calloway Rd, North Richland Hills	L0629	$4,462 [source]	4 years ago
Medical City Alliance	3101 N Tarrant Pkwy, Fort Worth	L0629	$4,462 [source]	4 years ago
Medical City Healthcare	13155 Noel Rd. Suite 200, Dallas	L0629	$5,795 [source]	4 years ago
Medical City Las Colinas	6800 N Macarthur Blvd, Irving	L0629	$6,019 [source]	4 years ago
Medical City Denton	3535 S Interstate 35, Corinth	L0629	$6,436 [source]	4 years ago
Medical City Arlington	3301 Matlock Rd, Arlington	L0629	$11,143 [source]	4 years ago
Medical City Weatherford	713 E Anderson St, Weatherford	L0629	$11,143 [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 §180.