Code: L0631

Description:

Description: Lumbar-sacral orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from sacrococcygeal junction to t-9 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, 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

Other Descriptions:

BRACE LSO TAPERED MED

BRACE LSO TAPER SMALL

BRACE LSO TAPER XL

BRACE LSO FLEX ELSTC RGD

BRACE LUMBAR ORTHOSIS

BRACE CYBERTECH PREMIUM PLUS

HC LSO SAG-CORO RIG FRM PF

LUMB-SACRAL ORTHOS SAGIT CNTRL RIGID A&P PREFAB

HB CALIF SOFT SPINAL TLSO(CF-HIGH)

Related codes:

Code: L0630

BRACE BACK 20-60 IN

Code: L0632

BRACE LSO FLEX ELAS RGD

Code: L0633

COMPOUND PULL LSO

Code: L0634

BRACE LUMBAR RIGID CUSTM

Code: L0635

BRACE LMBR CORSETT SCRL

Code: L0636

ORTHOSIS LUMBAR SACRAL

Code: L0637

SUPPORT ORTH LS RGD AP/L

Code: L0638

BRACE LSO ASPEN SUMMT OR

Code: L0639

BRACE LSO CUSTOM

Kansas

Hospital	Address	Code	Price	Last Updated
Ascension Via Christi Hospital Manhattan, Inc.	1823 College Ave, Manhattan	L0631	$686 [source]	4 years ago
Ascension Via Christi Hospitals Wichita Inc.	929 N Saint Francis St, Wichita	L0631	$829 [source]	4 years ago
Mt. Carmel Regional Medical Center, Inc.	1 Mt Carmel Way, Pittsburg	L0631	$829 [source]	4 years ago
Menorah Medical Center	5721 W. 119Th Street, Shawnee Mission	L0631	$1,307 [source]	4 years ago
Midamerica Rehabilitation Hospital	5701 W 110Th St, Shawnee Mission	L0631	$2,130 [source]	4 years ago
Overland Park Regional Medical Center	10500 Quivira Road, Shawnee Mission	L0631	$2,348 [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.