Code: L0633

Description:
Description: Lumbar-sacral orthosis, sagittal-coronal control, with rigid posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panels, produces intracavitary pressure to reduce load on 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
Other Descriptions:
PANEL LSO RIGD FRAME
HC LUMBAR-SACRAL ORTHOT RIGD POST FRAME/PANL PREFAB
LUMB-SAC ORTHOS SAGIT-COR CNTRL RIGD POST PREFAB
Related codes:
Code: L0630
BRACE BACK 20-60 IN
Code: L0631
BRACE LSO SAG CNTRL LVL2
Code: L0632
BRACE LSO FLEX ELAS RGD
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
California
Hospital Address Code Price Last Updated
Santa Clara Medical Center 700 Lawrence Expy, Santa Clara L0633 $565 [source] 4 years ago
South San Francisco Medical Center 1200 El Camino Real, South San Francisco L0633 $565 [source] 4 years ago
Oakland Medical Center 3600 Broadway, Woodland Hills L0633 $565 [source] 4 years ago
Sacramento Medical Center 2025 Morse Ave, Sacramento L0633 $565 [source] 4 years ago
Kaiser Foundation Hospitals 4501 Sand Creek Road, Antioch L0633 $565 [source] 4 years ago
Modesto Medical Center 4601 Dale Rd, Modesto L0633 $565 [source] 4 years ago
Vacaville Medical Center 1 Quality Dr, Vacaville L0633 $565 [source] 4 years ago
San Leandro Medical Center 2500 Merced St, San Leandro L0633 $565 [source] 4 years ago
Walnut Creek Medical Center 1425 S Main St, Walnut Creek L0633 $565 [source] 4 years ago
San Jose Medical Center 250 Hospital Pkwy, San Jose L0633 $565 [source] 4 years ago
South Sacramento Medical Center 6600 Bruceville Rd, Sacramento L0633 $565 [source] 4 years ago
Richmond Medical Center 901 Nevin Ave, Richmond L0633 $565 [source] 4 years ago
Santa Rosa Medical Center 401 Bicentennial Way, American Canyon L0633 $565 [source] 4 years ago
Redwood City Medical Center 1100 Veterans Blvd, Redwood City L0633 $565 [source] 4 years ago
Vallejo Medical Center 975 Sereno Dr, Vallejo L0633 $565 [source] 4 years ago
San Rafael Medical Center 99 Montecillo Rd, San Rafael L0633 $565 [source] 4 years ago
San Francisco Medical Center 2525 Geary Blvd, San Francisco L0633 $565 [source] 4 years ago
Fresno Medical Center 39400 Paseo Padre Pkwy, Fresno L0633 $565 [source] 4 years ago
Roseville Medical Center 1600 Eureka Rd, Roseville L0633 $565 [source] 4 years ago
Cedars-Sinai Medical Center 8700 Beverly Blvd, Los Angeles L0633 $576 [source] 4 years ago
Encompass Health Rehabilitation Hospital Of Modesto 1303 Mable Avenue, Modesto L0633 $647 [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.