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
Massachusetts
Hospital Address Code Price Last Updated
Encompass Health Rehabilitation Hospital Of Braintree 250 Pond St, Braintree L0633 $262 [source] 4 years ago
Encompass Health Rehabilitation Hospital Of New England 2 Rehabilitation Way, Woburn L0633 $349 [source] 4 years ago
Martha's Vineyard Hospital One Hospital Road, Oak Bluffs L0633 $844 [source] 4 years ago
Spaulding Hospital Cambridge 1575 Cambridge St, Cambridge L0633 $844 [source] 4 years ago
Massachusetts General Hospital 55 Fruit St, Boston L0633 $844 [source] 4 years ago
Spaulding Rehab Hospital Cape Cod 311 Service Rd, East Sandwich L0633 $844 [source] 4 years ago
Cooley Dickinson Health Care 30 Locust St, Northampton L0633 $844 [source] 4 years ago
North Shore Medical Center Hospital 81 Highland Ave, Salem L0633 $844 [source] 4 years ago
Nantucket Cottage Hospital 57 Prospect St, Nantucket L0633 $844 [source] 4 years ago
Mclean Hospital 115 Mill St, Belmont L0633 $844 [source] 4 years ago
Brigham & Women Faulkner Hospital 1153 Centre St, Jamaica Plain L0633 $844 [source] 4 years ago
Massachusetts Eye And Ear 243 Charles St, Boston L0633 $844 [source] 4 years ago
Spaulding Rehab Hospital Boston 300 1St Ave, Charlestown L0633 $844 [source] 4 years ago
Brigham & Womens Hospital, Inc. 75 Francis St, Boston L0633 $844 [source] 4 years ago
Newton Wellesley Hospital 2014 Washington St, Newton Lower Falls L0633 $844 [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.