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
Texas
Hospital Address Code Price Last Updated
Encompass Health Rehabilitation Hospital Of San Antonio 9119 Cinnamon Hl, San Antonio L0633 $194 [source] 4 years ago
Encompass Health Rehabilitation Hospital Of Arlington 3200 Matlock Rd, Arlington L0633 $242 [source] 4 years ago
Encompass Health Rehabilitation Hospital Of Dallas 7930 Northaven Rd, Dallas L0633 $551 [source] 4 years ago
Encompass Health Rehabilitation Hospital Of Midland Odessa 1800 Heritage Blvd, Midland L0633 $551 [source] 4 years ago
Encompass Health Rehabilitation Hospital Of Richardson 3351 Waterview Parkway, Richardson L0633 $551 [source] 4 years ago
Encompass Health Rehabilitation Hospital Of Abilene 6401 Directors Pkwy, Abilene L0633 $551 [source] 4 years ago
Encompass Health Rehabilitation Hospital Of Austin 330 W. Ben White Blvd., Austin L0633 $551 [source] 4 years ago
Encompass Health Rehabilitation Hospital Vision Park 117 Vision Park Blvd, Conroe L0633 $551 [source] 4 years ago
Encompass Health Rehabilitation Hospital The Vintage 20180 Chasewood Park Drive, Houston L0633 $551 [source] 4 years ago
Encompass Health Rehabilitation Hospital Of Round Rock 1400 Hesters Crossing Rd, Round Rock L0633 $551 [source] 4 years ago
Encompass Health Rehabilitation Hospital Of Pearland 2121 Business Center Drive, Pearland L0633 $582 [source] 4 years ago
Medical City Lewisville 500 W Main St, Lewisville L0633 $3,196 [source] 4 years ago
Medical City Alliance 3101 N Tarrant Pkwy, Fort Worth L0633 $3,778 [source] 4 years ago
Medical City Denton 3535 S Interstate 35, Corinth L0633 $4,147 [source] 4 years ago
Medical City Healthcare 13155 Noel Rd. Suite 200, Dallas L0633 $4,306 [source] 4 years ago
Medical City Fort Worth 900 8Th Ave, Fort Worth L0633 $4,791 [source] 4 years ago
Medical City Las Colinas 6800 N Macarthur Blvd, Irving L0633 $5,649 [source] 4 years ago
Medical City Weatherford 713 E Anderson St, Weatherford L0633 $9,308 [source] 4 years ago
Medical City Arlington 3301 Matlock Rd, Arlington L0633 $9,308 [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.