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

Wisconsin

Hospital	Address	Code	Price	Last Updated
River Falls Area Hospital	, River Falls	L0633	$34 [source]	4 years ago
Howard Young Medical Center Inc Of Woodruff Wisconsin	240 Maple Street, Woodruff	L0633	$231 [source]	4 years ago
Ascension Calumet Hospital	614 Memorial Dr, Chilton	L0633	$278 [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.