Code: L0636

Description:
Description: Lumbar sacral orthosis, sagittal-coronal control, lumbar flexion, rigid posterior frame/panels, lateral articulating design to flex the lumbar spine, 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, anterior panel, pendulous abdomen design, custom fabricated
HCPCS Category: Orthotic/prosthetic procedures
Other Descriptions:
LSO SAGITTAL RIDG CUSTOM
HC LSO LUMB FLEX RIGD POST FRAME/PANL CSTM FAB
LSO SAGITTAL-CORONL CNTRL FLEX RIGID POST CUSTOM
Lso sagittal rigid panel cus
Related codes:
Code: L0630
BRACE BACK 20-60 IN
Code: L0631
BRACE LSO SAG CNTRL LVL2
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: L0637
SUPPORT ORTH LS RGD AP/L
Code: L0638
BRACE LSO ASPEN SUMMT OR
Code: L0639
BRACE LSO CUSTOM
Indiana
Hospital Address Code Price Last Updated
Ascension St. Vincent Warrick 1116 Millis Ave, Boonville L0636 $2,947 [source] 4 years ago
Ascension St. Vincent Hospital 2001 W 86Th St, Indianapolis L0636 $2,947 [source] 4 years ago
Ascension Medical Group St. Vincent 301 Henry St, North Vernon L0636 $2,947 [source] 4 years ago
Ascension St. Vincent Evansville 3700 Washington Ave, Evansville L0636 $2,947 [source] 4 years ago
Ascension St. Vincent Williamsport 412 N Monroe St, Williamsport L0636 $2,947 [source] 4 years ago
St Vincent Salem Hospital Inc 911 N Shelby St, Salem L0636 $2,947 [source] 4 years ago
St. Vincent Mercy Hospital 1331 S A St, Elwood L0636 $2,947 [source] 4 years ago
Ascension St. Vincent Dunn 1600 23Rd St, Bedford L0636 $2,947 [source] 4 years ago
Ascension St. Vincent Randolph 473 E Greenville Ave, Winchester L0636 $2,947 [source] 4 years ago
Ascension St. Vincent Carmel 13500 N Meridian St, Carmel L0636 $2,947 [source] 4 years ago
Ascension St. Vincent Anderson 2015 Jackson St, Anderson L0636 $2,947 [source] 4 years ago
Ascension St. Vincent Heart Center 10580 N Meridian St, Indianapolis L0636 $2,947 [source] 4 years ago
St. Vincent Clay Hospital, Inc 1206 E National Ave, Brazil L0636 $6,012 [source] 4 years ago
Ascension St Vincent Fishers 13861 Olio Road, L0636 $6,012 [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.