Code: L0638

Description:
Description: Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panels, 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, shoulder straps, pendulous abdomen design, custom fabricated
HCPCS Category: Orthotic/prosthetic procedures
Other Descriptions:
HC LSO SAG-CORONAL PNL CUST
LUMB-SACRAL ORTHOS SAG-COR CNTRL RIGD A&P CUSTOM
LSO SAG-CORONAL PANEL CUSTOM TIER 001
LSO SAG-CORONAL PANEL CUSTOM TIER 002
LSO SAG-CORONAL PANEL CUSTOM TIER 003
LSO SAG-CORONAL PANEL CUSTOM TIER 004
LSO SAG-CORONAL PANEL CUSTOM TIER 005
LSO SAG-CORONAL PANEL CUSTOM TIER 006
LSO SAG-CORONAL PANEL CUSTOM TIER 007
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: L0636
ORTHOSIS LUMBAR SACRAL
Code: L0637
SUPPORT ORTH LS RGD AP/L
Code: L0639
BRACE LSO CUSTOM
Illinois
Hospital Address Code Price Last Updated
Van Matre Encompass Health Rehabilitation Hospital 950 S Mulford Rd, Rockford L0638 $1,052 [source] 4 years ago
Adventist Bolingbrook Hospital 500 Remington Blvd, Bolingbrook L0638 $2,328 [source] 4 years ago
Presence St. Mary's Hospital 500 W Court St, Kankakee L0638 $3,098 [source] 4 years ago
Alexian Brothers Medical Center 935 Beisner Rd, Elk Grove Village L0638 $4,066 [source] 4 years ago
Adventist Hinsdale Hospital 120 N Oak St, Hinsdale L0638 $4,173 [source] 4 years ago
Adventist Lagrange Memorial Hospital 5101 Willow Springs Rd, La Grange L0638 $4,209 [source] 4 years ago
Adventist Glenoaks Hospital 701 Winthrop Ave, Glendale Heights L0638 $4,209 [source] 4 years ago
St. Alexius Medical Center 1555 Barrington Road, L0638 $4,227 [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.