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
Indiana
Hospital Address Code Price Last Updated
Ascension St. Vincent Warrick 1116 Millis Ave, Boonville L0638 $2,867 [source] 4 years ago
Ascension St. Vincent Hospital 2001 W 86Th St, Indianapolis L0638 $2,867 [source] 4 years ago
Ascension Medical Group St. Vincent 301 Henry St, North Vernon L0638 $2,867 [source] 4 years ago
Ascension St. Vincent Evansville 3700 Washington Ave, Evansville L0638 $2,867 [source] 4 years ago
Ascension St. Vincent Williamsport 412 N Monroe St, Williamsport L0638 $2,867 [source] 4 years ago
St Vincent Salem Hospital Inc 911 N Shelby St, Salem L0638 $2,867 [source] 4 years ago
St. Vincent Mercy Hospital 1331 S A St, Elwood L0638 $2,867 [source] 4 years ago
Ascension St. Vincent Dunn 1600 23Rd St, Bedford L0638 $2,867 [source] 4 years ago
Ascension St. Vincent Randolph 473 E Greenville Ave, Winchester L0638 $2,867 [source] 4 years ago
Ascension St. Vincent Carmel 13500 N Meridian St, Carmel L0638 $2,867 [source] 4 years ago
Ascension St. Vincent Anderson 2015 Jackson St, Anderson L0638 $2,867 [source] 4 years ago
Ascension St. Vincent Heart Center 10580 N Meridian St, Indianapolis L0638 $2,867 [source] 4 years ago
St. Vincent Clay Hospital, Inc 1206 E National Ave, Brazil L0638 $6,012 [source] 4 years ago
Ascension St Vincent Fishers 13861 Olio Road, L0638 $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.