Code: L0639

Description:
Description: Lumbar-sacral orthosis, sagittal-coronal control, rigid shell(s)/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, anterior extends from symphysis pubis to xyphoid, produces intracavitary pressure to reduce load on the intervertebral discs, overall strength is provided by overlapping rigid material and stabilizing closures, includes straps, closures, may include soft interface, 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:
HC LSO S/C SHELL/PNL PREFAB
SUPPORT L/S PREFAB INTERF RIGD
LUMB-SAC ORTHOS SAG-COR CNTRL RIGID SHELL 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: 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: L0638
BRACE LSO ASPEN SUMMT OR
State Average # Hospitals In Database
Colorado (CO) $585 1
New Jersey (NJ) $748 1
Minnesota (MN) $884 13
Kansas (KS) $907 3
Tennessee (TN) $934 1
Wisconsin (WI) $1,033 3
Massachusetts (MA) $1,075 16
Pennsylvania (PA) $1,090 4
New York (NY) $1,120 3
Arkansas (AR) $1,450 2
West Virginia (WV) $1,461 2
Delaware (DE) $1,661 1
Oklahoma (OK) $1,727 3
Kentucky (KY) $1,839 1
Virginia (VA) $1,852 5
North Carolina (NC) $2,007 1
Maryland (MD) $2,150 5
Washington (WA) $2,332 2
Louisiana (LA) $2,344 1
New Hampshire (NH) $2,363 3
Maine (ME) $2,412 1
Alabama (AL) $2,429 4
California (CA) $2,652 24
Indiana (IN) $3,272 14
Illinois (IL) $3,693 7
Florida (FL) $4,009 25
Texas (TX) $6,183 18
Georgia (GA) $10,090 2
Nevada (NV) $13,874 10
Alaska (AK) $26,237 2

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.