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
California
Hospital Address Code Price Last Updated
South Sacramento Medical Center 6600 Bruceville Rd, Sacramento L0639 $2,380 [source] 4 years ago
South San Francisco Medical Center 1200 El Camino Real, South San Francisco L0639 $2,380 [source] 4 years ago
Oakland Medical Center 3600 Broadway, Woodland Hills L0639 $2,380 [source] 4 years ago
Sacramento Medical Center 2025 Morse Ave, Sacramento L0639 $2,380 [source] 4 years ago
Kaiser Foundation Hospitals 4501 Sand Creek Road, Antioch L0639 $2,380 [source] 4 years ago
Modesto Medical Center 4601 Dale Rd, Modesto L0639 $2,380 [source] 4 years ago
Vacaville Medical Center 1 Quality Dr, Vacaville L0639 $2,380 [source] 4 years ago
San Leandro Medical Center 2500 Merced St, San Leandro L0639 $2,380 [source] 4 years ago
Walnut Creek Medical Center 1425 S Main St, Walnut Creek L0639 $2,380 [source] 4 years ago
Santa Clara Medical Center 700 Lawrence Expy, Santa Clara L0639 $2,380 [source] 4 years ago
Richmond Medical Center 901 Nevin Ave, Richmond L0639 $2,380 [source] 4 years ago
Santa Rosa Medical Center 401 Bicentennial Way, American Canyon L0639 $2,380 [source] 4 years ago
Redwood City Medical Center 1100 Veterans Blvd, Redwood City L0639 $2,380 [source] 4 years ago
Vallejo Medical Center 975 Sereno Dr, Vallejo L0639 $2,380 [source] 4 years ago
San Rafael Medical Center 99 Montecillo Rd, San Rafael L0639 $2,380 [source] 4 years ago
San Francisco Medical Center 2525 Geary Blvd, San Francisco L0639 $2,380 [source] 4 years ago
Fresno Medical Center 39400 Paseo Padre Pkwy, Fresno L0639 $2,380 [source] 4 years ago
Roseville Medical Center 1600 Eureka Rd, Roseville L0639 $2,380 [source] 4 years ago
San Jose Medical Center 250 Hospital Pkwy, San Jose L0639 $2,380 [source] 4 years ago
Encompass Health Rehabilitation Hospital Of Modesto 1303 Mable Avenue, Modesto L0639 $2,727 [source] 4 years ago
Palmdale Regional Medical Center 38600 Medical Center Drive, Palmdale L0639 $3,192 [source] 4 years ago
Riverside Community Hospital 4445 Magnolia Ave, Riverside L0639 $5,070 [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.