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
Florida
Hospital Address Code Price Last Updated
Lakewood Ranch Medical Center 8330 Lakewood Ranch Boulevard, Bradenton L0639 $525 [source] 4 years ago
Manatee Healthcare System 206 Second Street East, Bradenton L0639 $525 [source] 4 years ago
Encompass Health Rehabilitation Hospital Of Sunrise 4399 N Nob Hill Rd, Fort Lauderdale L0639 $1,006 [source] 4 years ago
Encompass Health Rehabilitation Hospital Of Miami 20601 Old Cutler Road, Miami L0639 $1,006 [source] 4 years ago
Encompass Health Rehabilitation Hospital Of Altamonte Springs 831 S State Road 434, Altamonte Springs L0639 $2,259 [source] 4 years ago
Doctors Hospital Of Sarasota 5731 Bee Ridge Rd, Sarasota L0639 $4,263 [source] 4 years ago
Rmc Bayonet Point (Level Ii Trauma Center) 14000 Fivay Rd, Hudson L0639 $4,821 [source] 4 years ago
Medical Center Of Trinity 9330 State Rd 54, New Port Richey L0639 $4,821 [source] 4 years ago
Largo Medical Center 201 14Th St Sw, Largo L0639 $4,821 [source] 4 years ago
St. Petersburg General Hospital 6500 38Th Ave N, Saint Petersburg L0639 $4,821 [source] 4 years ago
Englewood Community Hospital 700 Medical Blvd, Englewood L0639 $4,821 [source] 4 years ago
Fawcett Memorial Hospital 21298 Olean Blvd, Port Charlotte L0639 $4,821 [source] 4 years ago
Northside Hospital 6000 49Th St North, Saint Petersburg L0639 $4,821 [source] 4 years ago
South Bay Hospital 4016 Sun City Center Blvd, Sun City Center L0639 $4,821 [source] 4 years ago
Brandon Regional Hospital 119 Oakfield Dr, Brandon L0639 $4,821 [source] 4 years ago
Oak Hill Hospital 11375 Cortez Blvd, Brooksville L0639 $4,821 [source] 4 years ago
Blake Medical Center 2020 59Th St West, Bradenton L0639 $4,951 [source] 4 years ago
Orange Park Medical Center 2001 Kingsley Avenue, Orange Park L0639 $8,459 [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.