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
Illinois
Hospital Address Code Price Last Updated
Adventist Bolingbrook Hospital 500 Remington Blvd, Bolingbrook L0639 $2,288 [source] 4 years ago
Presence St. Mary's Hospital 500 W Court St, Kankakee L0639 $3,045 [source] 4 years ago
Alexian Brothers Medical Center 935 Beisner Rd, Elk Grove Village L0639 $3,995 [source] 4 years ago
Adventist Hinsdale Hospital 120 N Oak St, Hinsdale L0639 $4,101 [source] 4 years ago
Adventist Lagrange Memorial Hospital 5101 Willow Springs Rd, La Grange L0639 $4,136 [source] 4 years ago
Adventist Glenoaks Hospital 701 Winthrop Ave, Glendale Heights L0639 $4,136 [source] 4 years ago
St. Alexius Medical Center 1555 Barrington Road, L0639 $4,154 [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.