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
Indiana
Hospital Address Code Price Last Updated
Ascension St. Vincent Warrick 1116 Millis Ave, Boonville L0639 $2,816 [source] 4 years ago
Ascension St. Vincent Hospital 2001 W 86Th St, Indianapolis L0639 $2,816 [source] 4 years ago
Ascension Medical Group St. Vincent 301 Henry St, North Vernon L0639 $2,816 [source] 4 years ago
Ascension St. Vincent Evansville 3700 Washington Ave, Evansville L0639 $2,816 [source] 4 years ago
Ascension St. Vincent Williamsport 412 N Monroe St, Williamsport L0639 $2,816 [source] 4 years ago
St Vincent Salem Hospital Inc 911 N Shelby St, Salem L0639 $2,816 [source] 4 years ago
St. Vincent Mercy Hospital 1331 S A St, Elwood L0639 $2,816 [source] 4 years ago
Ascension St. Vincent Dunn 1600 23Rd St, Bedford L0639 $2,816 [source] 4 years ago
Ascension St. Vincent Randolph 473 E Greenville Ave, Winchester L0639 $2,816 [source] 4 years ago
Ascension St. Vincent Carmel 13500 N Meridian St, Carmel L0639 $2,816 [source] 4 years ago
Ascension St. Vincent Anderson 2015 Jackson St, Anderson L0639 $2,816 [source] 4 years ago
Ascension St. Vincent Heart Center 10580 N Meridian St, Indianapolis L0639 $2,816 [source] 4 years ago
St. Vincent Clay Hospital, Inc 1206 E National Ave, Brazil L0639 $6,012 [source] 4 years ago
Ascension St Vincent Fishers 13861 Olio Road, L0639 $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.