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
Massachusetts
Hospital Address Code Price Last Updated
Martha's Vineyard Hospital One Hospital Road, Oak Bluffs L0639 $1,050 [source] 4 years ago
Spaulding Hospital Cambridge 1575 Cambridge St, Cambridge L0639 $1,050 [source] 4 years ago
Massachusetts General Hospital 55 Fruit St, Boston L0639 $1,050 [source] 4 years ago
Spaulding Rehab Hospital Cape Cod 311 Service Rd, East Sandwich L0639 $1,050 [source] 4 years ago
Cooley Dickinson Health Care 30 Locust St, Northampton L0639 $1,050 [source] 4 years ago
North Shore Medical Center Hospital 81 Highland Ave, Salem L0639 $1,050 [source] 4 years ago
Nantucket Cottage Hospital 57 Prospect St, Nantucket L0639 $1,050 [source] 4 years ago
Mclean Hospital 115 Mill St, Belmont L0639 $1,050 [source] 4 years ago
Brigham & Women Faulkner Hospital 1153 Centre St, Jamaica Plain L0639 $1,050 [source] 4 years ago
Massachusetts Eye And Ear 243 Charles St, Boston L0639 $1,050 [source] 4 years ago
Spaulding Rehab Hospital Boston 300 1St Ave, Charlestown L0639 $1,050 [source] 4 years ago
Brigham & Womens Hospital, Inc. 75 Francis St, Boston L0639 $1,050 [source] 4 years ago
Newton Wellesley Hospital 2014 Washington St, Newton Lower Falls L0639 $1,050 [source] 4 years ago
Encompass Health Rehabilitation Hospital Of Braintree 250 Pond St, Braintree L0639 $1,071 [source] 4 years ago
Encompass Health Rehabilitation Hospital Of New England 2 Rehabilitation Way, Woburn L0639 $1,426 [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.