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

Oklahoma

Hospital	Address	Code	Price	Last Updated
St. John Owasso	12451 E 100Th St N, Owasso	L0639	$762 [source]	4 years ago
St. John Medical Center	1923 S Utica Ave, Tulsa	L0639	$762 [source]	4 years ago
St. Mary’S Regional Medical Center	305 South 5Th Street, Enid	L0639	$3,658 [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 §180.