In simple words: This code covers the cost of a custom-fitted back brace designed to support the lower back and limit movement.The brace is made from a pre-fabricated design but is modified by a specialist to fit the patient perfectly.

This HCPCS code represents the supply of a prefabricated lumbar orthosis (LSO), sagittal control, with rigid anterior and posterior panels.The posterior panel extends from L1 to below L5 vertebra and produces intracavitary pressure to reduce the load on the intervertebral discs.The orthosis includes straps, closures, and may include padding, shoulder straps, and a pendulous abdomen design. It is a prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise.

Example 1: A patient presents with chronic lower back pain due to degenerative disc disease.After evaluation, a physician orders a custom-fitted L0627 lumbar orthosis to provide support and pain relief., A patient recovering from a lumbar spine surgery requires a LSO to limit movement and promote healing.A physical therapist works with the patient to ensure proper fitting and use of the brace., An athlete sustains a lumbar strain during a competition. The physician recommends an L0627 brace to provide stability and facilitate healing while allowing for limited activity.

Physician's order specifying the need for a lumbar orthosis; documentation of patient assessment, including measurements and specific fitting requirements; detailed description of the customized modifications made to the prefabricated brace.

** This code covers the supply of the brace and the customization process performed by a qualified professional.Separate codes may be necessary for evaluation and fitting.