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2025 HCPCS code L0637

Lumbar-sacral orthosis (LSO) with sagittal-coronal control, rigid frame, and intracavitary pressure.

Fitting and adjustment are included in the code and should not be billed separately.

Must be justified by the patient's condition and the need for the specific type of support and restriction offered by the L0637.

Provides compression and support to the lower back, limiting excessive movement and reducing pressure on the intervertebral discs. Commonly used for conditions such as chronic back pain, fractures, and post-operative stabilization.

IMPORTANT For lumbar orthoses with sagittal coronal control, see codes L0633 to L0640 and L0649 to L0650. For lumbar orthoses with sagittal control, see codes L0626 to L0623 and L0641 to L0648.

In simple words: A back brace that supports the lower back from the tailbone to mid-back.It's rigid and helps limit motion, reducing pressure on the spinal discs. It has straps and closures and can be adjusted to fit the patient.

Lumbar-sacral orthosis (LSO), sagittal-coronal control, with rigid anterior and posterior frame/panels, posterior extends from sacrococcygeal junction to T-9 vertebra, lateral strength provided by rigid lateral frame/panels, produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, shoulder straps, 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.

Example 1: A patient with a recent compression fracture of the lumbar spine requires an L0637 to stabilize the area and reduce pain., Following lumbar surgery, a patient is fitted with an L0637 to restrict movement during the healing process., A patient with chronic lower back pain and instability is prescribed an L0637 for support and pain relief.

Diagnosis, medical necessity for the orthosis, and any customization/fitting details.

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