2025 HCPCS code L0648

Lumbar-sacral orthosis (LSO), sagittal control, with rigid anterior and posterior panels, posterior extends from sacrococcygeal junction to T-9 vertebra.

Includes fitting and adjustment.Additional charges for fitting and adjustments should not be billed separately.

Must be justified by a documented medical condition requiring support, immobilization, or pain relief in the lumbosacral region. Conditions such as herniated discs, degenerative disc disease, spinal stenosis, or post-operative stabilization may qualify for LSO use.

Provides compression and support to the lower back, restricting excessive movement of the lumbosacral spine. Increases intracavitary pressure in the abdomen to create space between vertebrae and transfer load from intervertebral discs to surrounding soft tissues, reducing spinal pain.

IMPORTANT L0631

In simple words: This is a pre-made back brace that helps stabilize the lower back.It's designed to limit bending forward and backward, and it puts pressure on the abdomen to relieve pressure on the discs in the spine. It has rigid front and back panels, straps to hold it in place, and may have extra features like padding or shoulder straps.

Lumbar-sacral orthosis (LSO) with sagittal control, featuring rigid anterior and posterior panels. The posterior panel extends from the sacrococcygeal junction to the T-9 vertebra. This design produces intracavitary pressure to reduce load on the intervertebral discs. The orthosis includes straps and closures and may also incorporate padding, shoulder straps, and a pendulous abdomen design. It is prefabricated and available off-the-shelf.

Example 1: A patient with a herniated lumbar disc requiring support and pain relief., A patient with degenerative disc disease experiencing lower back pain and instability., Post-operative stabilization following lumbar spinal surgery.

Diagnosis supporting the medical necessity of the LSO, including documentation of pain, limited range of motion, and functional limitations.Also include specifics on the type of LSO prescribed and its features.

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