2025 HCPCS code L0649

Lumbar-sacral orthosis (LSO), sagittal-coronal control, with rigid posterior frame/panel(s) extending from sacrococcygeal junction to T-9 vertebra. Lateral strength is provided by rigid lateral frame/panels, producing intracavitary pressure to reduce load on intervertebral discs.

Medical necessity for L0649 is established by documenting a condition requiring support and immobilization of the lumbar-sacral spine, such as a herniated disc, post-surgical stabilization, or degenerative disc disease.The documentation should clearly link the device to the patient's condition and demonstrate its therapeutic benefit.

IMPORTANT For other lumbar orthoses with sagittal coronal control, see codes L0633 to L0640 and L0650 to L0651. For lumbar orthoses with sagittal control, see codes L0626 to L0623 and L0641 to L0648.

In simple words: This is a prefabricated back brace designed to support and limit movement in the lower back. It's worn around the lower back and fastened with straps, and it helps to relieve pressure on the discs in the spine.

Lumbar-sacral orthosis (LSO), sagittal-coronal control, with rigid posterior frame/panel(s), 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, stays, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf.

Example 1: A patient with a herniated lumbar disc requires additional support and pain relief. An L0649 orthosis is prescribed to provide stability and reduce pressure on the intervertebral discs., Following lumbar fusion surgery, a patient needs a rigid orthosis to restrict movement and promote healing. The L0649 orthosis is fitted to provide the necessary support and immobilization., An elderly patient with degenerative disc disease experiences chronic lower back pain. The L0649 orthosis is used to provide support and improve posture, alleviating pain and improving mobility.

Documentation should include the diagnosis, the type of orthosis provided, the medical necessity for the device, and any fitting and adjustment procedures performed.

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