2025 HCPCS code L0650
Lumbar-sacral orthosis (LSO), sagittal-coronal control, prefabricated, off-the-shelf.
Medical necessity for an L0650 orthosis is established when it is used to treat a medically necessary condition affecting the lumbar-sacral spine, such as chronic pain, spinal instability, post-operative stabilization, or prevention of further injury in conditions like osteoporosis. The documentation must clearly demonstrate that the device is necessary for the patient's treatment and improvement of their condition.
In simple words: This is a pre-made back brace designed to support and limit motion in the lower back. It's worn around the lower back and fastened with straps, providing extra support from the tailbone up to the mid-back. It helps by increasing pressure in the abdomen, which lessens the strain on the discs in your spine. It comes in standard sizes and can have additional features like padding and shoulder straps.
Lumbar-sacral orthosis (LSO) with sagittal-coronal control, featuring a rigid anterior and posterior frame/panel, with the posterior extending from the sacrococcygeal junction to the T-9 vertebra. Lateral strength is provided by rigid lateral frame/panel(s). The orthosis produces intracavitary pressure to reduce load on intervertebral discs. It includes straps and closures, and may also include padding, shoulder straps, and a pendulous abdomen design. This orthosis is prefabricated and available off-the-shelf.
Example 1: A patient with chronic lower back pain due to a herniated disc requires additional support and pain relief. The L0650 orthosis is prescribed to provide stability, limit motion, and reduce pressure on the intervertebral discs., Following a laminectomy procedure, a patient needs stabilization of the lumbar spine. An L0650 orthosis is fitted to restrict movement and promote healing during the post-operative period., A patient with osteoporosis and a history of compression fractures requires additional support to prevent further injury. The L0650 orthosis is used to provide stability and limit spinal flexion, reducing the risk of future fractures.
Documentation should include the diagnosis necessitating the orthosis, the type of orthosis provided (L0650), and any fitting or adjustments performed. Additionally, records should demonstrate the medical necessity for the device, such as documentation of the patient's condition, prior treatments, and expected therapeutic benefit.
- Payment Status: Active
- Specialties:Orthopedics, Physical Medicine and Rehabilitation, Pain Management
- Place of Service:Office, Outpatient Hospital, Home