L0638
Lumbar-sacral orthosis, 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, custom fabricated
- Effective Date: 2006-01-01
- Medicare Coverage Status: Carrier Judgement
- BETOS Classification: Prosthestic/Orthotic devices
Medicare Fees (ceiling): $1559.78
L0637
L0639 