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HCPCS Code for Lumbar-sacral orthosis (LSO), sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to T-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf L0650

HCPCS code L0650 for Lumbar-sacral orthosis (LSO), sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to T-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf as maintained by CMS falls under Lumbar-sacral Orthotics Sagittal Control .

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Official Long Descriptor

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

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Uptick in Braces code L0637, L0650 and L0631
Hi All - We have noticed an uptick for following codes L0637, L0650 and L0631. There is 80% increase for L0650 which is available off the shelf and no FFS found for it . Rest two codes are below the m... [ Read More ]
DME Denial for competitive bidding
[QUOTE="kris1275, post: 494180, member: 666780"] Can anyone advise on billing a replacement brace? I am billing L0650-RA and am receiving a denial for same or similar to equipment already being used. ... [ Read More ]
Replacement DME
We are a physicians office contracted to provide back and knee braces. Can anyone advise on billing a replacement brace? I am billing L0650-RA and am receiving a denial for same or similar to equipm... [ Read More ]
DME Denial for competitive bidding
Can anyone advise on billing a replacement brace? I am billing L0650-RA and am receiving a denial for same or similar to equipment already being used. Also the same for a replacement knee brace L1833-... [ Read More ]
DME Denial for competitive bidding
I had the same denial - I had never even heard of competitive bidding and I called Noridian and was told that because we are a physicians office and only give spinal/knee braces to our own patients, w... [ Read More ]
Balance Billing
I have been fighting with UHC since January regarding a back brace (L0650) dispensed to a patient. The patient signed for and received the brace then UHC denied for 'not medically necessary'. We've ... [ Read More ]
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