HCPCS Level IIprostheticsActive
L0628
Lso flex no ri stays pre ots
BETOS: D1F
Effective: 2014-01-01
Referenced in 3 policies
Description
Lumbar-sacral orthosis, flexible, provides lumbo-sacral support, posterior extends from sacrococcygeal junction to t-9 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include stays, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf
Coverage Policies
This code is referenced in 3 Medicare coverage policies
Sample Policies
AMBETTER-CP.MP.107PayerPolicy