HCPCS Level IIprostheticsActive
L0642
Lo sag ri an/pos pnl pre ots
BETOS: D1F
Effective: 2014-01-01
Referenced in 2 policies
Description
Lumbar orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf
Coverage Policies
This code is referenced in 2 Medicare coverage policies
Sample Policies
ANTHEM-CG-DME-11PayerPolicy