HCPCS Level IIprostheticsActive
L0643
Lso sag ctr rigi pos pre ots
BETOS: D1F
Effective: 2014-01-01
Referenced in 3 policies
Description
Lumbar-sacral orthosis, sagittal control, with rigid posterior panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, 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