L0629 HCPCS - 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, CUSTOM FABRICATED

Code Information

HCPCS Code: L0629

Sequence Number: 0010

Short Description: Lso flex w/rigid stays cust

Long 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, custom fabricated

Code Added Date: 1/1/2006

Action Code: N - No maintenance for this code

Action Effective Date: 1/1/2006

Classification: Orthotic/Prosthetic Procedures

Coding System: HCPCS

Code Type

Berenson-Eggers Type Of Service Code: D1F - Prosthetic/Orthotic devices
Type Of Service Code:
  • P - Lump sum purchase of DME, prosthetics, orthotics

Billing Information

Pricing Indicator Code:
  • 38 - Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)
Multiple Pricing Indicator Code: A - Not applicable as HCPCS priced under one methodology
Coverage Issues Manual Reference Section Number:
    N/A
    Medicare Carriers Manual Reference Section Number:
      N/A
      Coverage Code: C - Carrier judgment

      HCPCS Record

      Field Name Field Value
      Healthcare Common Procedure Coding System Code L0629
      HCPCS Sequence Number 0010
      HCPCS Record Identification Code 3 - First line of procedure record also contains detail information in positions 92-275
      HCPCS Long 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, custom fabricated
      HCPCS Short Description Lso flex w/rigid stays cust
      HCPCS Pricing Indicator Code 1 38 - Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)
      HCPCS Multiple Pricing Indicator Code A - Not applicable as HCPCS priced under one methodology
      HCPCS Coverage Code C - Carrier judgment
      HCPCS Berenson-Eggers Type Of Service Code D1F - Prosthetic/Orthotic devices
      HCPCS Type Of Service Code 1 P - Lump sum purchase of DME, prosthetics, orthotics
      HCPCS Anesthesia Base Unit Quantity 0
      HCPCS Code Added Date 1/1/2006
      HCPCS Action Effective Date 1/1/2006
      HCPCS Action Code N - No maintenance for this code

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      This page was last updated on: 1/1/2018