LSO Brace with Rigid Panels HCPCS Code L0642

To bill for lumbar-sacral orthoses (LSOs), you'll need to use HCPCS Level II codes, which are designed for healthcare products and services that fall outside the CPT system. All bracing and orthotic devices are categorized under the "L" series of HCPCS codes.

HCPCS Code:

L0642

Definition:

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

This code applies to prefabricated lumbar-sacral orthoses (LSOs) with rigid anterior and posterior panels designed for sagittal control. These braces extend from L-1 to below L-5 and reduce intervertebral disc load through intracavitary pressure. With adjustable straps, closures, and optional padding, these braces are ready to use and provide effective lumbar stabilization while ensuring Medicare compliance.

Clinical Use Cases for L0642 Off-the-Shelf LSO Braces

Post-Surgical Recovery

Provides effective sagittal control and lumbar stabilization for patients recovering from lumbar spine surgeries, such as laminectomy or discectomy.

Lumbar Spine Injuries

Offers reliable support for managing lumbar fractures, ligament injuries, or mild to moderate lumbar instability.

Degenerative Lumbar Conditions

Reduces intervertebral disc load and stabilizes the lumbar spine for patients with degenerative disc disease, spondylosis, or chronic lumbar pain.

Why Healthcare Providers Choose Brace Direct

Comprehensive Product Selection

Our extensive range of PDAC-approved braces ensures you'll find the perfect solution for every patient's unique needs. From off-the-shelf options to specialized supports, we provide high-quality products that meet stringent medical standards.
Streamlined Ordering Process

Our user-friendly online platform allows for quick and efficient product selection. Search by specific codes, patient conditions, or product features to find exactly what you need with minimal effort.
Expert Clinical Support

Access a wealth of educational resources including detailed fitting guides, instructional videos, and direct support from our team of bracing specialists. We're committed to supporting healthcare providers in delivering optimal patient care.

Cost-Effective Solutions

Benefit from competitive pricing, volume discounts, and our Provider Discount Program. We help you manage costs without compromising on the quality of patient care and support.

Provider Discount Program

Save on wholesale orders and access exclusive volume discounts for your practice. Our program makes it easy to stock high-quality, PDAC-approved braces at competitive prices, ensuring your patients receive the best care while keeping your costs low.

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Become an Affiliate

Earn commissions by referring patients to trusted, high-quality braces. Our Affiliate Program offers a seamless way to recommend PDAC-approved products to your patients while creating an additional revenue stream for your practice.

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Explore Our PDAC L0642 Approved LSO Braces with Rigid Panels

Deliver reliable lumbar support and sagittal control to your patients with our PDAC-approved LSO braces. Prefabricated and ready to use, these braces provide effective stabilization for a variety of lumbar conditions while maintaining Medicare compliance.

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Frequently Asked Questions

How can I ensure correct billing for DME (Durable Medical Equipment)? + –

To bill for DME, you’ll need proper documentation, including patient diagnosis, medical necessity, and a detailed prescription. Be sure to use the appropriate modifiers (e.g., KX, RT, LT) and maintain compliance with Medicare guidelines.

Why doesn't Brace Direct work with insurance or Medicare? + –

Brace Direct follows a direct-to-consumer model to offer affordable prices, upfront pricing transparency, and faster access to braces without the delays and complexities of insurance or Medicare billing. Many products are FSA and HSA eligible for added convenience.
Direct-to-Consumer Medical Braces & Supports: No Insurance Hassles

How does Brace Direct support healthcare providers? + –

We offer an extensive range of PDAC-approved products, educational resources, and a user-friendly ordering platform. Additionally, our Provider Discount Program helps practices manage costs while delivering high-quality care.

What does PDAC approval mean, and why is it important? + –

PDAC (Pricing, Data Analysis, and Coding) approval ensures that a brace meets Medicare’s strict requirements for quality, design, and function. Using PDAC-approved products simplifies reimbursement processes and helps avoid claim denials.

Where can I learn more about Medicare's requirements for braces and billing? + –

For more details on Medicare’s coding and reimbursement guidelines for orthotics, visit the official Medicare website below.
Medicare's DME Coverage

What is the CPT Code for an LSO Brace with Rigid Panels?