LSO Brace with Rigid Shell Design HCPCS Code L0651

To bill for lumbar-sacral orthoses (LSOs) with rigid shell designs, 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:

L0651

Definition:

Lumbar-sacral orthosis, sagittal-coronal control, rigid shell(s)/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, anterior extends from symphysis pubis to xyphoid, produces intracavitary pressure to reduce load on the intervertebral discs, overall strength is provided by overlapping rigid material and stabilizing closures, includes straps, closures, may include soft interface, pendulous abdomen design, prefabricated, off-the-shelf

This code applies to prefabricated lumbar-sacral orthoses (LSOs) with rigid anterior and posterior shells for sagittal and coronal control. These braces extend from the sacrococcygeal junction to the T-9 vertebra and from the symphysis pubis to the xyphoid. Overlapping rigid materials and stabilizing closures ensure structural strength, while optional soft interfaces and pendulous abdomen designs enhance patient comfort. Ready to use, these orthoses provide effective stabilization and ensure Medicare compliance.

Clinical Use Cases for L0651 LSO Braces

Post-Surgical Recovery

Provides robust stabilization and sagittal-coronal control for patients recovering from complex spinal surgeries, such as spinal fusions or vertebral fracture repairs.

Severe Lumbar-Sacral Injuries

Offers advanced support for severe lumbar-sacral trauma, including fractures or ligament injuries, requiring rigid stabilization in multiple planes.

Chronic Spinal Conditions

Reduces intervertebral disc load and provides comprehensive stabilization for conditions such as scoliosis, kyphosis, or severe degenerative disc disease.

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 L0651 PDAC Approved LSO Braces with Rigid Shell Design

Provide your patients with advanced lumbar-sacral stabilization using our PDAC Approved LSO braces. Prefabricated and ready to use, these braces offer reliable support and Medicare-compliant solutions for a variety of spinal conditions.

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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 Shell Design?