Results of Prepay Probe for Lumbar-Sacral Orthoses

The DME MAC Jurisdiction A has completed the prepayment probe review of claims for Lumbar-Sacral Orthoses

• HCPCS code L0631 is a Lumbar-Sacral Orthoses, sagittal control with rigid anterior and posterior panels,

posterior extends from sacroccoccygeal junction to T-9 vertebra, produces intracavitary pressure to reduce

load on the intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous

abdomen design, prefabricated, includes fitting and adjustment.

• HCPCS code L0637 is a Lumbar-Sacral Orthoses, sagittal-cornal control with rigid anterior and posterior

frame/panels, produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures,

may include padding, shoulder straps, pendulous abdomen design, prefabricated, includes fitting and

adjustment.

This probe was initiated due to errors identified by the Comprehensive Error Rate Testing (CERT) Contractor. Please click here to read the entire probe LSO PROBE

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Categories: DME Information

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