Aspen Horizon 631 LSO Back Brace - PDAC Approved
PDAC Approval Information:
- Product Name: Aspen Horizon 631 LSO Back Brace
- Cross-Reference Number (XREF): 20251317
- Effective Date: 2012-09-27
- Download Official PDAC Approval Letter (PDF)
This assignment of HCPCS codes does not imply Medicare endorsement nor guarantee reimbursement or coverage.
HCPCS Code: L0631
LUMBAR-SACRAL ORTHOSIS, SAGITTAL CONTROL, WITH RIGID ANTERIOR AND POSTERIOR PANELS, 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, SHOULDER STRAPS, PENDULOUS ABDOMEN DESIGN, PREFABRICATED ITEM THAT HAS BEEN TRIMMED, BENT, MOLDED, ASSEMBLED, OR OTHERWISE CUSTOMIZED TO FIT A SPECIFIC PATIENT BY AN INDIVIDUAL WITH EXPERTISE