Sacroiliac orthosis, provides pelvic-sacral support, with rigid or semi-rigid panels placed over the sacrum and abdomen, reduces motion about the sacroiliac joint, includes straps, closures, may include pendulous abdomen design, custom fabricated

L0624
HCPCS Code

2023 HCPCS
Billable/Valid Code

L0624 is a valid 2023 HCPCS Code that could be used to indicate Sacroiliac orthosis, provides pelvic-sacral support, with rigid or semi-rigid panels placed over the sacrum and abdomen, reduces motion about the sacroiliac joint, includes straps, closures, may include pendulous abdomen design, custom fabricated for reimbursement purposes.

L0624 belongs to Lump Sum Purchase of DME, Prosthetics, Orthotics Type of Service and has been in effect since Jan 01, 2006.

Short description for L0624 HCPCS code:

Sio panel custom

HCPCS L0624

L0624 code information

HCPCS code:	L0624
Description:	SACROILIAC ORTHOSIS, PROVIDES PELVIC-SACRAL SUPPORT, WITH RIGID OR SEMI-RIGID PANELS PLACED OVER THE SACRUM AND ABDOMEN, REDUCES MOTION ABOUT THE SACROILIAC JOINT, INCLUDES STRAPS, CLOSURES, MAY INCLUDE PENDULOUS ABDOMEN DESIGN, CUSTOM FABRICATED
Effective Date:	Jan 01, 2006
Added Date:	Jan 01, 2006
Termination Date:	HCPCS L0624 was terminated on Nov 30, -0001
Pricing indicator:	`38` - ORTHOTICS, PROSTHETICS, PROSTHETIC DEVICES & VISION SERVICES (PRICE SUBJECT TO FLOORS AND CEILINGS)
Multi Pricing indicator:	`A` - NOT APPLICABLE AS HCPCS PRICED UNDER ONE METHODOLOGY
Coverage code:	`C` - CARRIER JUDGMENT
BETOS code:	`D1F` - ORTHOTIC DEVICES
Action code:	`N` - NO MAINTENANCE FOR THIS CODE
Type of Service:	`P` - LUMP SUM PURCHASE OF DME, PROSTHETICS, ORTHOTICS
Anesthesia BUQ:	0