Required Documentation: Therapy, Nursing or Physician notes stating the patient has one of the above conditions and requires a back brace. Telephone order is required stating one of the above listed conditions. Adjunct Products: Shoulder straps to enhance posture
OrthoPro Lumbar Sacral Orthosis (LSO)
OrthoPro Lumbar Sacral Orthosis
Product Description: Lumbar Sacral Orthosis
Product Treats: Displacement of lumbar disc, lumbar sacral instability or inflammation, spondylosis and spinal degeneration
Product Utilization: Bend to fit better for optimal fit and comfort
Sizes: Small, medium or large based on midriff circumference
Coding: L0627 sagitt rigit panel. ICD codes 724.02, 722.20, 721.90 724.60 - all related to curvature of the spine and disc disorders
Required Documentation: Therapy, Nursing or Physician notes stating the patient has the above diagnosis and requires a LSO for treatment of curvature of the spine or spinal disc disorders. Telephone order is required for dispensing stating the diagnosis above.
Adjunct Products: Also comes in hard shell for additional support creating more support for post-surgical disorders, L0639. Can also be ordered with cervical flexion addition for head support and or eating assistance. This is non-billable and limited success. Requires management approval prior to order.