hcpcs data

L0651

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

Medicare: Carrier judgmentL seriesAdded January 01, 2014

What L0651 means

L0651 (Lso sag-co shell pnl pre ots) belongs to the HCPCS Level II L series (Orthotic Procedures and services; Prosthetic Procedures). Its Medicare coverage status is Carrier judgment. Medicare coverage is left to the judgment of the local Medicare Administrative Contractor (MAC), so check your MAC's local coverage determinations.

Part B pricing: Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings).

Code details

Short description
Lso sag-co shell pnl pre ots
Coverage code
C = Carrier judgment
Pricing indicator
38 = Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)
Multiple pricing indicator
A = Not applicable as HCPCS priced under one methodology
Type of service
P = Lump sum purchase of DME, prosthetics, orthotics
Action code
N = No maintenance for this code
Action effective date
January 01, 2014
Code added date
January 01, 2014
Data year
2026

Questions about L0651

What is HCPCS code L0651?

HCPCS code L0651 is a Level II code in the L series (Orthotic Procedures and services; Prosthetic Procedures). Its full description is: "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"

Is L0651 a CPT code?

No. L0651 is a HCPCS Level II code maintained by CMS, not a CPT (Level I) code from the American Medical Association. People often search for it as a CPT code because both code sets are reported on the same claims.

Does Medicare cover HCPCS code L0651?

The Medicare coverage code for L0651 is "Carrier judgment". Medicare coverage is left to the judgment of the local Medicare Administrative Contractor (MAC), so check your MAC's local coverage determinations.

When was HCPCS code L0651 added?

L0651 was added to the HCPCS code set on January 01, 2014. The most recent action on it (No maintenance for this code) took effect on January 01, 2014.

All L codes