HCPCS Code L0621
Sacroiliac orthosis, flexible, provides pelvic-sacral support, reduces motion about the sacroiliac joint, includes straps, closures, may include pendulous abdomen design, prefabricated, off-the-shelf
Orthotic and Prosthetic Procedures, Devices
L0621 is a valid 2024 HCPCS code for Sacroiliac orthosis, flexible, provides pelvic-sacral support, reduces motion about the sacroiliac joint, includes straps, closures, may include pendulous abdomen design, prefabricated, off-the-shelf or just “Sio flex pelvic/sacr pre ots” for short, used in Lump sum purchase of DME, prosthetics, orthotics.
| HCPCS Level II Code Orthotic and Prosthetic Procedures, Devices |
|
| HCPCS Code | L0621 |
|---|---|
| Description |
Long description:
Short description: |
| HCPCS Modifier1 | |
| HCPCS 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
|
| Coverage code | C - Carrier judgment |
| BETOS2 code | D1F - Prosthetic/Orthotic devices |
| HCPCS Action code | N - No maintenance for this code |
| Type of service | P - Lump sum purchase of DME, prosthetics, orthotics |
| Effective date | Effective Jan 01, 2014 |
| Date added | Added Jan 01, 2006 |
| HCPCS Coding Procedures | |
HCPCS Modifiers
In HCPCS Level II, modifiers are composed of two alpha or alphanumeric characters.
Example: E0260-NU - Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress
“NU” identifies the hospital bed as new equipment
See also
-
HCPCS L0492 · Tlso, sagittal-coronal control, modular segmented spinal system, three rigid plastic shells, posterior extends from the sacrococcygeal junction and terminates just inferior to the scapular spine, anterior extends from the symphysis pubis to the xiphoid, soft liner, restricts gross trunk motion in the sagittal and coronal planes, lateral strength is provided by overlapping plastic and stabilizing closures, includes straps and closures, prefabricated, includes fitting and adjustment
-
HCPCS L0622 · Sacroiliac orthosis, flexible, provides pelvic-sacral support, reduces motion about the sacroiliac joint, includes straps, closures, may include pendulous abdomen design, custom fabricated
1 Two-digit numeric codes are Level I code modifiers copyrighted© by the American Medical Association's Current Procedural Terminology (CPT).
2 BETOS stands for “Berenson-Eggers Type Of Service”
