# L0639: Orthotics (braces and supports)

- **HCPCS code:** L0639
- **CMS description:** 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 item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise

## Service Type Codes to Send

1. [DM Durable Medical Equipment](https://www.verifytx.com/stc-lookup/service-types/DM/)
2. [75 Prosthetic Device](https://www.verifytx.com/stc-lookup/service-types/75/)

**Why these codes:** 5010 has no orthotics code; payers answer braces under DME, some under prosthetic devices.

**Sources:** CMS HCPCS Level II descriptor; X12 HIPAA 5010 service type code definitions; VerifyTX billing practice

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Canonical: https://www.verifytx.com/stc-lookup/procedure-codes/L0639/