# L0649: Orthotics (braces and supports)

- **HCPCS code:** L0649
- **CMS description:** Lumbar-sacral orthosis, sagittal-coronal control, with rigid posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panels, produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, stays, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf

## 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/L0649/