HCPCS code L0650: Lumbar-Sacral Orthosis (LSO), Sagittal-coronal Control, Prefabricated off-the-shelf

Yes—face-to-face evaluation and a Written Order Prior to Delivery (WOPD) are mandatory. In urgent cases, use the ST modifier to bypass PA.

Ensure the product is PDAC-listed for L0650, a star requirement for payment eligibility.

An off-the-shelf orthosis like L0650 is a prefabricated item that requires minimal self-adjustment by the patient or caregiver before use. A custom-fitted orthosis (e.g., L0631) is also prefabricated, but it requires substantial modification by a certified orthotist or other qualified professional, such as trimming or molding, to achieve a precise fit for the patient.