HCPCS L0648: LSO, Sagittal Control, Rigid An/pos Panels

L0648 is an "Off-the-Shelf" orthosis. This means it requires minimal self-adjustment for fitting, such as trimming or bending, that can be done by the patient, caregiver, or supplier without specialized training. "Custom Fitted" orthoses (like L0651) require more than minimal self-adjustment (e.g., molding, extensive trimming) by a certified orthotist or an equivalently trained professional to achieve an individualized fit.

Yes. Unless otherwise specified in the policy, DMEPOS items like L0648 typically have an RUL of five years under Medicare. Replacement within this period is generally covered only if the original item is lost, stolen, irreparably damaged, or there is a documented change in the beneficiary's medical condition supporting the need for a different item.

The CVR is a review process by the Pricing, Data Analysis, and Coding (PDAC) contractor that verifies that a specific manufactured product is described by a particular HCPCS code. Only products that have undergone and passed this review for L0648 can be billed using this code.