A prefabricated LSO that is customized to fit a specific patient by an individual with expertise.
ATLAS-48, FRAME-48
Resource
Lumbar support orthoses can be associated with different HCPCS codes depending on product configuration and how the device is furnished. For practices and DME organizations, understanding these code relationships can make product evaluation and documentation review easier.
RGI Med is an authorized distributor of Paradigm Bracing Solutions and offers multiple LSO configurations associated with commonly used lumbar orthosis HCPCS codes.
HCPCS coding does not guarantee reimbursement or coverage. Applicable coding may depend on product configuration, furnishing method, documentation, payer requirements, and other factors.
A prefabricated LSO that is customized to fit a specific patient by an individual with expertise.
ATLAS-48, FRAME-48
A prefabricated LSO furnished off-the-shelf.
ATLAS-48, FRAME-48
A prefabricated LSO that is customized to fit a specific patient by an individual with expertise.
ATLAS-50, FRAME-50
A prefabricated LSO furnished off-the-shelf.
ATLAS-50, FRAME-50
These are verified RGI Med product/model associations, not universal billing rules.
| HCPCS | General distinction | RGI Med models | Detailed guide |
|---|---|---|---|
| L0631 | Custom fitted | ATLAS-48, FRAME-48 | L0631 vs L0648 |
| L0648 | Off-the-shelf | ATLAS-48, FRAME-48 | L0631 vs L0648 |
| L0637 | Custom fitted | ATLAS-50, FRAME-50 | L0637 vs L0650 |
| L0650 | Off-the-shelf | ATLAS-50, FRAME-50 | L0637 vs L0650 |
The associations below come from verified RGI Med product data. They are not a determination of coding eligibility. Configuration details such as lateral panels describe the product, not a billing rule.
The Atlas LSO is offered in two configurations. Coding is not determined only by the presence or absence of lateral panels.
ATLAS-50
With lateral panels.
ATLAS-48
Without lateral panels.
The Frame 50 LSO is a lightweight, low-profile lumbar support orthosis designed to combine rigid spinal stabilization with therapeutic compression.
The Frame 48 LSO is a lightweight, low-profile lumbar support orthosis designed to combine rigid spinal stabilization with therapeutic compression.
At a high level, L0631 and L0637 are custom-fitted code variants. A prefabricated LSO in this group is customized to fit a specific patient by an individual with expertise.
L0648 and L0650 are off-the-shelf code variants. A prefabricated LSO in this group is furnished off-the-shelf.
A brace associated with a code family is not automatically billable under one of those codes. Organizations should follow applicable payer and coding requirements.
Compare the custom-fitted and off-the-shelf variants associated with ATLAS-48 and FRAME-48.
Compare the custom-fitted and off-the-shelf variants associated with ATLAS-50 and FRAME-50.
Qualified healthcare practices, in-office DME programs, and medical supply organizations can request a complimentary sample to evaluate product quality, fit, construction, and ease of application firsthand.