L0625 - LUMBAR ORTHOSIS, FLEXIBLE, PROVIDES LUMBAR SUPPORT, POSTERIOR EXTENDS FROM L-1 TO BELOW L-5 VERTEBRA, PRODUCES INTRACAVITARY PRESSURE TO REDUCE LOAD ON THE INTERVERTEBRAL DISCS, INCLUDES STRAPS, CLOSU
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Code History
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Fees
Calculated for UT (84043)
*
Note: Medicare may or may NOT reimburse you for this code.
The fees provided below are based on values established by CMS/Medicare.
Please check with your local Medicare contact on whether this code is eligible for reimbursement.
Facility (Hospital, etc.)
Medicare vs. My Fee Evaluation
Modifier
Medicare Allowed
150%
200%
My Fee
(none)
$52.11
$78.17
$104.22
(your fee)
Note: Subscribers with the Hospital/Facility product will see calculated values below.
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Medicare Non-Participating - Assignment Accepted (Check To Doctor)
Modifier
Allowed
Medicare 80%
Patient Pays
Limiting Charge (Amount Billed)
(none)
$##.##
$##.##
$##.##
$##.##
Medicare Non-Participating - Assignment NOT Accepted (Check To Patient)
Modifier
Allowed
Medicare 80%
Patient Pays
Limiting Charge (Amount Billed)
(none)
$##.##
$##.##
$##.##
$##.##
APC Fee Information
Note: APC information, including Status Indicator, Relative Weight, Payment Rate, Crosswalks, and more, is available to Subscribers with the Hospital/Facility product.
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