HCPCS: L0621
HCPCS review letter on file.
Style: Sacroiliac Support.
Adjustment: One-pull back lace.
Front Closure: Snap-button with reinforcing hook-and-eye.
Materials: White herringbone twill.
Elastic Releases: None.
Preshaped Steels: None.
Flexible Stays: Front, side and back.
Even Hip Sizes: 30-52
Special Features: This Sacroiliac Support includes a removable back pad enclosed in a water-repellent pocket.
Comments: For replacement perineal straps, order Model PS. For replacement pad, order Model 3080.
| Depth |
| Sizes | Dev. | | Front | Back |
| 30-40 | 3" | Above Waist | 0" | 0" |
| Below Waist | 7" | 7½" |
| 42-52 | 3" | Above Waist | ½" | 0" |
| Below Waist | 7½" | 7½" |
Additional Options: Perineal straps available upon request.
Available Options:
Perineal Straps:
Size:
Back Care