Elastic Wraparound Lumbosacral
[972]

HCPCS: L0625
Modifier: GY (elastic)
HCPCS review letter on file.

Elastic Wraparound. One-way stretch elastic with hook 'n pile closure. Separate adjustable elastic band secured at back gives additional positive pressure. Flexible stays in back. Sized according to hip measurement.

Front height: 5½"
Back height: 10"

Sizes:
Small (30"-33")
Medium (34"-37")
Large (38"-41")
X-Large (42"-45")