HCPCS: L0625
Modifier: GY (elastic)
HCPCS review letter on file.
Elastic Lumbosacral Wraparound Support. Two individually adjustable 6" wide elastic closure belts attach to corresponding foam-pile belts for independent, variable compression of the sacral and lumbar spine. Flannel lined perforated vinyl back has four removable 10" preshaped steels. Sized according to hip measurement.
Front height: Adjustable 8"-10"
Back height: 11"
Sizes:
XS (26"-29")
S (30"-34")
M (35"-38")
L (39"-42")
XL (43"-46")
Available Options:
Size:
Back Care