Universal Elastic Lumbosacral Wraparound w/Steel Stays
[E1103]

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

Universal Elastic Lumbosacral Wraparound Support. Adjustable hook 'n pile front closure with two-ply 3" wide overlapping tension straps on either side. Firm elastic back section is attached to soft flannel lined front. Two removable pre-bent steel stays and two spiral stays help prevent rolling. One size fits hips: 30"-50".

Note: Same as Model E1101, but with steel stays.

Front height: 6"
Back height: 10"