HCPCS: L0625
Modifier: GY (elastic)
HCPCS review letter on file.
Crisscross All Elastic Lumbosacral Wraparound Support. One-piece one-way stretch elastic wraparound with hook 'n pile front closure. Back is reinforced with 3" wide elastic crisscross straps for added support. Four flexible spiral stays control rolling. Sized according to hip measurement.
Note: Similar to Model E1282, but with greater height and with 3" wide elastic pull straps for added compressive support.
Front height: 9"
Back height: 10"
Sizes:
S (30"-34")
M (35"-38")
L (39"-42")
XL (43"-46")
Available Options:
Size:
Back Care