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. 3" wide elastic pull straps for added compressive support. Sized according to hip measurement.
Note: Shorter version of Model E1202.
Front height: 6-1/2"
Back height: 8"
Sizes:
S (30"-34")
M (35"-38")
L (39"-42")
XL (43"-46")
Available Options:
Size:
Back Care