Universal Elastic Lumbosacral Wraparound
[E1190]

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 pull straps on both sides. Firm white elastic back section is attached to 3⁄8"-thick aqua colored foam front. Four flexible stays prevent rolling. One size fits hips: 30"-50".

Front height: 5"
Back height: 9"