Elastic Wraparound Lumbosacral w/Steel Stays
[3532]

HCPCS: L0628
Modifier: GY (elastic)
HCPCS review letter on file.

Elastic Wraparound. Two-way stretch mesh elastic with hook 'n pile closure, front and back panel of herringbone twill and two removable pre-bent steels. Flexible stays at front, side and back. Sized according to hip measurement.

Development: 4"
Front height: 10"
Back height: 14"

Sizes:
Small (30"-34")
Medium (34"-38")
Large (38"-42")
X-Large (42"-46")
2X-Large (46"-50")