HCPCS: L0625
Modifier: GY (elastic)
HCPCS review letter on file.
Universal Elastic Pocket Wraparound with Removable Back Pad. 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 flexible stays and two spiral stays help prevent rolling. Pocket for accompanying Ethafoam lumbar pad (shown partially exposed). One size fits hips: 30"-50".
Note: Similar to Model E1101, but with pocket for included back pad.
Front height: 6"
Back height: 10"
Back Care