HCPCS: L0626 or L0641
HCPCS review letter on file.
Elastic Lumbosacral Wraparound Support with Cinch Straps and Removable Back Pad. Flannel lined canvas back has a posterior pocket for removable pad. Removable pad is made of polyurethane foam with rigid fiber backing. Two separate 1" wide adjustable cinch straps have buckle closure. Sides and front are elastic with adjustable hook 'n pile closure. Sized according to hip measurement.
Front height: 7"
Back height: 10"
Sizes:
XS (26"-29")
S (30"-34")
M (35"-38")
L (39"-42")
XL (43"-46")
2XL (47"-50")
Available Options:
Size:
Back Care