HCPCS: L0625
Modifier: GY (elastic)
HCPCS review letter on file.
FormFit® Back Support with Gelpad. This black support with mesh panels has overlapping double pull strap design. The lumbar pad provides optimum, comfortable support through the patended 3-D molding technology. Flexible stays prevent rolling and rubber gripper strips prevent migration. A Gelpad is included for hot or cold therapy and attaches via hook 'n pile. Sized according to waist circumference.
Note: Similar to Model 958, but with FormFit® lumbar pad.
Front height: 6-1/2"
Back height: 9-3/4"
Sizes:
Small (25"-30")
Medium (30"-34")
Large (34"-38")
X-Large (38"-42")
2X-Large (42"-56")
Available Options:
Size:
Back Care