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HCPCS codes / L / L0623

L0623

Sacroiliac orthosis, provides pelvic-sacral support, with rigid or semi-rigid panels over the sacrum and abdomen, reduces motion about the sacroiliac joint, includes straps, closures, may include pendulous abdomen design, prefabricated, off-the-shelf

Code type
HCPCS Level II
Coverage
Carrier judgment
BETOS category
D1F
Pricing indicator
38
Effective date
20140101
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