Lumbar-sacral orthosis, flexible, provides lumbo-sacral support, posterior extends from sacrococcygeal junction to t-9 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include stays, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf

Code type

HCPCS Level II

Coverage

Carrier judgment

BETOS category

D1F

Pricing indicator

38

Effective date

20140101