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, custom fabricated

Code type

HCPCS Level II

Coverage

Carrier judgment

BETOS category

D1F

Pricing indicator

38

Effective date

20060101