2017 HCPCS Codes > L Codes >

L0622

Sacroiliac orthosis, flexible, provides pelvic-sacral support, reduces motion about the sacroiliac joint, includes straps, closures, may include pendulous abdomen design, custom fabricated

  • Effective Date: 2006-01-01
  • Medicare Coverage Status: Carrier Judgement
  • BETOS Classification: Prosthestic/Orthotic devices

Medicare Fees (ceiling): $309.19

L0621       L0623