L0621
Sacroiliac orthosis, flexible, provides pelvic-sacral support, reduces motion about the sacroiliac joint, includes straps, closures, may include pendulous abdomen design, prefabricated, off-the-shelf
- Effective Date: 2006-01-01
- Medicare Coverage Status: Carrier Judgement
- BETOS Classification: Prosthestic/Orthotic devices
Medicare Fees (ceiling): $114.15
L0492
L0622 