BACK BRACE W/ RIGID REMOVABLE BACK PANEL

Elastic Back Brace with Rigid Removable Tall Back Panel

Suggested HCPCS Code: L0631/L0648

  • Lightweight low-profile design
  • Removable 14″ posterior panel for exact comfort
  • Elastic compression pulls for support where needed
  • Breathable mesh fabric

Product NumberSizeWaist Size
12-0200X-Small26″-32″
12-0201Small32″-36″
12-0202Medium36″-40″
12-0203Large40″-44″
12-0204X-Large44″-48″
12-02052X-Large48″-52″
12-02063X-Large52″-58″
12-02073X-Large58″-64″

Underlying Conditions:

  • Osteoarthritis
  • Spinal Stenosis
  • Intervertebral Disc Disorders
  • Sprain of Spine and/or Pelvis
  • Radiculopathy
  • Spondylosis

Coverage Criteria:

(Patient must meet one of the following criteria)

  • Reduce pain by restricting mobility of trunk
  • Help heal injury to spine or related soft tissue
  • Help heal post-surgery to spine or related soft tissue
  • Supporting weak spinal muscles and/or deformed spine

For Product Instructions click HERE.

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