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 Number Size Waist Size
12-0200 X-Small 26″-32″
12-0201 Small 32″-36″
12-0202 Medium 36″-40″
12-0203 Large 40″-44″
12-0204 X-Large 44″-48″
12-0205 2X-Large 48″-52″
12-0206 3X-Large 52″-58″
12-0207 3X-Large 58″-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.
Our Ordering Process

Our Process is as follows: