LSO Back Brace with Rigid Removable Tall and Short Back Panel With Removable Side Panels

Suggested HCPCS Code: L0637/L0650

  • Single pull compression system provides consistent support
  • Fits comfortably under or over clothing
  • Firm inserts provide anterior and posterior support
  • Removable side wings and 14″ back panel for customizable level of support
  • Lightweight, breathable, and comfortable
Product Number Size
12-0100 Universal
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 Process is as follows: