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
Our Process is as follows:
- 1. Choose a brace, send a brace request form and a facesheet to our office.
- 2. PME will verify insurance coverage, prepare a script and send it to the requester for a DR signature.
- 3. Facility sends back signed script
- 4. PME ships brace to the facility.
