TLSO BACK BRACE

TLSO

Suggested HCPCS Code: L0456/L0457

  • Single pulley system for easy adjustment
  • Easy to use, lightweight and durable
  • Adjustable posterior support, shoulder straps & thoracic support
  • 4:1 Compression Ratio

Product NumberSize
12-0300Universal Adult

Underlying Conditions:

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

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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