HCPCS Level IIprostheticsActive
L0622
Sio flex pelvisacral custom
BETOS: D1F
Effective: 2006-01-01
Referenced in 2 policies
Description
Sacroiliac orthosis, flexible, provides pelvic-sacral support, reduces motion about the sacroiliac joint, includes straps, closures, may include pendulous abdomen design, custom fabricated
Coverage Policies
This code is referenced in 2 Medicare coverage policies
Sample Policies
AMBETTER-CP.MP.107PayerPolicy