HCPCS Level IIprostheticsActive
L0623
Sio rig pnl pelv/sac pre ots
BETOS: D1F
Effective: 2014-01-01
Referenced in 2 policies
Description
Sacroiliac orthosis, provides pelvic-sacral support, with rigid or semi-rigid panels over the sacrum and abdomen, reduces motion about the sacroiliac joint, includes straps, closures, may include pendulous abdomen design, prefabricated, off-the-shelf
Coverage Policies
This code is referenced in 2 Medicare coverage policies
Sample Policies
AMBETTER-CP.MP.107PayerPolicy