HCPCS Level IIprostheticsActive
L0624
Sio panel custom
BETOS: D1F
Effective: 2006-01-01
Referenced in 2 policies
Description
Sacroiliac orthosis, provides pelvic-sacral support, with rigid or semi-rigid panels placed over the sacrum and abdomen, 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