L0628

Lumbar-sacral orthosis, flexible, provides lumbo-sacral support, posterior extends from sacrococcygeal junction to t-9 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include stays, shoulder straps, pendulous abdomen design, prefab

Short Description: Lso flex no ri stays pre ots

Coverage Code: Carrier judgment

Action Code: No maintenance for this code

Date Added: January 1, 2006

Effective Date: January 1, 2014

Termination Date:

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