L0621

Sacroiliac orthosis, flexible, provides pelvic-sacral support, reduces motion about the sacroiliac joint, includes straps, closures, may include pendulous abdomen design, prefabricated, off-the-shelf

Short Description: Sio flex pelvic/sacr 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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