Suggested HCPCS Code: L3660

• Figure 8 design
• Fabric integrated D-rings eliminate strap twisting
• Extra padding where straps join at center back
• Provides support to injured/post op clavicle
• Helps improve posture

Underlying Conditions:

• Fracture of shaft of clavicle
• Fracture of Sternal end of Clavicle
• Stiffness of Shoulder

Coverage Criteria: Item is for treatment of illness or injury or to improve function of upper body. (Not preventative.)  
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Suggested HCPCS Code: L1005

• Pulley system for easy adjustment
• Ergonomically Designed for easy compression
• Multiple configuration options
• Universal sizing

Underlying Conditions:

• Scoliosis
• Congenital Scoliosis due to Congenital Bony Malformation
• Kyphosis

Coverage Criteria: Item is for treatment of illness or injury or to improve function of spine. (Not preventative.)

Suggested HCPCS Code: L0456/L0457

• Single pulley system for easy adjustment
• Easy to use, lightweight and durable
• Adjustable posterior support, shoulder straps & thoracic support
• 4:1 Compression Ratio

Underlying Conditions:

• Osteoarthritis
• Spinal Stenosis
• Intervertebral Disc Disorders
• Sprain of Spine and/or Pelvis

Coverage Criteria: (Patient must meet one of the following criteria)

• Reduce pain by restricting mobility of trunk
• Help heal injury to spine or related soft tissue
• Help heal post-surgery to spine or related soft tissue
• Supporting weak spinal muscles and/or deformed spine

Suggested HCPCS Code: L0631/L0648

• Lightweight low-profile design
• Removable 14″ posterior panel for exact comfort
• Elastic compression pulls for support where needed
• Breathable mesh fabric

Underlying Conditions:

• Osteoarthritis
• Spinal Stenosis
• Intervertebral Disc Disorders
• Sprain of Spine and/or Pelvis
• Radiculopathy
• Spondylosis

Coverage Criteria: (Patient must meet one of the following criteria)

• Reduce pain by restricting mobility of trunk
• Help heal injury to spine or related soft tissue
• Help heal post-surgery to spine or related soft tissue
• Supporting weak spinal muscles and/or deformed spine

Suggested HCPCS Code: L0637/L0650

• Single pull compression system provides consistent support
• Fits comfortably under or over clothing
• Firm inserts provide anterior and posterior support
• Removable side wings and 14″ back panel for customizable level of support
• Lightweight, breathable, and comfortable

Underlying Conditions:

• Osteoarthritis
• Spinal Stenosis
• Intervertebral Disc Disorders
• Sprain of Spine and/or Pelvis
• Radiculopathy
• Spondylosis

Coverage Criteria: (Patient must meet one of the following criteria)

• Reduce pain by restricting mobility of trunk
• Help heal injury to spine or related soft tissue
• Help heal post-surgery to spine or related soft tissue
• Supporting weak spinal muscles and/or deformed spine