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Extensor™ Lumbosacral Support with Insert Pocket

SKU #: 0814 7611; 0814 7612; 0814 7613; 0814 7614; 0814 7615; 0814 7616; 0814 7617; 0814 7618

  • Elastic support with neoprene lumbosacral pocket
  • Tapers from 9” height in back to 6” in front
  • Pocket accommodates the option to insert additional support
  • Elastic side-pulls provide optimal compression
  • Hook and loop closure for easy application and removal
  • Optional foam and moldable thermoplastic inserts sold separately

 

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HCPCS Code: A4467*
Instructions
Reorder No. Size Waist Measurement
0814 7611 X-Small 20″ – 24″
0814 7612 Small 26″ – 28″
0814 7613 Medium 28″ – 30″
0814 7614 Large 30″ – 32″
0814 7615 X-Large 34″ – 38″
0814 7616 2X-Large 38″ – 42″
0814 7617 3X-Large 42″ – 46″
0814 7618 4X-Large 46″ – 52″

prop 65

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*It is the Patient Care Facility’s responsibility to determine medical necessity; ensure coverage criteria are met; and submit appropriate HCPCS codes, modifiers, and charges for provided medical devices. Bird & Cronin suggested HCPCS codes are provided as a courtesy and do not superscede the Patient Caregiver’s full responsibility for the accurate billing of services and medical devices provided

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