HCPCS Coding

Lumbosacral Supports/Braces



  Lumbo Lite™ Lumbar Orthosis
  • Streamline design allows for exact fit and comfort.
  • Posterior and anterior padded panels (rigid and moldable) which provide lower back and abdominal compression.
  • Extremely lightweight and form fitting.

  • Download Product Info/Application Instruction Sheet

Order # Size Waist Measurement
413-B XSmall 26 - 32"
415-B Medium 30 - 37"
417-B Large 34 - 41"
418-B X-Large 38 - 47"
419-B 2X-Large 44 - 54"
420-B 3X-Large 50 - 62"
Larger sizes available upon request.




  ORTHOLUX Lite™
  • Spinal orthosis that provides torso support and restriction of spinal motion similar to the OrthoLux™.
  • The low profile elastic strapping makes it easy for patients to achieve the required compression.
  • Breathable, moisture-wicking fabric.
  • Two-stage compression is achieved with a patient-friendly elastic belt strap and secondary outer strap.

Order # Size Waist Measurement
383 Small 26 - 32"
385 Medium 30 - 37"
387 Large 34 - 41"
388 X-Large 38 - 47"
389 2X-Large 44 - 54"
389-9 3X-Large 50 - 62"




  ORTHOLUX™
  • Features molded anterior, posterior and lateral polymer inserts that can be repositioned and remolded for fit.
  • Breathable, moisture-wicking fabric.
  • Patient friendly O-ring strap closure for easy donning and comfortable application of compression.

Order # Size Waist Measurement
373 Small 28 - 34"
375 Medium 30 - 37"
377 Large 34 - 42"
378 X-Large 38 - 45"
379 2X-Large 43 - 51"
380 3X-Large 47 - 55"
381 4X-Large 53 - 61"




  Breath Lite Back Support
  • Designed with a unique ventilated elastic construction making it cool and breathable.
  • Provides support and compression to the lower lumbar region and abdominal area.
  • Tapered front end, a 8" high back panel, which is ideal for shorter or geriatric patients.
  • Available in white and black.

  • Download Product Info/Application Instruction Sheet

White Order # Black Order # Size Waist Measurement
573 573-B Small 25 - 29"
575 575-B Medium 28 - 32"
577 577-B Large 31 - 35"
578 578-B X-Large 34 - 38"
579 579-B 2X-Large 37 - 41"
580 580-B 3X-Large 40 - 44"
Larger sizes available upon request.




  10" Lumbar Sacral Support with Double Pull Tension Straps
White Order # Black Order # Size Waist Measurement
501 501-B X-Small 20 - 24"
503 503-B Small 24 - 30"
505 505-B Medium 30 - 34"
507 507-B Large 34 - 38"
508 508-B X-Large 38 - 42"
509 509-B 2X-Large 42 - 46"
510 510-B 3X-Large 46 - 50"
511 511-B 4X-Large 50 - 54"
512 512-B 5X-Large 54 - 58"
Larger sizes available upon request.


  Sacral Support with Removable Pad
Order # Size Waist Measurement
523 Small 24 - 30"
525 Medium 30 - 34"
527 Large 34 - 38"
528 X-Large 38 - 42"
529 2X-Large 42 - 46"
Larger sizes available upon request.


  Premium Criss-Cross Lumbar Sacral Support
Order # Size Waist Measurement
513 Small 24 - 30"
515 Medium 30 - 34"
517 Large 34 - 38"
518 X-Large 38 - 42"
519 2X-Large 42 - 46"
Larger sizes available upon request.


  Industrial Back Support
  • Form fitting, lightweight material with double pull side panels for additional support.
  • Provides excellent lower back and abdominal support.
  • Suspenders adjust for a comfortable fit.
  • "High Quality" hook and loop closure for durability.

  • Download Product Info/Application Instruction Sheet

Order # Size Waist Measurement
403 Small 24 - 30"
405 Medium 30 - 34"
407 Large 34 - 38"
408 X-Large 38 - 42"
409 2X-Large 42 - 46"
410 3X-Large 46 - 50"
411 4X-Large 50 - 54"
Larger sizes availabe upon request.


  Lumbar Sacral Support with Insert Pocket
  • All-elastic with double pull side panels for additional support.
  • Specially constructed pocket accommodates moldable insert.
  • Support may be worn with or without an insert.
  • 9" in back tapering to 6" in the front.
  • Hook and loop closure.

  • Download Product Info/Application Instruction Sheet

Order # Size Waist Measurement
403 Small 24 - 30"
405 Medium 30 - 34"
407 Large 34 - 38"
408 X-Large 38 - 42"
409 2X-Large 42 - 46"
410 3X-Large 46 - 50"
411 4X-Large 50 - 54"
Larger sizes availabe upon request.


  Moldable Insert
  • Moldable insert for additional support.
  • Foam padded interface enhances patient comfort during fitting.
  • Pre-cut to conform smoothly to anatomical contours.
  • Remains pliable during forming.
  • Constructed of a thermoplastic material.

Order # Size
550 8" width


  Body Care Back Support
Order # Size Waist Measurment
583 Small 26 - 30"
585 Medium 30 - 34"
587 Large 34 - 38"
588 X-Large 38 - 42"
589 2X-Large 42 - 46"
589-9 3X-Large 46 - 50"
Larger sizes available upon request.


  Lumber Sacral Support with Removable Stays
Order # Size Waist Measurment
593 Small 26 - 30"
595 Medium 30 - 34"
597 Large 34 - 38"
598 X-Large 38 - 42"
599-2 2X-Large 42 - 46"
599-3 3X-Large 46 - 50"
599-4 4X-Large 50 - 54"
599-5 5X-Large 54 - 58"
599-6 6X-Large 58 - 62"
Larger sizes available upon request.


  T.L.S.O. Support
Order # Size Waist Measurment
1093 Small 30 - 34"
1095 Medium 34 - 38"
1097 Large 38 - 42"
1098 X-Large 42 - 46"
1099 2X-Large 46 - 50"
1100 3X-Large 50 - 54"
Larger sizes available upon request.


  Lightweight Spinal Orthosis
Order # Size Waist Measurment
1200-3 Small 30 - 35"
1200-5 Medium 36 - 41"
1200-7 Large 42 - 47
1200-8 X-Large 48 - 51"