Passport LSO (60-3210-3)
Item #: 50R215NPremium LSO (T9-S1)
Suggested HCPCS Coding: L0631 Custom Fit / L0648 OTS
PDAC Verified
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PDAC Verified
Find Reimbursement Documents here.
Learn more about our Reimbursement Services
Overview
LSO offers 5:1 compression and stabilization from T9 to S1.
Features
- Unsurpassed compression and support with a 5:1 mechanical advantage pulley system
- One-hand pull system compresses and cones to individual patient anatomy
- Low-profile corset and panels for increased patient compliance
- Modular step-down system is ideal for treatment pre-op, post-op, and through rehabilitation
- Mesh corset and breathable anterior and posterior panels for increased patient comfort
Indications
- Indicated for degenerative and bulging discs, lumbar sacral mechanical back pain, Spinal Stenosis, Spondylolisthesis, Facet Syndrome, herniated/bulging discs, post-operative stabilization protocol following Laminotomy, Foraminotomy, IDET proceedures, anterior laproscopic fusion, posterior lateral fusion, and multi-level decompression.
Specifications
Size | Waist Circumference | Part Number |
---|---|---|
S | 25"-30" (63.5-76cm) | 50R215N=1 |
M | 30"-35" (76-89cm) | 50R215N=2 |
L | 35"-40" (89-101.5cm) | 50R215N=3 |
XL | 40"-45" (101.5-114.5cm) | 50R215N=4 |
XXL | 45"-50" (114.5-127cm) | 50R215N=5 |
XXXL | 50"-55" (127-139.5cm) | 50R215N=6 |