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Lumbosacral Orthosis

Chairback Type

Lumbosacral Orthosis
Compare at:   $301.66
Starts at: $210.95  Save 30%
Search #: 31364
Item #: RC-450LSO-SX-S

The Lumbosacral Orthosis has thermoplastic anterior and posterior panels, which can be heat-molded for a custom fit. Polymer stays in lateral pockets are also adjustable, and the back panel has a surgical opening to relieve pressure at incision slits. The Lumbosacral Orthosis provides circumferential pressure to help stabilize the spine. PLEASE NOTE: A physician's prescription is required. Please fax Rx to 888-507-7326 or 678-254-1791 or email to order@rehabmart.com.
This product is non-returnable.
Choose Lumbosacral Orthoses Size IN SHORT:
Short Small 29-35 in. Lumbosacral OrthosesRC-450LSO-SX-S$210.95
Short Medium 35-40 in. Lumbosacral OrthosesRC-450LSO-SX-M$210.95
Short Large 40-46 in. Lumbosacral OrthosesRC-450LSO-SX-L$210.95
Short XLarge 46-52 in. Lumbosacral OrthosesRC-450LSO-SX-XL$210.95
Short XXLarge 52-58 in. Lumbosacral OrthosesRC-450LSO-SX-XXL$226.45
Choose Lumbosacral Orthoses Size IN AVERAGE:
Average Small 29-35 in. Lumbosacral OrthosesRC-450LSO-AV-S$210.95
Average Medium 35-40 in. Lumbosacral OrthosesRC-450LSO-AV-M$210.95
Average Large 40-46 in. Lumbosacral OrthosesRC-450LSO-AV-L$210.95
Average XLarge 46-52 in. Lumbosacral OrthosesRC-450LSO-AV-XL$210.95
Average XXLarge 52-58 in. Lumbosacral OrthosesRC-450LSO-AV-XXL$226.45

Options / Accessories / Add Ons Available for Lumbosacral Orthosis
RC-450LSO-SX-S Thoracic Lumbar Sacral Orthosis Sternal Pad
($97.90) RC-460-SA-S/M

More Information on the Lumbosacral Orthosis:

Features of the Lumbosacral Orthosis:

Offered in the standard 7 degrees of lordosis, with 0 degrees and 12 degrees of lordosis available upon request. The "D" ring pull front closure promotes easy application. The washable liner of the LSO is made of a "wickable" material that keeps moisture away from the skin, promoting patient comfort and compliance. An optional Sternal Bar attachment is available for the TLSO to assure proper spinal alignment and prevent unwanted spinal flexion.

This product is indicated for use after lumbar fusion laminectomy, compression fracture, degenerative disc disease, spondylolisthesis, spinal stenosis, and osteoporosis.

HCPCS CODE:L0631

 

NEW MODEL LSO & TLS
Measure top of trochanter to axilla 
450LSO & 460TLS
Size Inches (Centimeters)   Back Panel Front Panel   Short Front Panel
SX Small  29" - 35" (73.7 cm  -  88.9 cm)       6” (15.2 cm)
SX Medium  35" - 42" (88.9 cm  - 106.7 cm)       6” (15.2 cm)
SX Large  42" - 48 ¾” (106.7 cm  - 123.8 cm)       6” (15.2 cm)
SX X/Large  48" - 55" (123.8 cm  - 139.7 cm       6” (15.2 cm)
Av Small  29" - 35" (73.7 cm  -  88.9 cm)       6” (15.2 cm)
Av Medium  35" - 42" (88.9 cm  - 106.7 cm)       6” (15.2 cm)
Av Large  42" - 48 ¾” (106.7 cm  - 123.8 cm)       6” (15.2 cm)
Av X/Large  48" - 55" (123.8 cm  - 139.7 cm)       6” (15.2 cm)
Tall Small  29" - 35" (73.7 cm  -  88.9 cm)       6” (15.2 cm)
Tall Medium  35" - 42" (88.9 cm  - 106.7 cm)       6” (15.2 cm)
Tall Large  42" - 48 ¾” (106.7 cm  - 123.8 cm)       6” (15.2 cm)
Tall X/Large  48" - 55" (123.8 cm  - 139.7 cm)       6” (15.2 cm)
Short  12 ½”  - 14 ½” (31.8 cm - 36.8 cm)          
Average  14 ½”  - 16 ½” (36.8 cm - 41.9 cm)          
Tall  16 ½”  - 18 ½” (41.9 cm - 47.0 cm)            

 

 

 SIZE HIP CIRC. MIN - MAX  HEIGHT BACK PANEL  HEIGHT FRONT PANEL  MODEL# 
 Short Small  29-35"   12"  9"   450LSO-SX-S 
 Short Medium  35-40"  12"  9"  450LSO-SX-M 
 Short Large  40-45"  12"  9"  450LSO-SX-L
 Short X Large  45-52"  12"  9"  450LSO-SX-XL 
 Short XX Large  52-58"  12"  9"  450LSO-SX-XXL

 

 

 

 

 SIZE HIP CIRC. MIN - MAX  HEIGHT BACK PANEL  HEIGHT FRONT PANEL  MODEL# 
Average Small  29-35"   13" 10"  450LSO-AV-S 
Average Medium  35-40"  13" 10"  450LSO-AV-M 
Average Large  40-45"  13" 10"  450LSO-AV-L
Average X Large  45-52"  13" 10"  450LSO-AV-XL 
Average XX Large  52-58"  13" 10"  450LSO-AV-XXL

 

 

 

 SIZE HIP CIRC. MIN - MAX  HEIGHT BACK PANEL  HEIGHT FRONT PANEL  MODEL# 
Tall Small  29-35"  14" 11"  450LSO-T-S 
Tall Medium  35-40" 14" 11"  450LSO-T-M 
Tall Large  40-45" 14" 11"  450LSO-T-L
Tall X Large  45-52" 14" 11"  450LSO-T-XL 

 

HCPCS CODES: It is solely the care provider's responsibility to determine if a given diagnosis properly corresponds to a given billing code, Rehabmart is simply providing this information as a starting point for possible billing code applicability.  This information is based upon anecdotal accounts of acceptable billing codes for diagnoses in which the identified product has been used in the past. Rehabmart does not participate in the billing process and it is solely the caregivers responsibility to determine if the billing code actually applies to the treatment provided.

 

                                                  
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