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Revere™ Lumbosacral Support

SKU #: 0814 2972; 0814 2973; 0814 2974; 0814 2975; 0814 2976; 0814 2977; 0814 2982; 0814 2983; 0814 2984; 0814 2985; 0814 2986; 0814 2987; 5000 2972; 5000 2973; 5000 2974; 5000 2975; 5000 2976; 5000 2977

  • Form-fitting elastic support with soft laminated foam back panel
  • Supports with 10″ height in back taper to 6″ in front
  • Supports with 13″ height in back taper to 6″ in front
  • Back contains four contoured aluminum stays for maximum support
  • Front contains four flexible stays to prevent material from rolling
  • Elastic side-pulls provide optimal compression
  • Hook and loop closure for easy application and removal
  • Measure 6″ below waist line to determine size
Quote Request
HCPCS Code: L0625*
Instructions
Reorder No. Reorder No. Size Hip Measurement
Length 10″ Length 13″
0814 2972 0814 2982 Small 28″ – 32″
0814 2973 0814 2983 Medium 32″ – 36″
0814 2974 0814 2984 Large 36″ – 40″
0814 2975 0814 2985 X-Large 40″ – 44″
0814 2976 0814 2986 2X-Large 44″ – 48″
0814 2977 0814 2987 3X-Large 48″ – 54″
 Physician’s Choice®
Packaging
Length 10″
5000 2972 Small 28″ – 32″
5000 2973 Medium 32″ – 36″
5000 2974 Large 36″ – 40″
5000 2975 X-Large 40″ – 44″
5000 2976 2X-Large 44″ – 48″
5000 2977 3X-Large 48″ – 54″

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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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