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Sacroiliac Belt and Stabilization Pad

SKU #: 0814 4312; 0814 4313; 0814 4314; 0814 2517; 0814 2518

  • Durable cotton web belt
  • Metal link for easy adjustment
  • Optional sacroiliac stabilization pad sold separately
  • Hook and loop closure for easy application and removal
  • Hook strip to attach Pad
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HCPCS Code: A9270*
Instructions
PDAC Letter
Reorder No. Size Waist Measurement
0814 4312 Small 26″ – 32″
0814 4313 Medium 32″ – 42″
0814 4314 Large 42″ – 52″
Pad Size Dimensions
0814 2517 Regular 4.0” length, 5.5” width tapers to 4”;
0814 2518 Large 4.0” length, 5.5” width tapers to 4”;
* Pad sold separately

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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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