L0624, Sacroiliac orthosis, provides pelvic-sacral support, with rigid or semi-rigidHCPCS/CPT
No Prior Auth Required
Covered without prior authorization (high confidence)
L33790, Spinal Orthoses: TLSO and LSO
AMBETTER-CP.MP.107, Durable Medical Equipment and Orthotics and Prosthetics Guidelines
Ask Backwork about documentation requirements, denial risks, or coverage in your state.