Maternity Sacroiliac Belt

SKU #: 0814 2516; 0814 2517; 0814 2518

  • Cotton web belt with durable laminated foam and elastic front panel
  • Side-straps on front panel combine with extension strap to form belt
  • Comes with 8” and 15” extension straps to accommodate pregnancy growth
  • Optional sacroiliac stabilization pad sold separately
  • Hook and loop closure for easy application and removal
HCPCS Code: A9270*
Instructions
PDAC Letter
Reorder No.  Size
0814 2516 Universal
Stabilization Pad (Sold Seperately)  Size  Dimensions
0814 2517 Regular Pad 3.5” length, 3.5” width tapers to 2”
0814 2518 Large Pad 4.0” length, 5.5” width tapers to 4”

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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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