L0621 Sio flex pelvic/sacr pre ots

Full Description

Sacroiliac orthosis, flexible, provides pelvic-sacral support, reduces motion

Code
L0621
Short Description
Sio flex pelvic/sacr pre ots
Section
L — Orthotic and Prosthetic Procedures
Pricing Indicator
38
Source: CMS HCPCS October 2026 quarterly release.

Last reviewed: September 2026