L0622 Sio flex pelvisacral custom

Full Description

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

Code
L0622
Short Description
Sio flex pelvisacral custom
Section
L — Orthotic and Prosthetic Procedures
Pricing Indicator
38
Source: CMS HCPCS October 2026 quarterly release.

Last reviewed: September 2026