L0622
HCPCSSio flex pelvisacral custom
Official HCPCS Level II long descriptor
Sacroiliac orthosis, flexible, provides pelvic-sacral support, reduces motion about the sacroiliac joint, includes straps, closures, may include pendulous abdomen design, custom fabricated
HCPCS Level II code L0622 is maintained by CMS and is active in the current quarterly release.
Short descriptor
Sio flex pelvisacral custom
Added to HCPCS: 2006-01-01
Nearby codes in L0
- L0482Tlso rigid lined custom fab
- L0484Tlso rigid plastic cust fab
- L0486Tlso rigidlined cust fab two
- L0488Tlso rigid lined pre one pie
- L0490Tlso rigid plastic pre one
- L0491Tlso 2 piece rigid shell
- L0492Tlso 3 piece rigid shell
- L0621Sio flex pelvic/sacr pre ots
- L0623Sio rig pnl pelv/sac pre ots
- L0624Sio panel custom
- L0625Lo flex l1-below l5 pre ots
- L0626Lo sag rig pnl stays pre cst
- L0627Lo sag ri an/pos pnl pre cst
- L0628Lso flex no ri stays pre ots
- L0629Lso flex w/rigid stays cust
- L0630Lso r post pnl sj-t9 pre cst
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HCPCS Level II July 2026 quarterly update. Centers for Medicare & Medicaid Services (CMS), “July 2026 Alpha-Numeric HCPCS File” (HCPC2026_JUL_ANWEB_06172026.txt). Download the original file from cms.gov. Public domain (US Government work). Descriptors, billable flags and instructional notes on this page are reproduced from that file without modification. Krasyn adds no clinical guidance.