|
PROLITE LO-PLUS LUMBAR SUPPORT
|
BSN MEDICAL INC
|
7456303
|
L0641
|
05/01/2014
|
|
|
|
PROLITE LUMBAR SACRAL SUPPORT 2X-LARGE LAVENDER
|
BSN MEDICAL INC
|
72792-04
|
L0641
|
05/01/2014
|
|
|
|
BIO SKIN BACK SKIN WITH THERMOPLASTIC INSERT
|
BIOSKIN LLC
|
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
PROLITE LUMBAR SACRAL SUPPORT X-LARGE LAVENDER
|
BSN MEDICAL INC
|
72792-03
|
L0641
|
05/01/2014
|
|
|
|
BACK SUPPORT ADJUSTABLE (XL)
|
AIR A MED INC
|
76-104
|
L0641
|
05/01/2014
|
|
|
|
DONJOY LITE BACK BRACE
|
DJO LLC
|
11-1570-5
|
L0641
|
07/09/2014
|
|
|
|
BOA LITE
|
TOP SHELF MANUFACTURING LLC
|
510135
|
L0641
|
08/08/2014
|
|
|
|
BOA LITE
|
TOP SHELF MANUFACTURING LLC
|
510136
|
L0641
|
08/08/2014
|
|
|
|
CALIFORNIA COMPRESSION 10"
|
ORTHOMERICA PRODUCTS INC
|
3216
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
CALIFORNIA COMPRESSOR ORTHOSIS 10"
|
ORTHOMERICA PRODUCTS INC
|
3234
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
BACK AND ABDOMINAL SUPPORT
|
MUELLER SPORTS MEDICINE INC
|
86741
|
L0641
|
08/12/2014
|
|
|
|
LUMBO-SACRAL SUPPORT
|
ITA-MED COMPANY
|
AGS-501
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
MIAMI LUMBAR
|
OSSUR AMERICAS INC
|
LMB-01NPNP
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
MIAMI LUMBAR
|
OSSUR AMERICAS INC
|
LMB-05NPNP
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
CASS CHAIRBACK W/ ANTERIOR PANEL
|
ORTHOMERICA PRODUCTS INC
|
2641
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
CASS CHAIRBACK W/ ANTERIOR PANEL
|
ORTHOMERICA PRODUCTS INC
|
2643
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
CALIFORNIA COMPRESSOR ORTHOSIS 8"
|
ORTHOMERICA PRODUCTS INC
|
3221
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
CALIFORNIA VENTURA 626
|
ORTHOMERICA PRODUCTS INC
|
3259.626
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
MIAMI LUMBAR
|
OSSUR AMERICAS INC
|
LMB-007
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
MIAMI LUMBAR
|
OSSUR AMERICAS INC
|
LMBSL-001
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
MIAMI LUMBAR TM
|
OSSUR AMERICAS INC
|
LMB-03
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
CALIFORNIA COMPRESSION 10"
|
ORTHOMERICA PRODUCTS INC
|
3212
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
MIAMI LUMBAR TM
|
OSSUR AMERICAS INC
|
LMB-09
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
NEOPRENE POCKET WRAPAROUND WITH RIGID POSTERIOR PANEL
|
FREEMAN MANUFACTURING COMPANY
|
977I
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
EXOS FORM 626 LUMBAR ORTHOSIS
|
DJO LLC
|
200626-60
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
PLATINUM PENDULOUS L/S W/ PANEL
|
TRULIFE
|
PT13404-KIT
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
V-LOCK LUMBAR ORTHOSIS W / RIGID INSERT-LARGE
|
CORFLEX INC
|
35-1793-000
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
BACK-A-LINE DELUXE
|
BACK-A-LINE INC
|
BABK (WITH LOGO)
|
L0641
|
09/17/2014
|
|
|
|
CAMP XXI PENDULOUS KNIGHT BRACE
|
TRULIFE
|
45402
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
CAMP XXI PENDULOUS KNIGHT BRACE
|
TRULIFE
|
45405
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
CHAIRBACK WITH CORSET
|
TRULIFE
|
JS-5008-XL
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
PLATINUM EXTENDED L/S W/ PANEL
|
TRULIFE
|
PT13303-KIT
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
BACK N BLACK BACK SUPPORT X-SMALL
|
MEDICAL SPECIALTIES INC
|
163201
|
L0641 OR
L0626
|
03/13/2015
|
|
|
|
BAXMAX S
|
THE POSTURE PERFECTOR LLC
|
SIZE INCH 25"-29"
|
L0626 OR
L0641
|
07/13/2016
|
|
|
|
RCAI BASIC LSO
|
RCAI (RESTORATIVE CARE OF AMERICA INC)
|
452 LSO - L
|
L0641
|
10/18/2016
|
|
|
|
THE MATRIARCH LO L1-L5 9" POSTERIOR PANEL
|
PROFESSIONAL PRODUCTS INC
|
12163-70
|
L0626 OR
L0641
|
10/03/2016
|
|
|
|
THE MAKO LO L1-L5 9" POSTERIOR PANEL
|
PROFESSIONAL PRODUCTS INC
|
12982-70
|
L0626 OR
L0641
|
03/20/2018
|
|
|
|
THE MAKO LO L1-L5 9" POSTERIOR PANEL
|
PROFESSIONAL PRODUCTS INC
|
12982-20
|
L0626 OR
L0641
|
03/20/2018
|
|
|
|
MIAMI LSO
|
OSSUR AMERICAS INC
|
MLSO-156-2
|
L0626 OR
L0641
|
02/06/2018
|
|
|
|
VECTOR 26
|
3D ORTHO LLC
|
VC26
|
L0626 OR
L0641
|
07/17/2018
|
|
|
|
UNIVERSAL SPINE BRACE
|
DJO LLC
|
99505
|
L0641
|
07/18/2019
|
|
|
|
AY-52 ALPHAWRAP+BACK
|
PROLINE BRACING LLC (DBA ARYSE)
|
AY-52
|
L0641
|
01/31/2020
|
|
AY-52-XXX, XXX INDICATES SIZE: 101-S, 102-M, 103-L, 104-XL, 105-2XL
|
|
626 LUMBAR BRACE
|
VIVE HEALTH LLC
|
SUP2031XXX
|
L0641
|
06/25/2020
|
|
XXX IN MODEL NUMBER INDICATES COLOR; RE-VERIFIED ON 11/22/2022.
|
|
TRANSFORMER2 BACK BRACE
|
ADVANCED ORTHOPAEDICS INC
|
8027
|
L0641
|
12/23/2020
|
|
PRODUCT MODIFIED. MANUFACTURER DISCONTINUED PRODUCTION AS OF 05/01/2021.
|
|
TREND QUICK FORM LP
|
TREND MEDICAL LLC
|
DCT-QF27
|
L0641
|
01/10/2020
|
03/24/2020
|
|
|
ACTIMOVE SPORTS ED BACK SUPPORT, RIGID PANEL W/REMOVEABLE PRESSURE PADS, SMART EASY-CLOSING-SYSTEM
|
BSN MEDICAL INC
|
75535-XX
|
L0641
|
08/16/2019
|
|
XX-SIZE: 10 XS/S; 11 S/M; 12 L/XL; 13 2XL/3XL
|
|
BACK SUPPORT WITH LOW FRICTION PULLEY
|
MEDLINE INDUSTRIES INC
|
ORT22700B
|
L0641
|
06/23/2021
|
|
|
|
DONJOY ISOFORM BACK BRACE LO
|
DJO LLC
|
11-1693-X
|
L0641
|
07/15/2020
|
|
X IN MODEL NUMBER INDICATES SIZE: 2-S/M, 4-L/X
|
|
EVERGREEN LUMBAR LITE
|
ASPEN MEDICAL PRODUCTS INC
|
36-2602
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
EVERGREEN LUMBAR LITE
|
ASPEN MEDICAL PRODUCTS INC
|
36-2605
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
EVERGREEN LUMBAR LITE
|
ASPEN MEDICAL PRODUCTS INC
|
36-2607
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
PROLITE LUMBAR SACRAL SUPPORT 2X-LARGE ROSE
|
BSN MEDICAL INC
|
72791-04
|
L0641
|
05/01/2014
|
|
|
|
PROLITE LUMBAR SACRAL SUPPORT 4X-LARGE ROSE
|
BSN MEDICAL INC
|
72791-06
|
L0641
|
05/01/2014
|
|
|
|
PROLITE LUMBAR SACRAL SUPPORT 5X-LARGE LAVENDER
|
BSN MEDICAL INC
|
72792-07
|
L0641
|
05/01/2014
|
|
|
|
BIO SKIN BACK SKIN WITH LUMBAR FOAM PAD
|
BIOSKIN LLC
|
|
L0641
|
02/21/2014
|
|
|
|
DICARRE EASYPULL PRO BRACE BLACK XLARGE
|
DICARRE LLC
|
DB26-BK-XL
|
L0641
|
08/07/2014
|
|
|
|
PROLITE LUMBAR SACRAL SUPPORT LARGE LAVENDER
|
BSN MEDICAL INC
|
72792-02
|
L0641
|
05/01/2014
|
|
|
|
BASIC LUMBAR SUPPORT
|
BREG INC
|
10152
|
L0641
|
06/25/2014
|
|
|
|
BASIC LUMBAR SUPPORT
|
BREG INC
|
10156
|
L0641
|
06/25/2014
|
|
|
|
BACK SUPPORT ADJUSTABLE (2XL)
|
AIR A MED INC
|
76-105
|
L0641
|
05/01/2014
|
|
|
|
BACK SUPPORT ADJUSTABLE (MEDIUM)
|
AIR A MED INC
|
76-102
|
L0641
|
05/01/2014
|
|
|
|
LACE IT BI-POWERED LOW PROFILE L.S.O. WITHOUT DYNAMICALLY SELF-ADJUSTING FRAME
|
ADVANCED ORTHOTIC DESIGNS
|
401 M
|
L0641
|
05/20/2014
|
|
|
|
DONJOY LITE BACK BRACE
|
DJO LLC
|
11-1570-3
|
L0641
|
07/09/2014
|
|
|
|
SOFTEC LUMBO, WITH PLASTIC SHELL AND STAYS
|
BAUERFEIND USA INC
|
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
CALIFORNIA COMPRESSION 8"
|
ORTHOMERICA PRODUCTS INC
|
3203
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
CYBERTECH MAC MECHANICAL ADVANTAGE CORSET
|
BIO CYBERNETICS INTERNATIONAL
|
L0626B-M (MEDIUM) LOW PROFILE
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
CHAIRBACK LSO
|
BECKER ORTHOPEDIC
|
105-S
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
DONJOY LSO BACK BRACE WITH SHORT CHAIRBACK - MEDIUM
|
BIO CYBERNETICS INTERNATIONAL
|
11-1582-3
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
DONJOY LSO BACK BRACE WITH SHORT CHAIRBACK - XX-LARGE
|
BIO CYBERNETICS INTERNATIONAL
|
11-1582-6
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
KNIGHT LSO
|
BECKER ORTHOPEDIC
|
106-XL
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
MIAMI LUMBAR
|
OSSUR AMERICAS INC
|
LMB-02NPNP
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
MIAMI LUMBAR
|
OSSUR AMERICAS INC
|
LMB-001
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
VOLARE LITE
|
MEDICAL TECHNOLOGY INC (DBA BLEDSOE BRACE SYSTEMS)
|
AB012005
|
L0641
|
08/04/2014
|
11/30/2015
|
|
|
CALIFORNIA VENTURA 626
|
ORTHOMERICA PRODUCTS INC
|
3265.626
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
CASS CHAIRBACK W/ ANTERIOR PANEL
|
ORTHOMERICA PRODUCTS INC
|
2631
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
MIAMI LUMBAR
|
OSSUR AMERICAS INC
|
LMB-005
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
MIAMI LUMBAR
|
OSSUR AMERICAS INC
|
LMB-006
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
MIAMI LUMBAR
|
OSSUR AMERICAS INC
|
LMBSL-004
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
MIAMI LUMBAR
|
OSSUR AMERICAS INC
|
LMBSL-007
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
MIAMI LUMBAR
|
OSSUR AMERICAS INC
|
LMBSL-009
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
MIAMI LUMBAR SLIM
|
OSSUR AMERICAS INC
|
LMB SL-010
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
MIAMI LUMBAR TM
|
OSSUR AMERICAS INC
|
LMB-04
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
MIAMI LUMBAR TM
|
OSSUR AMERICAS INC
|
LMB-07
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
DIAMONDBACK ELASTIC BACK SUPPORT
|
US ORTHOTICS INC
|
82-DX10/82-I10P
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
DYNAMIC LUMBOSACRAL SUPPORT
|
BLUNDING SA
|
CC-616
|
L0641
|
06/05/2014
|
|
|
|
EXOS FORM 626 LUMBAR ORTHOSIS L/XL
|
DJO GLOBAL INC
|
205626-60
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
ELASTIC POCKET WRAPAROUND WITH RIGID POSTERIOR PANEL
|
FREEMAN MANUFACTURING COMPANY
|
981I
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
PLATINUM PENDULOUS L/S W/ PANEL
|
TRULIFE
|
PT13406-KIT
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
PLATINUM PENDULOUS L/S W/ PANEL
|
TRULIFE
|
PT13407-KIT
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
CORELINE RIGID LUMBAR BELT 3XL
|
OSSUR AMERICAS INC / SOUTHERN PROSTHETIC SUPPLY INC
|
CL0307
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
CAMP XXI KNIGHT BRACE
|
TRULIFE
|
45204
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
CAMP XXI PENDULOUS KNIGHT BRACE
|
TRULIFE
|
45404
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
CAMP XXI PENDULOUS KNIGHT BRACE
|
TRULIFE
|
45406
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
EVERGREEN LUMBAR LITE
|
ASPEN MEDICAL PRODUCTS INC
|
362621
|
L0626 OR
L0641
|
06/23/2015
|
|
|
|
CURAD BACK SUPPORT WITH LOW FRICTION PULLY
|
MEDLINE INDUSTRIES INC
|
ORT22700D
|
L0641
|
06/12/2015
|
|
|
|
OTTOBOCK MAC PLUS STANDARD
|
OTTO BOCK HEALTHCARE
|
50R137
|
L0626 OR
L0641
|
07/28/2015
|
|
CODE REVERIFIED 12/22/2015
|
|
VOLARE LITE
|
BREG INC
|
AB012009
|
L0641
|
12/01/2015
|
|
|
|
BAXMAX M
|
THE POSTURE PERFECTOR LLC
|
SIZE INCH 30"-35"
|
L0626 OR
L0641
|
07/13/2016
|
|
|
|
THE MATRIARCH LO L1-L5 12" POSTERIOR PANEL
|
PROFESSIONAL PRODUCTS INC
|
12164-45
|
L0626 OR
L0641
|
10/03/2016
|
|
|
|
THE MATRIARCH LO L1-L5 9" POSTERIOR PANEL
|
PROFESSIONAL PRODUCTS INC
|
12163-45
|
L0626 OR
L0641
|
10/03/2016
|
|
|
|
UNIVERSAL BACK BRACE
|
AIR A MED INC
|
76-200
|
L0626 OR
L0641
|
11/09/2018
|
|
|
|
COMFORTLAND DELTA 26 BACK BRACE
|
COMFORTLAND INTERNATIONAL LLC
|
DL-26
|
L0641
|
11/19/2019
|
|
|
|
FITRITE BACK BRACE WITH PULLEY SYSTEM
|
ARISE MEDICAL LLC
|
24050X
|
L0641
|
07/11/2020
|
|
X IN MODEL NUMBER INDICATES SIZE: 2-S/M, 3-L/XL, 4-XXL/XXXL
|
|
TWIN V II UNIVERSAL LITE
|
HELY & WEBER
|
880-XXX
|
L0641
|
04/08/2022
|
|
DISCONTINUED MANUFACTURING 08/26/2022.
|
|
ACTIMOVE PROFESSIONAL LINE DELUXE LUMBAR SACRAL SUPPORT RIGID PANEL FOR WOMEN
|
BSN MEDICAL INC
|
72792-XX
|
L0641
|
04/22/2022
|
|
XX INDICATES SIZE. LAVENDER 30-S, 31-M, 32-L, 33-XL, 34-XXL, 43-XXXL, 44-XXXXL, 45-XXXXXL.
|
|
626 LSO ULTRA
|
VIVE HEALTH LLC
|
SUP3093XXXYY
|
L0641
|
12/18/2024
|
|
XXX INDICATES COLOR; YY INDICATES SIZE
|
|
626 LSO ESSENTIAL
|
VIVE HEALTH LLC
|
SUP3107XXXYY
|
L0641
|
06/10/2025
|
|
XXX INDICATES COLOR; YY INDICATES SIZE
|
|
PROLITE LO-PLUS LUMBAR SUPPORT
|
BSN MEDICAL INC
|
7456302
|
L0641
|
05/01/2014
|
|
|
|
PROLITE LUMBAR SACRAL SUPPORT 4X-LARGE LAVENDER
|
BSN MEDICAL INC
|
72792-06
|
L0641
|
05/01/2014
|
|
|
|
DICARRE EASYPULL PRO BRACE BLACK SMALL
|
DICARRE LLC
|
DB26-BK-SM
|
L0641
|
08/07/2014
|
|
|
|
DICARRE EASYPULL PRO BRACE BLACK LARGE
|
DICARRE LLC
|
DB26-BK-LG
|
L0641
|
08/07/2014
|
|
|
|
PROLITE LUMBAR SACRAL SUPPORT SMALL ROSE
|
BSN MEDICAL INC
|
72791-00
|
L0641
|
05/01/2014
|
|
|
|
BOA LITE
|
BREG INC
|
6006X
|
L0641
|
06/25/2014
|
|
|
|
BACK SUPPORT ADJUSTABLE (LARGE)
|
AIR A MED INC
|
76-103
|
L0641
|
05/01/2014
|
|
|
|
ADJUSTABLE BACK SUPPORT
|
3M COMPANY
|
46820EN
|
L0641
|
04/24/2014
|
|
|
|
9" MOLDABLE SACRO SUPPORT
|
BILT-RITE ORTHOPEDICS & SAFETY INC
|
10-11300
|
L0641
|
08/04/2014
|
|
|
|
9" MOLDABLE SACRO SUPPORT
|
BILT-RITE ORTHOPEDICS & SAFETY INC
|
10-11350
|
L0641
|
08/04/2014
|
|
|
|
BOA LITE
|
TOP SHELF MANUFACTURING LLC
|
510137
|
L0641
|
08/08/2014
|
|
|
|
CALIFORNIA COMPRESSOR ORTHOSIS 10"
|
ORTHOMERICA PRODUCTS INC
|
3232
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
CALIFORNIA COMPRESSOR ORTHOSIS 10"
|
ORTHOMERICA PRODUCTS INC
|
3233
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
PLATINUM PENDULOUS L/S W/ PANEL
|
TRULIFE
|
PT13405-KIT
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
KNIGHT LSO
|
BECKER ORTHOPEDIC
|
106-XS
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
KNIGHT LSO
|
BECKER ORTHOPEDIC
|
106-S
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
DONJOY LSO BACK BRACE WITH SHORT CHAIRBACK - LARGE
|
BIO CYBERNETICS INTERNATIONAL
|
11-1582-4
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
DONJOY LSO BACK BRACE WITH SHORT CHAIRBACK - SMALL
|
BIO CYBERNETICS INTERNATIONAL
|
11-1582-2
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
SPINE BRACE
|
BELL-HORN INC
|
99510
|
L0626 OR
L0641
|
01/01/2014
|
07/17/2019
|
|
|
MIAMI LUMBAR
|
OSSUR AMERICAS INC
|
LMB-07NPNP
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
MIAMI LUMBAR
|
OSSUR AMERICAS INC
|
LMB-09NPNP
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
CALIFORNIA VENTURA 626
|
ORTHOMERICA PRODUCTS INC
|
3266.626
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
CALIFORNIA COMPRESSOR ORTHOSIS 8"
|
ORTHOMERICA PRODUCTS INC
|
3224
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
MIAMI LUMBAR
|
OSSUR AMERICAS INC
|
LMBSL-002
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
MIAMI LUMBAR
|
OSSUR AMERICAS INC
|
LMBSL-005
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
MIAMI LUMBAR SLIM
|
OSSUR AMERICAS INC
|
LMB SL-006
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
MIAMI LUMBAR TM
|
OSSUR AMERICAS INC
|
LMB-08
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
PLATINUM L/S W/ PANEL
|
TRULIFE
|
PT13205-KIT
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
THERMOSKIN LUMBAR SUPPORT WITH REMOVABLE MOLDABLE INSERT
|
SWEDE-O INC
|
85267
|
L0626 OR
L0641
|
01/01/2014
|
01/01/2016
|
MANUFACTURER DISCONTINUED PRODUCTION AS OF 01/01/2016. BILLING ACCEPTABLE UNTIL EXPIRATION OF PRODUCT
|
|
V-LOCK LUMBAR ORTHOSIS W / RIGID INSERT-3XLARGE
|
CORFLEX INC
|
35-1796-000
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
CORELINE RIGID LUMBAR BELT 6XL
|
OSSUR AMERICAS INC / SOUTHERN PROSTHETIC SUPPLY INC
|
CL0310
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
CAMP XXI KNIGHT BRACE
|
TRULIFE
|
45203
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
CAMPXXI POCKET SUPPORT W/ RIGID PANEL
|
TRULIFE
|
0043005-KIT
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
CHAIRBACK WITH CORSET
|
TRULIFE
|
JS-5007
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
CHAIRBACK WITH CORSET
|
TRULIFE
|
JS-5007-SHR
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
PLATINUM EXTENDED L/S W/ PANEL
|
TRULIFE
|
PT13305-KIT
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
OTTOBOCK MAC STANDARD
|
OTTO BOCK HEALTHCARE
|
50R148
|
L0641
|
03/13/2015
|
|
|
|
BACK N BLACK BACK SUPPORT MEDIUM
|
MEDICAL SPECIALTIES INC
|
163204
|
L0641 OR
L0626
|
03/13/2015
|
|
|
|
BACK N BLACK BACK SUPPORT 3X-LARGE
|
MEDICAL SPECIALTIES INC
|
163208
|
L0641 OR
L0626
|
03/13/2015
|
|
|
|
LSO LOW PROFILE SMALL
|
DJO GLOBAL INC
|
01-515-0002
|
L0626 OR
L0641
|
05/02/2016
|
|
|
|
LSO LOW PROFILE MEDIUM
|
DJO GLOBAL INC
|
01-515-0003
|
L0626 OR
L0641
|
05/02/2016
|
|
|
|
LSO LOW PROFILE XX-LARGE
|
DJO GLOBAL INC
|
01-515-0006
|
L0626 OR
L0641
|
05/02/2016
|
|
|
|
THE MATRIARCH LO L1-L5 9" POSTERIOR PANEL
|
PROFESSIONAL PRODUCTS INC
|
12163-60
|
L0626 OR
L0641
|
10/03/2016
|
|
|
|
THE MAKO LO L1-L5 9" POSTERIOR PANEL
|
PROFESSIONAL PRODUCTS INC
|
12982-50
|
L0626 OR
L0641
|
03/20/2018
|
|
|
|
ROMBOT SICONA SEMI RIGID
|
TUTAMEN DE MEXICO LLC
|
|
L0641
|
11/19/2019
|
|
|
|
ACTIMOVE PROFESSIONAL LINE DELUXE LUMBAR SACRAL SUPPORT RIGID PANEL FOR WOMEN
|
BSN MEDICAL INC
|
72791-XX
|
L0641
|
04/22/2022
|
|
XX INDICATES SIZE. ROSE 30-S, 31-M, 32-L, 33-XL, 34-XXL, 43-XXXL, 44-XXXXL, 45-XXXXXL.
|
|
UNIVERSAL BACK BRACE
|
AIR A MED
|
B-UNV-REG
|
L0641
|
04/18/2023
|
|
|
|
FREEDOM X 627
|
PREFERRED INDUSTRIES INC
|
CFX627-00X
|
L0641
|
01/08/2026
|
|
X INDICATES SIZE 1 OR 2 (1-S/M, 2-L/XL)
|
|
EVERGREEN LUMBAR LITE
|
ASPEN MEDICAL PRODUCTS INC
|
36-2604
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
PROLITE LO-PLUS LUMBAR SUPPORT
|
BSN MEDICAL INC
|
7456300
|
L0641
|
05/01/2014
|
|
|
|
PROLITE LUMBAR SACRAL SUPPORT MEDIUM LAVENDER
|
BSN MEDICAL INC
|
72792-01
|
L0641
|
05/01/2014
|
|
|
|
PROLITE LUMBAR SACRAL SUPPORT MEDIUM ROSE
|
BSN MEDICAL INC
|
72791-01
|
L0641
|
05/01/2014
|
|
|
|
BASIC LUMBAR SUPPORT
|
BREG INC
|
10153
|
L0641
|
06/25/2014
|
|
|
|
BASIC LUMBAR SUPPORT
|
BREG INC
|
10154
|
L0641
|
06/25/2014
|
|
|
|
BACK-A-LINE
|
BACK-A-LINE INC
|
BABK
|
L0641
|
05/20/2014
|
|
|
|
CALIFORNIA COMPRESSOR ORTHOSIS 10"
|
ORTHOMERICA PRODUCTS INC
|
3235
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
BACK AND ABDOMINAL SUPPORT
|
MUELLER SPORTS MEDICINE INC
|
6753
|
L0641
|
08/12/2014
|
|
|
|
CHAIRBACK LSO
|
BECKER ORTHOPEDIC
|
105-M
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
DONJOY LSO BACK BRACE WITH SHORT CHAIRBACK - X-LARGE
|
BIO CYBERNETICS INTERNATIONAL
|
11-1582-5
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
UNIVERSAL SPINE BRACE
|
BELL-HORN INC
|
99505
|
L0626 OR
L0641
|
01/01/2014
|
07/17/2019
|
|
|
MIAMI LUMBAR
|
OSSUR AMERICAS INC
|
LMB-03NPNP
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
VOLARE LITE
|
MEDICAL TECHNOLOGY INC (DBA BLEDSOE BRACE SYSTEMS)
|
AB012011
|
L0641
|
08/04/2014
|
11/30/2015
|
|
|
CASS CHAIRBACK W/ ANTERIOR PANEL
|
ORTHOMERICA PRODUCTS INC
|
2629
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
CALIFORNIA COMPRESSOR ORTHOSIS 8"
|
ORTHOMERICA PRODUCTS INC
|
3226
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
MIAMI LUMBAR
|
OSSUR AMERICAS INC
|
LMB-009
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
MIAMI LUMBAR
|
OSSUR AMERICAS INC
|
LMBSL-006
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
MIAMI LUMBAR SLIM
|
OSSUR AMERICAS INC
|
LMB SL-003
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
MIAMI LUMBAR TM
|
OSSUR AMERICAS INC
|
LMB-02
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
CASS CHAIRBACK W/ ANTERIOR PANEL
|
ORTHOMERICA PRODUCTS INC
|
2645
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
MIAMI LUMBAR TM
|
OSSUR AMERICAS INC
|
LMB-10
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
CA LAGUNA 626
|
ORTHOMERICA PRODUCTS INC
|
XB7800
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
CORELINE RIGID LUMBAR BELT SMALL
|
OSSUR AMERICAS INC / SOUTHERN PROSTHETIC SUPPLY INC
|
CL0302
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
THERMOSKIN LUMBAR SUPPORT WITH REMOVABLE MOLDABLE INSERT
|
SWEDE-O INC
|
87267
|
L0626 OR
L0641
|
01/01/2014
|
01/01/2016
|
MANUFACTURER DISCONTINUED PRODUCTION AS OF 01/01/2016. BILLING ACCEPTABLE UNTIL EXPIRATION OF PRODUCT
|
|
V-LOCK LUMBAR ORTHOSIS W / RIGID INSERT-2XLARGE
|
CORFLEX INC
|
35-1795-000
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
V-LOCK LUMBAR ORTHOSIS W / RIGID INSERT-MEDIUM
|
CORFLEX INC
|
35-1792-000
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
CORELINE RIGID LUMBAR BELT 2XL
|
OSSUR AMERICAS INC / SOUTHERN PROSTHETIC SUPPLY INC
|
CL0306
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
CAMP XXI PENDULOUS KNIGHT BRACE
|
TRULIFE
|
45403
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
CHAIRBACK WITH CORSET
|
TRULIFE
|
JS-5008-SHR
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
BACK N BLACK BACK SUPPORT XX-LARGE
|
MEDICAL SPECIALTIES INC
|
163207
|
L0641 OR
L0626
|
03/13/2015
|
|
|
|
OTTOBOCK MAC PLUS LOW PROFILE
|
OTTO BOCK HEALTHCARE
|
50R138
|
L0626 OR
L0641
|
07/28/2015
|
|
CODE REVERIFIED 12/22/2015
|
|
VOLARE LITE
|
BREG INC
|
AB012003
|
L0641
|
12/01/2015
|
|
|
|
THE MATRIARCH LO L1-L5 12" POSTERIOR PANEL
|
PROFESSIONAL PRODUCTS INC
|
12164-25
|
L0626 OR
L0641
|
10/03/2016
|
|
|
|
THE MAKO LO L1-L5 9" POSTERIOR PANEL
|
PROFESSIONAL PRODUCTS INC
|
12982-40
|
L0626 OR
L0641
|
03/20/2018
|
|
|
|
THE MAKO LO L1-L5 9" POSTERIOR PANEL
|
PROFESSIONAL PRODUCTS INC
|
12982-30
|
L0626 OR
L0641
|
03/20/2018
|
|
|
|
CYBER 10" STANDARD LSO
|
OTTO BOCK HEALTHCARE
|
50R277N
|
L0626 OR
L0641
|
10/26/2018
|
|
|
|
CYBERTECH ORIGINAL STANDARD
|
OTTO BOCK HEALTHCARE
|
50R217N
|
L0626 OR
L0641
|
10/26/2018
|
|
|
|
CYBERTECH ORIGINAL LOW-PROFILE
|
OTTO BOCK HEALTHCARE
|
50R144N
|
L0626 OR
L0641
|
10/26/2018
|
|
|
|
OPTEC LO 641
|
OPTEC USA INC
|
LO641XX
|
L0641
|
03/11/2020
|
|
XX IN MODEL NO. INDICATES SIZE: SM, MD, LG, XL, 2X, 3X
|
|
BAKTEC 626 LSO
|
AIR A MED
|
77-626-E
|
L0641
|
11/05/2024
|
|
|
|
EVERGREEN LUMBAR LITE
|
ASPEN MEDICAL PRODUCTS INC
|
36-2601
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
EVERGREEN LUMBAR LITE
|
ASPEN MEDICAL PRODUCTS INC
|
36-2606
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
DR. MED BACK BRACE LSO (MOLDABLE)
|
A-MI INDUSTRIES / KLOVR
|
DR-B014
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
PROLITE LO-PLUS LUMBAR SUPPORT
|
BSN MEDICAL INC
|
7456301
|
L0641
|
05/01/2014
|
|
|
|
PROLITE LO-PLUS LUMBAR SUPPORT
|
BSN MEDICAL INC
|
7456305
|
L0641
|
05/01/2014
|
|
|
|
DICARRE EASYPULL PRO BRACE BLACK MEDIUM
|
DICARRE LLC
|
DB26-BK-MD
|
L0641
|
08/07/2014
|
|
|
|
BASIC LUMBAR SUPPORT
|
BREG INC
|
10155
|
L0641
|
06/25/2014
|
|
|
|
DOUBLE BACK LSO SYSTEM
|
HELY & WEBER
|
103
|
L0641
|
07/10/2014
|
|
|
|
9" MOLDABLE SACRO SUPPORT
|
BILT-RITE ORTHOPEDICS & SAFETY INC
|
10-11000
|
L0641
|
08/04/2014
|
|
|
|
DONJOY LITE BACK BRACE
|
DJO LLC
|
11-1570-2
|
L0641
|
07/09/2014
|
|
|
|
DONJOY LITE BACK BRACE
|
DJO LLC
|
11-1570-4
|
L0641
|
07/09/2014
|
|
|
|
CALIFORNIA COMPRESSION 8"
|
ORTHOMERICA PRODUCTS INC
|
3202
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
CALIFORNIA COMPRESSION 8"
|
ORTHOMERICA PRODUCTS INC
|
3206
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
CALIFORNIA COMPRESSOR ORTHOSIS 10"
|
ORTHOMERICA PRODUCTS INC
|
3236
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
CALIFORNIA COMPRESSOR ORTHOSIS 8"
|
ORTHOMERICA PRODUCTS INC
|
3220
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
BACK & ABDOMINAL SUPPORT
|
MUELLER SPORTS MEDICINE INC
|
6753-A1
|
L0641
|
08/12/2014
|
|
|
|
LUMBO-SACRAL SUPPORT
|
ITA-MED COMPANY
|
BS-221
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
LUMBO-SACRAL SUPPORT
|
ITA-MED COMPANY
|
IBS-2000
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
CYBERTECH MAC MECHANICAL ADVANTAGE CORSET
|
BIO CYBERNETICS INTERNATIONAL
|
L0626B-XXL (XX-LARGE) LOW PROFILE
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
VOLARE LITE
|
MEDICAL TECHNOLOGY INC (DBA BLEDSOE BRACE SYSTEMS)
|
AB012003
|
L0641
|
08/04/2014
|
11/30/2015
|
|
|
VOLARE LITE
|
MEDICAL TECHNOLOGY INC (DBA BLEDSOE BRACE SYSTEMS)
|
AB012007
|
L0641
|
08/04/2014
|
11/30/2015
|
|
|
CASS CHAIRBACK W/ ANTERIOR PANEL
|
ORTHOMERICA PRODUCTS INC
|
2644
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
CALIFORNIA VENTURA 626
|
ORTHOMERICA PRODUCTS INC
|
3261.626
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
CALIFORNIA VENTURA 626
|
ORTHOMERICA PRODUCTS INC
|
3264.626
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
MIAMI LUMBAR
|
OSSUR AMERICAS INC
|
LMB-010
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
MIAMI LUMBAR TM
|
OSSUR AMERICAS INC
|
LMB-01
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
CALIFORNIA COMPRESSION 10"
|
ORTHOMERICA PRODUCTS INC
|
3213
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
CALIFORNIA COMPRESSION 10"
|
ORTHOMERICA PRODUCTS INC
|
3215
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
ELASTIC POCKET WRAPAROUND WITH RIGID POSTERIOR PANEL
|
FREEMAN MANUFACTURING COMPANY
|
978I
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
CORELINE RIGID LUMBAR BELT 4XL
|
OSSUR AMERICAS INC / SOUTHERN PROSTHETIC SUPPLY INC
|
CL0308
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
CORELINE RIGID LUMBAR BELT 5XL
|
OSSUR AMERICAS INC / SOUTHERN PROSTHETIC SUPPLY INC
|
CL0309
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
CHAIRBACK WITH CORSET
|
TRULIFE
|
JS-5006
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
PLATINUM EXTENDED L/S W/ PANEL
|
TRULIFE
|
PT13302-KIT
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
PLATINUM EXTENDED L/S W/ PANEL
|
TRULIFE
|
PT13304-KIT
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
PLATINUM L/S W/ PANEL
|
TRULIFE
|
PT13203-KIT
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
EVERGREEN LUMBAR LITE
|
ASPEN MEDICAL PRODUCTS INC
|
362611
|
L0626 OR
L0641
|
06/23/2015
|
|
|
|
EXOS FORM II - 626 S/M
|
DJO GLOBAL INC
|
305626-40
|
L0626 OR
L0641
|
04/06/2016
|
|
|
|
EVERGREEN LUMBAR LITE
|
ASPEN MEDICAL PRODUCTS INC
|
362631
|
L0641
|
03/05/2015
|
06/22/2015
|
|
|
BACK N BLACK BACK SUPPORT SMALL
|
MEDICAL SPECIALTIES INC
|
163202
|
L0641 OR
L0626
|
03/13/2015
|
|
|
|
EVERGREEN LUMBAR LITE
|
ASPEN MEDICAL PRODUCTS INC
|
362611
|
L0641
|
03/05/2015
|
06/22/2015
|
|
|
EVERGREEN LUMBAR LITE
|
ASPEN MEDICAL PRODUCTS INC
|
362621
|
L0641
|
03/05/2015
|
06/22/2015
|
|
|
VICTORY
|
THE HYLAN SHOE COMPANY
|
01-0626-16
|
L0641 OR
L0626
|
07/11/2016
|
|
|
|
BACK SUPPORT WITH LOW FRICTION PULLEY
|
MEDLINE INDUSTRIES INC
|
ORT22700
|
L0641
|
02/23/2017
|
|
|
|
PROGRADE UNIVERSAL BACK BRACE
|
AIR A MED LLC
|
B-UNV
|
L0641
|
09/21/2022
|
|
|
|
EVERGREEN LUMBAR LITE
|
ASPEN MEDICAL PRODUCTS INC
|
36-2603
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
PROLITE LUMBAR SACRAL SUPPORT 3X-LARGE LAVENDER
|
BSN MEDICAL INC
|
72792-05
|
L0641
|
05/01/2014
|
|
|
|
PROLITE LUMBAR SACRAL SUPPORT 5X-LARGE ROSE
|
BSN MEDICAL INC
|
72791-07
|
L0641
|
05/01/2014
|
|
|
|
MIAMI LUMBAR TM
|
OSSUR AMERICAS INC
|
LMB-06
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
BARIATRIC SUPPORT PLUS
|
SCOTT SPECIALTIES INC
|
180
|
L0641
|
07/23/2014
|
|
|
|
CALIFORNIA COMPRESSION 8"
|
ORTHOMERICA PRODUCTS INC
|
3205
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
CALIFORNIA COMPRESSOR ORTHOSIS 10"
|
ORTHOMERICA PRODUCTS INC
|
3230
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
LUMBO-SACRAL SUPPORT
|
ITA-MED COMPANY
|
TGR-201
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
LUMBO-SACRAL SUPPORT, W/POCKET FOR RPP
|
ITA-MED COMPANY
|
BS-229
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
CYBERTECH MAC MECHANICAL ADVANTAGE CORSET
|
BIO CYBERNETICS INTERNATIONAL
|
L0626B-L (LARGE) LOW PROFILE
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
CYBERTECH MAC MECHANICAL ADVANTAGE CORSET
|
BIO CYBERNETICS INTERNATIONAL
|
L0626B-XL (EXTRA LARGE) LOW PROFILE
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
9" MOLDABLE SACRO SUPPORT
|
BILT-RITE ORTHOPEDICS & SAFETY INC
|
10-11200
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
MIAMI LUMBAR
|
OSSUR AMERICAS INC
|
LMB-06NPNP
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
MIAMI LUMBAR
|
OSSUR AMERICAS INC
|
LMB-10NPNP
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
MIAMI LUMBAR
|
OSSUR AMERICAS INC
|
LMB-003
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
CASS CHAIRBACK W/ ANTERIOR PANEL
|
ORTHOMERICA PRODUCTS INC
|
2633
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
CASS CHAIRBACK W/ ANTERIOR PANEL
|
ORTHOMERICA PRODUCTS INC
|
2639
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
CASS CHAIRBACK W/ ANTERIOR PANEL
|
ORTHOMERICA PRODUCTS INC
|
2640
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
CASS CHAIRBACK W/ ANTERIOR PANEL
|
ORTHOMERICA PRODUCTS INC
|
2642
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
CALIFORNIA COMPRESSOR ORTHOSIS 8"
|
ORTHOMERICA PRODUCTS INC
|
3222
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
CALIFORNIA COMPRESSOR ORTHOSIS 8"
|
ORTHOMERICA PRODUCTS INC
|
3223
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
MIAMI LUMBAR
|
OSSUR AMERICAS INC
|
LMB-004
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
MULTIFUNCTIONAL ORTHOSIS LUMBO TRISTEP
|
OTTO BOCK HEALTHCARE
|
50R30=L-H-7
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
CA LAGUNA LP 626
|
ORTHOMERICA PRODUCTS INC
|
XB7900
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
CALIFORNIA COMPRESSION 10"
|
ORTHOMERICA PRODUCTS INC
|
3211
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
CALIFORNIA COMPRESSION 10"
|
ORTHOMERICA PRODUCTS INC
|
3214
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
EXOS FORM 626 LUMBAR ORTHOSIS S/M
|
DJO GLOBAL INC
|
205626-40
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
ELASTIC POCKET WRAPAROUND WITH RIGID POSTERIOR PANEL
|
FREEMAN MANUFACTURING COMPANY
|
982I
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
EXOS FORM 626 LUMBAR ORTHOSIS
|
DJO LLC
|
200626-40
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
CORELINE RIGID LUMBAR BELT LARGE
|
OSSUR AMERICAS INC / SOUTHERN PROSTHETIC SUPPLY INC
|
CL0304
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
CORELINE RIGID LUMBAR BELT MEDIUM
|
OSSUR AMERICAS INC / SOUTHERN PROSTHETIC SUPPLY INC
|
CL0303
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
CORELINE RIGID LUMBAR BELT X-LARGE
|
OSSUR AMERICAS INC / SOUTHERN PROSTHETIC SUPPLY INC
|
CL0305
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
PLATINUM PENDULOUS L/S W/ PANEL
|
TRULIFE
|
PT13403-KIT
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
THERMOSKIN LUMBAR SUPPORT WITH REMOVABLE MOLDABLE INSERT
|
SWEDE-O INC
|
82267
|
L0626 OR
L0641
|
01/01/2014
|
01/01/2016
|
MANUFACTURER DISCONTINUED PRODUCTION AS OF 01/01/2016. BILLING ACCEPTABLE UNTIL EXPIRATION OF PRODUCT
|
|
THERMOSKIN LUMBAR SUPPORT WITH REMOVABLE MOLDABLE INSERT
|
SWEDE-O INC
|
83267
|
L0626 OR
L0641
|
01/01/2014
|
01/01/2016
|
MANUFACTURER DISCONTINUED PRODUCTION AS OF 01/01/2016. BILLING ACCEPTABLE UNTIL EXPIRATION OF PRODUCT
|
|
V-LOCK LUMBAR ORTHOSIS W / RIGID INSERT-4XLARGE
|
CORFLEX INC
|
35-1797-000
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
V-LOCK LUMBAR ORTHOSIS W / RIGID INSERT-XLARGE
|
CORFLEX INC
|
35-1794-000
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
BACK-A-LINE PREMIEER WITH BIOFLEX MAGNETS
|
BACK-A-LINE INC
|
BAMGME
|
L0641
|
09/17/2014
|
|
|
|
RACHIS CRYO LO
|
PROFESSIONAL PRODUCTS INC
|
11705
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
MULTIFUNCTIONAL ORTHOSIS LUMBO TRISTEP
|
OTTO BOCK HEALTHCARE
|
50R30=S-H-7
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
CAMPXXI POCKET SUPPORT W/ RIGID PANEL
|
TRULIFE
|
0043003-KIT
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
CAMPXXI POCKET SUPPORT W/ RIGID PANEL
|
TRULIFE
|
0043006-KIT
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
PLATINUM L/S W/ PANEL
|
TRULIFE
|
PT13202-KIT
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
BACK N BLACK BACK SUPPORT X-LARGE
|
MEDICAL SPECIALTIES INC
|
163206
|
L0641 OR
L0626
|
03/13/2015
|
|
|
|
VOLARE LITE
|
BREG INC
|
AB012005
|
L0641
|
12/01/2015
|
|
|
|
VOLARE LITE
|
BREG INC
|
AB012011
|
L0641
|
12/01/2015
|
|
|
|
RCAI BASIC LSO
|
RCAI (RESTORATIVE CARE OF AMERICA INC)
|
452 LSO - XL
|
L0641
|
10/18/2016
|
|
|
|
RCAI BASIC LSO
|
RCAI (RESTORATIVE CARE OF AMERICA INC)
|
452 LSO - S
|
L0641
|
10/18/2016
|
|
|
|
THE MATRIARCH LO L1-L5 9" POSTERIOR PANEL
|
PROFESSIONAL PRODUCTS INC
|
12163-25
|
L0626 OR
L0641
|
10/03/2016
|
|
|
|
THE MAKO LO L1-L5 9" POSTERIOR PANEL
|
PROFESSIONAL PRODUCTS INC
|
12982-60
|
L0626 OR
L0641
|
03/20/2018
|
|
|
|
SENIOR BACK SUPPORT WITH LOW-FRICTION PULLEY
|
MEDLINE INDUSTRIES INC
|
CURSR22800D
|
L0641
|
11/15/2018
|
|
|
|
CRYO BACK BRACE
|
CREATIVCARE LLC
|
BBCUO1
|
L0641 +
A9273
|
01/09/2025
|
|
|
|
PROLITE LUMBAR SACRAL SUPPORT 3X-LARGE ROSE
|
BSN MEDICAL INC
|
72791-05
|
L0641
|
05/01/2014
|
|
|
|
PROLITE LUMBAR SACRAL SUPPORT SMALL LAVENDER
|
BSN MEDICAL INC
|
72792-00
|
L0641
|
05/01/2014
|
|
|
|
PROLITE LUMBAR SACRAL SUPPORT X-LARGE ROSE
|
BSN MEDICAL INC
|
72791-03
|
L0641
|
05/01/2014
|
|
|
|
BASIC LUMBAR SUPPORT
|
BREG INC
|
10151
|
L0641
|
06/25/2014
|
|
|
|
BACK SUPPORT ADJUSTABLE (SMALL)
|
AIR A MED INC
|
76-101
|
L0641
|
05/01/2014
|
|
|
|
LACE IT BI-POWERED LOW PROFILE L.S.O. WITHOUT DYNAMICALLY SELF-ADJUSTING FRAME
|
ADVANCED ORTHOTIC DESIGNS
|
401 S
|
L0641
|
05/20/2014
|
|
|
|
BACK-A-LINE WITH BIOFLEX MAGNETS
|
BACK-A-LINE INC
|
BAMG
|
L0641
|
05/20/2014
|
|
|
|
BOA LITE
|
TOP SHELF MANUFACTURING LLC
|
510133
|
L0641
|
08/08/2014
|
|
|
|
CALIFORNIA COMPRESSION 8"
|
ORTHOMERICA PRODUCTS INC
|
3199
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
CALIFORNIA COMPRESSION 8"
|
ORTHOMERICA PRODUCTS INC
|
3201
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
CALIFORNIA COMPRESSION 8"
|
ORTHOMERICA PRODUCTS INC
|
3204
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
CALIFORNIA COMPRESSOR ORTHOSIS 10"
|
ORTHOMERICA PRODUCTS INC
|
3229
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
ABDOMINAL AND BACK SUPPORT
|
ITA-MED COMPANY
|
AB-309
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
LUMBO-SACRAL ABDOMINAL SUPPORT
|
ITA-MED COMPANY
|
ABS-228
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
LUMBO-SACRAL SUPPORT
|
ITA-MED COMPANY
|
BS-227
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
CYBERTECH MAC MECHANICAL ADVANTAGE CORSET
|
BIO CYBERNETICS INTERNATIONAL
|
L0626B-S (SMALL) LOW PROFILE
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
DR MED LUMBAR ORTHOSIS (POSTERIOR PANEL SUPPORT)
|
A-MI INDUSTRIES / KLOVR
|
DR-B626
|
L0641
|
06/05/2014
|
|
|
|
CHAIRBACK LSO
|
BECKER ORTHOPEDIC
|
105-L
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
CHAIRBACK LSO
|
BECKER ORTHOPEDIC
|
105-XL
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
TLSO SUPPORT DELUXE WITH INSERT
|
BILT-RITE ORTHOPEDICS & SAFETY INC
|
10-10900
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
KNIGHT LSO
|
BECKER ORTHOPEDIC
|
106-L
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
LUMBO-SACRO MOLDABLE BACK SUPPORT
|
A-T SURGICAL MANUFACTURING COMPANY INC
|
920-P
|
L0641
|
06/05/2014
|
|
|
|
MIAMI LUMBAR
|
OSSUR AMERICAS INC
|
LMB-04NPNP
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
MIAMI LUMBAR
|
OSSUR AMERICAS INC
|
LMB-08NPNP
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
MIAMI LUMBAR
|
OSSUR AMERICAS INC
|
LMB-002
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
ELASTIC LUMBOSACRAL WRAPAROUND WITH BACK PAD
|
FREEMAN MANUFACTURING COMPANY
|
E1201
|
L0641
|
08/04/2014
|
|
|
|
CASS CHAIRBACK W/ ANTERIOR PANEL
|
ORTHOMERICA PRODUCTS INC
|
2630
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
CASS CHAIRBACK W/ ANTERIOR PANEL
|
ORTHOMERICA PRODUCTS INC
|
2632
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
CASS CHAIRBACK W/ ANTERIOR PANEL
|
ORTHOMERICA PRODUCTS INC
|
2634
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
CASS CHAIRBACK W/ ANTERIOR PANEL
|
ORTHOMERICA PRODUCTS INC
|
2635
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
MIAMI LUMBAR
|
OSSUR AMERICAS INC
|
LMBSL-010
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
PLATINUM L/S W/ PANEL
|
TRULIFE
|
PT13204-KIT
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
THERMOSKIN LUMBAR SUPPORT WITH REMOVABLE MOLDABLE INSERT
|
SWEDE-O INC
|
86267
|
L0626 OR
L0641
|
01/01/2014
|
01/01/2016
|
MANUFACTURER DISCONTINUED PRODUCTION AS OF 01/01/2016. BILLING ACCEPTABLE UNTIL EXPIRATION OF PRODUCT
|
|
BACK-A-LINE DELUXE
|
BACK-A-LINE INC
|
BANL (NO LOGO)
|
L0641
|
09/17/2014
|
|
|
|
BACK-A-LINE FOR WAIST OVER 48"
|
BACK-A-LINE INC
|
BABKZZ
|
L0641
|
09/17/2014
|
|
|
|
RACHIS EXO LO
|
PROFESSIONAL PRODUCTS INC
|
11821
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
CAMPXXI POCKET SUPPORT W/ RIGID PANEL
|
TRULIFE
|
0043004-KIT
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
CHAIRBACK WITH CORSET
|
TRULIFE
|
JS-5008
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
OTTOBOCK LOW PROFILE
|
OTTO BOCK HEALTHCARE
|
50R149
|
L0641
|
03/13/2015
|
|
|
|
LSO LOW PROFILE LARGE
|
DJO GLOBAL INC
|
01-515-0004
|
L0626 OR
L0641
|
05/02/2016
|
|
|
|
LSO LOW PROFILE X-LARGE
|
DJO GLOBAL INC
|
01-515-0005
|
L0626 OR
L0641
|
05/02/2016
|
|
|
|
EXOS FORM II-626 S/M
|
DJO GLOBAL INC
|
300626-40
|
L0626 OR
L0641
|
12/23/2015
|
|
|
|
EXOS FORM II-626 L/XL
|
DJO GLOBAL INC
|
300626-60
|
L0626 OR
L0641
|
12/23/2015
|
|
|
|
VOLARE LITE
|
BREG INC
|
AB012007
|
L0641
|
12/01/2015
|
|
|
|
BAXMAX L
|
THE POSTURE PERFECTOR LLC
|
SIZE INCH 36"-40"
|
L0626 OR
L0641
|
07/13/2016
|
|
|
|
BAXMAX XL
|
THE POSTURE PERFECTOR LLC
|
SIZE INCH 40"-45"
|
L0626 OR
L0641
|
07/13/2016
|
|
|
|
RCAI BASIC LSO
|
RCAI (RESTORATIVE CARE OF AMERICA INC)
|
452 LSO - M
|
L0641
|
10/18/2016
|
|
|
|
THE MATRIARCH LO L1-L5 12" POSTERIOR PANEL
|
PROFESSIONAL PRODUCTS INC
|
12164-60
|
L0626 OR
L0641
|
10/03/2016
|
|
|
|
MIAMI LSO
|
OSSUR AMERICAS INC
|
MLSO-256-2
|
L0626 OR
L0641
|
02/06/2018
|
|
|
|
GALAXY 26
|
3D ORTHO LLC
|
GL26
|
L0626 OR
L0641
|
07/17/2018
|
|
|
|
THE SPINE BRACE
|
DJO LLC
|
99510
|
L0641
|
07/18/2019
|
|
|
|
NU-FORM UNIVERSAL BACK BRACE 0627
|
OVATION MEDICAL
|
61003-2
|
L0641
|
12/18/2019
|
04/03/2020
|
|
|
APEX LSO2 BACK BRACE 27/42
|
ADVANCED ORTHOPAEDICS INC
|
5027
|
L0641
|
11/11/2020
|
|
MANUFACTURER DISCONTINUED PRODUCTION AS OF 02/12/2021. PRODUCT WAS MODIFIED.
|
|
PANDA
|
BLUE DIAMOND ORTHOPEDIC
|
PANDA-MP
|
L0641
|
03/05/2020
|
04/22/2020
|
|
|
SINGLE PULL STRING BACKSUPPORT
|
ALEX ORTHOPEDIC INC
|
20120
|
L0641
|
05/15/2025
|
|
|
|
PROLITE LO-PLUS LUMBAR SUPPORT
|
BSN MEDICAL INC
|
7456304
|
L0641
|
05/01/2014
|
|
|
|
PROLITE LUMBAR SACRAL SUPPORT LARGE ROSE
|
BSN MEDICAL INC
|
72791-02
|
L0641
|
05/01/2014
|
|
|
|
LACE IT BI-POWERED LOW PROFILE L.S.O. WITHOUT DYNAMICALLY SELF-ADJUSTING FRAME
|
ADVANCED ORTHOTIC DESIGNS
|
401 L
|
L0641
|
05/20/2014
|
|
|
|
BOA LITE
|
TOP SHELF MANUFACTURING LLC
|
510134
|
L0641
|
08/08/2014
|
|
|
|
CALIFORNIA COMPRESSION 8"
|
ORTHOMERICA PRODUCTS INC
|
3200
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
CALIFORNIA COMPRESSOR ORTHOSIS 10"
|
ORTHOMERICA PRODUCTS INC
|
3231
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
CALIFORNIA COMPRESSOR ORTHOSIS 8"
|
ORTHOMERICA PRODUCTS INC
|
3219
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
ABDOMINAL AND BACK SUPPORT
|
ITA-MED COMPANY
|
AB-412
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
CYBERTECH 635
|
BIO CYBERNETICS INTERNATIONAL
|
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
CHAIRBACK LSO
|
BECKER ORTHOPEDIC
|
105-XS
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
KNIGHT LSO
|
BECKER ORTHOPEDIC
|
106-M
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
CASTOR LUMBLOCK
|
MIH INTERNATIONAL LLC
|
#573
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
VOLARE LITE
|
MEDICAL TECHNOLOGY INC (DBA BLEDSOE BRACE SYSTEMS)
|
AB012009
|
L0641
|
08/04/2014
|
11/30/2015
|
|
|
CALIFORNIA COMPRESSOR ORTHOSIS 8"
|
ORTHOMERICA PRODUCTS INC
|
3225
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
CALIFORNIA VENTURA 626
|
ORTHOMERICA PRODUCTS INC
|
3260.626
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
CALIFORNIA VENTURA 626
|
ORTHOMERICA PRODUCTS INC
|
3262.626
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
CALIFORNIA VENTURA 626
|
ORTHOMERICA PRODUCTS INC
|
3263.626
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
MIAMI LUMBAR
|
OSSUR AMERICAS INC
|
LMB-008
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
MIAMI LUMBAR
|
OSSUR AMERICAS INC
|
LMBSL-003
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
MIAMI LUMBAR
|
OSSUR AMERICAS INC
|
LMBSL-008
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
MIAMI LUMBAR TM
|
OSSUR AMERICAS INC
|
LMB-05
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
CALIFORNIA COMPRESSION 10"
|
ORTHOMERICA PRODUCTS INC
|
3209
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
CALIFORNIA COMPRESSION 10"
|
ORTHOMERICA PRODUCTS INC
|
3210
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
ELASTIC LUMBOSACRAL WRAPAROUND WITH THERMOPLASTIC INSERT
|
FREEMAN MANUFACTURING COMPANY
|
E1301
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
CORELINE RIGID LUMBAR BELT X-SMALL
|
OSSUR AMERICAS INC / SOUTHERN PROSTHETIC SUPPLY INC
|
CL0301
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
THERMOSKIN LUMBAR SUPPORT WITH REMOVABLE MOLDABLE INSERT
|
SWEDE-O INC
|
84267
|
L0626 OR
L0641
|
01/01/2014
|
01/01/2016
|
MANUFACTURER DISCONTINUED PRODUCTION AS OF 01/01/2016. BILLING ACCEPTABLE UNTIL EXPIRATION OF PRODUCT
|
|
BABY YOUR BACK (MATERNITY)
|
BACK-A-LINE INC
|
MTNT (PLUS 2-LETTER SIZE DESIGNATION)
|
L0641
|
09/17/2014
|
|
|
|
MULTIFUNCTIONAL ORTHOSIS LUMBO TRISTEP
|
OTTO BOCK HEALTHCARE
|
50R30=M-H-7
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
CAMP XXI KNIGHT BRACE
|
TRULIFE
|
45202
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
CAMPXXI POCKET SUPPORT W/ RIGID PANEL
|
TRULIFE
|
0043002-KIT
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
CHAIRBACK WITH CORSET
|
TRULIFE
|
JS-5005
|
L0626 OR
L0641
|
01/01/2014
|
|
|
|
EVERGREEN LUMBAR LITE
|
ASPEN MEDICAL PRODUCTS INC
|
362631
|
L0626 OR
L0641
|
06/23/2015
|
|
|
|
EXOS FORM II - 626 L/XL
|
DJO GLOBAL INC
|
305626-60
|
L0626 OR
L0641
|
04/06/2016
|
|
|
|
BACK N BLACK BACK SUPPORT LARGE
|
MEDICAL SPECIALTIES INC
|
163205
|
L0641 OR
L0626
|
03/13/2015
|
|
|
|
THE MATRIARCH LO L1-L5 12" POSTERIOR PANEL
|
PROFESSIONAL PRODUCTS INC
|
12164-70
|
L0626 OR
L0641
|
10/03/2016
|
|
|
|
CURAD BACK SUPPORT WITH LOW FRICTION PULLEY
|
MEDLINE INDUSTRIES INC
|
CUR22700D
|
L0641
|
10/06/2016
|
|
|
|
QUICK DRAW LUMBAR SUPPORT
|
SENTEQ CORP
|
SQ3-O019XX
|
L0641
|
12/13/2018
|
|
XX IN THE MODEL NUMBER IS A PLACEHOLDER FOR SIZE.
|
|
CYBER LOW-PROFILE LSO
|
OTTO BOCK HEALTHCARE
|
50R276N
|
L0626 OR
L0641
|
10/26/2018
|
|
|
|
ACTIMOVE PROFESSIONAL LINE LO PLUS LUMBAR SUPPORT STABILIZING POSTERIOR PANEL
|
BSN MEDICAL INC
|
74563-XX
|
L0641
|
04/22/2022
|
|
XX IN MODEL NUMBER INDICATES SIZE: 30-S, 31-M, 32-L, 33-XL, 34-XXL, 35-XXXL
|
|
PROGRADE UNIVERSAL BACK BRACE
|
AIR A MED
|
B-UNV-FLP
|
L0641
|
04/18/2023
|
|
|
|
VERANO LUMBAR ORTHOSIS
|
PROFESSIONAL PRODUCTS INC
|
4626
|
L0641
|
02/27/2025
|
|
|