LSO-Rite I Body Jacket (10-10094)
Two front polyethylene sliding panels simplify modification and adjustments • LSO Body Jacket constructed of 1/16” ethylene and 1/8” Volara closed cell foam for flexibility • Corrugated panels for support and strength

HCPCS Code: L0630
HCPCS Code Letter

(Measure hip size)
SM=28"-32" Height:11.5.
MD=33"-37" Height:12.5".
LG=38"-42" Height:13".
XL=38"-42". Height: 13.5"
2XL=42"-50" Height:14".
Larger Sizes Available Upon Request

LSO Body Jacket Black w/Apl Control (10-10096)
Designed for more serious back ailments • Hook and Loop closures • 2 Moldable inserts included in package • Available in Black only • Sizes: SM-2X

HCPCS Code: L0631
HCPCS Code Letter

LSO Body Jacket Beige w/Apl Control (10-10097)
Designed for more serious back ailments • Hook and Loop closures • 2 Moldable inserts included in package • Available in Beige only • Sizes: SM-2X

HCPCS Code: L0631
HCPCS Code Letter

LSO-Rite II Body Jacket (10-10098)
LSO back brace with kydex frame • Includes 3/8” pile cover foam liner • Helps reduce lordosis through general abdominal compression while providing AP & ML stability • Liner attaches by hook and loop closure and can easily be removed for washing • Back Height-12” Front-9 1/2”

HCPCS Code: L0630