Spinal Orthoses. A thoracic-xxx- bar-sacral orthosis, lumbar orthosis, lumbar- sacral orthosis, and cervical orthosis are cov- ered for the following indications: (I) To reduce pain by restricting mobility of the trunk; (II) To facilitate healing following an injury to the spine or related soft tissues; (III) To facilitate healing following a surgical procedure of the spine or related soft tissue; or (IV) To otherwise support weak spinal muscles or a deformed spine.
Appears in 6 contracts
Samples: Health Care Plan Rules, Health Care Plan Rules, Health Care Plan Rules