Width, Height Adj. Lateral Pelvic Support (Hip Guide w/out Armrest)
Width, Height Adj. Lateral Pelvic Support (Hip Guide w/out Armrest)
These laterals are width adjustable to ensure appropriate boundary is established. They can be used alone or combined with a padded armrest that is height adjustable for support of the upper extremity.
Standard specifications
| Left - Small - 4.5" - 5.5" (H) (12) | Right - Small - 4.5" - 5.5" (H) (12) | Left - Large - 5.25" - 6.25" (H)* (12) | Left - Small - 4.5" - 5.5" (H) (14) | Left - Large - 5.25" - 6.25" (H) (14) | Right - Large - 5.25" - 6.25" (H) (12) | Right - Small - 4.5" - 5.5" (H) (14) | Right - Large - 7"-8" (H) (14) | |
|---|---|---|---|---|---|---|---|---|
| Item number | 904935 | 904936 | 905040 | 905042 | 904937 | 905041 | 905043 | 904938 |
| HCPCS number | E0956 | E0956 | E0956 | E0956 | E0956 | E0956 | E0956 | E0956 |