Page 62 - STG Corp 2019
P. 62

COSMETIC COVERS
SFA
FOAM COVER FOR ABOVE KNEE
• Durable foam
• 30˚ knee  exion
• Preshaped
• Center hole
• Flame resistant
• 30˚ knee  exion
Suggested HCPCS Code(s): L5705 + L5706 (KD)
P/N
Description
SFA=36L
Foam Cover for Above Knee, Calf Circum. 36cm, Left
SFA=36R
Foam Cover for Above Knee, Calf Circum. 36cm, Right
SFA=40L
Foam Cover for Above Knee, Calf Circum. 40cm, Left
SFA=40R
Foam Cover for Above Knee, Calf Circum. 40cm, Right
SFA=44L
Foam Cover for Above Knee, Calf Circum. 44cm, Left
SFA=44R
Foam Cover for Above Knee, Calf Circum. 44cm, Right
17 inches
Cosmetic Covers
SFB
FOAM COVER FOR BELOW KNEE
• Flexible foam
• Unshaped
• Center hole
• Flame resistant
• Skin color
Suggested HCPCS Code(s): L5704
4001
EZ COVER
EZ Cover eliminates the need to grind and shape, a common labor intense process required for foam covers. Simply adjust to the proper circumferential size and cut as needed. Anyone can make a cover in 5 minutes easily.
Please do not use or apply heat to the EZ COVER or leave in an area that can expose the EZ COVER to extreme heat temperatures.
Suggested HCPCS Code(s): L5704 Warranty: 90 days
P/N
Description
SFB
Foam Cover for Below Knee
P/N
Description
4001
EZ Cover
TO ORDER CALL: 714-524-0663 / FAX: 714-364-8113
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