Maternity Physician RX Order

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Professional Grade Maternity Belt L0642

LSO Maternity Belt L0642: The patient has pregnancy-related low back pain (M54.5) due to biomechanical changes, including increased lumbar lordosis and pelvic tilt, impacting mobility and daily function. Physical therapy is limited, and NSAIDs are contraindicated. A lumbar orthosis is medically necessary to provide stabilization, pain relief, and postural support throughout pregnancy and postpartum recovery. The device is prescribed for one year to ensure continued support and functional improvement.

Compression Stockings A6530 X4

Compression Stockings A6530 x4 Diagnosis: Helps reduce leg swelling and improve circulation during pregnancy and postpartum to prevent deep vein thrombosis (DVT) and support vascular health. Edema in Pregnancy (ICD-10: O12.00)

Wrist Spica Support L3809 X2

Wrist Spica Support L3809 x2 Reduces pain and discomfort associated with pregnancy-related and postpartum carpal tunnel syndrome due to hormonal changes and fluid retention. This device is medically necessary to support wrist and hand function, reduce nerve pressure, and alleviate symptoms for one year, enhancing her quality of life. Diagnosis: Carpal Tunnel Syndrome, Bilateral (ICD-10: G56.03)

Hospital Grade Breast Pump E0603

Double Electric Breast Pump E0603 Essential for expressing breast milk to support breastfeeding, relieve engorgement, and ensure continued lactation postpartum. Diagnosis: Encounter for Lactating Mother (ICD-10: Z39.1)

Milk Storage Bags A4287 X200

Mamila Milk Bags, A4287 X200, Required for proper storage of expressed breast milk, ensuring safe handling and preservation for both prenatal preparation and postpartum use. Diagnosis: Encounter for Lactating Mother (ICD-10: Z39.1)

Automatic Blood Pressure Monitor

Automatic Blood Pressure Monitor A4670 Ensures continuous blood pressure monitoring to manage maternal hypertension and prevent complications both during pregnancy and postpartum recovery. Diagnosis: O13: Gestational hypertension

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