COCK-UP WRIST SPLINT WITH ROLL

Cock-Up Wrist Splint with Roll

Suggested HCPCS Code: L3807/L3809

  • Splint provides the wrist with cock-up position (~30° hyperextension)
  • and free movement for the thumb and fingers.
  • Finger extension roll can be added to provide stretching when desired
  • High-temperature plastic base can be remolded as needed
  • Thermal adaptive fabric helps to keep the patient’s hand cool and dry
Product NumberSideSizeWidth of MCP
14-1600RightSmallUp to 3″
14-1601LeftSmallUp to 3″
14-1602RightMedium3″-3.5″
14-1603LeftMedium3″-3.5″
14-1604RightLarge3.5″-3.75″
14-1605LeftLarge3.5″-3.75″

Underlying Conditions:

  • Rheumatoid Arthritis
  • Wrist/Hand Contracture
  • Carpal Tunnel Syndrome
  • Osteoarthritis

Coverage Criteria:

Item is for treatment of illness or injury or to improve function of hand . (Not preventative.)

For Product Instructions click HERE.

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