GONIOMETER LOCKING ELBOW HAND ORTHOSIS

Goniometer Locking Elbow Hand Combo Orthosis

Suggested HCPCS Code: L3760 and L3807/L3809

  • Length and cuffs easily adjust for custom fit
  • Adjust flexion/extension of elbow without removing stays
  • Brace can be set for pronation or supination
  • Washable, removable terry cloth cover

Product NumberSizeBicep Circ.
13-0200Adult Regular11″-15″
13-0201Adult Small9″-12″

Underlying Conditions:

  • Elbow Contracture
  • Rheumatoid Arthritis
  • Hemarthrosis of Elbow

Coverage Criteria:

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

For Product Instructions click HERE.

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