HUMERAL FRACTURE SHOULDER BRACE

Elbow/ Shoulder Braces / By
  • Regular Model
  • Over Shoulder Model

Humeral Fracture Shoulder Brace

Suggested HCPCS Code: L3980

  • Lightweight, durable, and cannot absorb moisture
  • Trimmable polyethylene and lined with closed-cell foam
  • Allows a range of motion at the shoulder and elbow

Please specify regular or over the shoulder model when ordering

Product NumberSizeMid-Humeral Circ
13-0800X-Small5″-7.5″
13-0801Small7.5″-9.5″
13-0802Medium9.5″-11.5″
13-0803Large11″-15″
13-0804X-Large13″-18″

Underlying Conditions:

  • Fracture of the shaft of the Humerus
  • Fracture of the surgical neck of Humerus
  • Displaced fracture of the tuberosity of Humerus

Coverage Criteria:

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

For Product Instructions click HERE.

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