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 Number | Size | Mid-Humeral Circ |
13-0800 | X-Small | 5″-7.5″ |
13-0801 | Small | 7.5″-9.5″ |
13-0802 | Medium | 9.5″-11.5″ |
13-0803 | Large | 11″-15″ |
13-0804 | X-Large | 13″-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.