ACL Knee Brace

Suggested HCPCS Code: L1845/L1852

  • Sleek, low profile design
  • Durable, lightweight aluminum construction
  • Flexion (45°, 60°, 75°, 90°) and extension (0°, 10°, 20°, 30°, 40°) stops
Product Number Side Size Circ 6″ Above Knee Center
11-1200 Right Small 15.5″-18.5″
11-1201 Left Small 15.5″-18.5″
11-1202 Right Medium 18.5″-21″
11-1203 Left Medium 18.5″-21″
11-1204 Right Large 21″-23.5″
11-1205 Left Large 21″-23.5″
11-1206 Right X-Large 23.5″-26.5″
11-1207 Left X-Large 23.5″-26.5″
Underlying Conditions:
  • ACL Tear
  • Congenital Deformity of Knee Joint
  • Chondromalacia of Patella
  • Old Bucket Handle of Medial Meniscus
  • Pathologic Fracture of Femur/Tibia/Fibula
  • Rheumatoid Arthritis
  • Osteoarthritis
Coverage Criteria: Patient must meet one of the following criteria)
  • Recent knee injury or Recent surgical procedure on knee
  • Patient is ambulatory and has knee instability due to diagnosisstabilization
For Product Instructions click HERE.
Our Ordering Process

Our Process is as follows: