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Adjustable Grip Hand Orthosis
Suggested HCPCS Code:
L3915/L3916
Below the wrist, swivel that allows for lateral and medial positions to
accommodate for ulnar and radial deviation
Two graduated finger rolls included
Patented malleable frame can be bent-to-fit
Ambidextrous
Product Number
Size
Wrist to Tip of Middle Finger
14-0100
Adult
7″-8″
14-0101
Adult Small
6″-7″
Underlying Conditions:
Wrist/Hand Contracture
Rheumatoid Arthritis
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
.
Our Process is as follows:
1. Choose a brace, send a brace request form and a facesheet to our office.
2. PME will verify insurance coverage, prepare a script and send it to the requester for a DR signature.
3. Facility sends back signed script
4. PME ships brace to the facility.
Contact Us
Auth to Bill / Brace Request Form