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Adjustable Hand Thumb Resting Hand Splint
Suggested HCPCS Code:
L3915/L3916
Available in 2 versions:
With below the wrist goniometer to allow various wrist positions
With below the wrist swivel to allow lateral and medial positions
Progressively change wrist and finger positions and amount of wrist deviation by adjusting the internal frame and locking the frame’s swivel
with included hex wrench
Side wings prevent ulnar/radial deviation
Ambidextrous
Available with optional finger separators
Product Number
Side
Size
14-0500
Deviation Model
Universal
14-0501
Goniometer Model
Universal
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 Deviation Model Product Instructions click
HERE
. For Goniometer Model 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