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Adjustable Wrist and Hand Contracture Splint
Suggested HCPCS Code:
L3915/L3916
Bilateral
Adjustable locking hinge to increase wrist extension
Lightweight, breathable, and comfortable
Moldable aluminum core for a custom fit
Fits comfortable over and under clothes
Product Number
Size
Wrist Circumference
14-0800
Small
Up to 7″
14-0801
Medium
7.5″-8.5″
14-0802
Large
9″-10″
14-0803
X-Large
10.5″
Underlying Conditions:
Rheumatoid Arthritis
Wrist/Hand Contracture
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