Carpal Tunnel Glove
Suggested HCPCS Code: L3908
- Thermoskin glove allows for all day comfort
- Compression and heat therapy combined with rigid metal splint for control
- A perfect combination of a wrist splint with arthritis glove
- Velcro locking strap for perfect fit
| Product Number | Side | Size | Wrist Circumference |
| 14-1200 | Right | X-Small | 6″-7″ |
| 14-1201 | Left | X-Small | 6″-7″ |
| 14-1202 | Right | Small | 7″-8″ |
| 14-1203 | Left | Small | 7″-8″ |
| 14-1204 | Right | Medium | 8″-9″ |
| 14-1205 | Left | Medium | 8″-9″ |
| 14-1206 | Right | Large | 9″-10.5 |
| 14-1207 | Left | Large | 9″-10.5 |
| 14-1208 | Right | X-Large | 10.5″-11.5″ |
| 14-1209 | Left | X-Large | 10.5″-11.5″ |
| 12-1210 | Right | 2X-Large | 11.5″+ |
| 12-1211 | Left | 2X-Large | 11.5″+ |
Underlying Conditions:
- Carpal Tunnel Syndrome
- Wrist Instability
- Osteoarthritis
Coverage Criteria:
Item is for treatment of illness or injury or to improve function of hand . (Not preventative.)
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.
