Dorsal Resting Hand Splint
Suggested HCPCS Code: L3807/L3809
- Lightweight support for painful extremities
- Additional padding in the thumb pocket (included) allows gradual abduction of severely deformed thumbs
- Wide, contoured wrist strap conforms over and stays on the wrist
- Foam over aluminum base can be remolded to continue the restorative process
- Comes with Velcro-on finger separators
| Product Number | Side | Size | Wrist to Fingers |
| 14-0700 | Right | Small | 5″-6.5″ |
| 14-0701 | Left | Small | 5″-6.5″ |
| 14-0702 | Right | Medium | 6″-7″ |
| 14-0703 | Left | Medium | 6″-7″ |
| 14-0704 | Right | Large | 7″-8″ |
| 14-0705 | Left | Large | 7″-8″ |
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.)
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.
