E-Z Knee Immobilizer
Suggested HCPCS Code: L1830
- Universal sizing will fit most patients
- Elastic velcro straps allow for added compression
- Two movable stays for medial and lateral placement
- Contoured posterior stays for extra rigidity
| Product Number | Length |
| 11-1400 | 12″ |
| 11-1401 | 16″ |
| 11-1402 | 20″ |
| 11-1403 | 24″ |
Underlying Conditions:
- Knee Derangement
- ACL Tear
- Congenital Deformity of Knee Joint
- Chondromalacia of Patella
- Old Bucket Handle of Medial Meniscus
- Pathologic Fracture of Femur/Tibia/Fibula
- Disruption of MCL
- Rheumatoid Arthritis
- Osteoarthritis
Coverage Criteria:
- Recent knee injury or recent surgical procedure on knee
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.
