Exoform Knee Immobilizer
Suggested HCPCS Code: L1830
- Easy to fit with “slide to size” straps
- Dual cuffs and popliteal supports for exact immobilization
- Sleeve under brace for patient warmth
- Durable, comfortable and latex free
| Product Number | Side | Size | Style |
|---|---|---|---|
| 11-1300 | Universal | Universal | Full Foam |
| 11-1301 | Universal | Universal | Cool Foam |
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
For Product Instructions click HERE.
