GivMohr Sling

Suggested HCPCS Code: L3670

Product Number Side Size Style Patient Height
13-0900 X-Small Bilateral Less Than 5’0″
13-0901 Small Bilateral 5’0″-5’4″
13-0902 Medium Bilateral 5’3″-5’10”
13-0903 Large Bilateral 5’10”-6’4″
13-0904 X-Large Bilateral Over 6’4″
13-0905 X-Small Single Less Than 5’0″
13-0906 Small Single 5’0″-5’4″
13-0907 Medium Single 5’3″-5’10”
13-0908 Large Single 5’10”-6’4″
13-0909 X-Large Single Over 6’4″
Underlying Conditions:
  • Frozen Shoulder
  • Primary Osteoarthritis
  • Shoulder Subluxation
  • Impingement Syndrome
  • Arthritis of Shoulder
  • Brachial Plexis Injury
  • Post Polio Syndrome
  • Transverse Myelitis
  • Central Cord Syndrome

Coverage Criteria: Item is for treatment of illness or injury or to improve function of upper body. (Not preventative.)

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