Goniometer Locking Elbow Hand Combo Orthosis

Suggested HCPCS Code: L3760 and L3807/L3809

  • Length and cuffs easily adjust for custom fit
  • Adjust flexion/extension of elbow without removing stays
  • Brace can be set for pronation or supination
  • Washable, removable terry cloth cover
Product Number Size Bicep Circ.
13-0200 Adult Regular 11″-15″
13-0201 Adult Small 9″-12″
Underlying Conditions:
  • Elbow Contracture
  • Rheumatoid Arthritis
  • Hemarthrosis of Elbow
Coverage Criteria: Item is for treatment of illness or injury or to improve function of elbow/hand. (Not preventative.)
For Product Instructions click HERE.

Our Process is as follows: