Hinged Ankle Brace with Calf Panel
Suggested HCPCS Code: L1971
- Ambidextrous design fits left or right foot
- Adjustable velcro closures
- Calf and lateral supports
- Full flexion hinge
- Lightweight and easy to adjust
- Moldable foot plate
| Product Number | Size | Shoe Size |
| 16-0300 | Small/Medium | M: up to 10 W: up to 11 |
| 16-0301 | Large/X-Large | M: 10.5+ W: 11.5+ |
Underlying Conditions:
- Ankle/Foot Sprain/Fracture
- Ankle/Foot Contracture
- Ankle/Foot derangement
- Osteoarthritis
- Non-traumatic ruptures of tendon
Coverage Criteria:
Patient is ambulatory with weakness or deformity of the foot and ankle requiring stabilization for medical reasons and has the potential to benefit functionally from the boot
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.
