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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