Hinged Ankle Brace with Footplate

Suggested HCPCS Code: L1906

  • Adjustable Velcro closures for perfect fit
  • Full flexion ankle joints for ease of or restriction of motion
  • Orthotic foot plate supports foot and ankle
Product Number Side Size Shoe Size
16-0400 Right X-Small W: 4-6
16-0401 Left X-Small W: 4-6
16-0402 Right Small W: 7-9 M: 4-7
16-0403 Left Small W: 7-9 M: 4-7
16-0404 Right Medium W: 10-12 M: 8-10
16-0405 Left Medium W: 10-12 M: 8-10
16-0406 Right Large W: 13-15 M: 11-13
16-0407 Left Large W: 13-15 M: 11-13
16-0408 Right X-Large W: 15+ M: 13+
16-0409 Left X-Large W: 15+ M: 13+
Underlying Conditions:
  • Ankle/Foot Sprain
  • Ankle/Foot Contracture
  • Ankle/Foot derangement
  • Osteoarthritis
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
For Product Instructions click HERE.
Our Ordering Process

Our Process is as follows: