Hinged Pull/Sleeve Knee Brace (NON-ROM)
Suggested HCPCS Code: L1820
- Wrap-around straps secure uprights/hinges in position and minimize migration.
- Soft popliteal knit prevents “bunching”
- Perforated, breathable skin-friendly neoprene with polycentric hinges
- Pressure relieving, stabilizing patella shaped silicone buttress
| Product Number | Size | Circ 6″ Above Knee Center |
| 11-0300 | X-Small | 12″-13″ |
| 11-0301 | Small | 13″-14″ |
| 11-0302 | Medium | 14″-15″ |
| 11-0303 | Large | 15″-17″ |
| 11-0304 | X-Large | 17″-19″ |
Underlying Conditions:
- Chronic Knee Instability
- Rheumatoid Arthritis
- Pathologic Fracture of Femur/Fibia/Fibula
- Congenital Deformity of Knee Joint
- Osteoarthritis
- Patella Fracture
- Derangement of Meniscus due to Tear or Injury
Coverage Criteria:
- Ambulatory patient with weakness or deformity of the knee requiring stabilization
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.
